Tarsus

Question 1

Butler, VRU, 2018:
Radiographs vs CT for tarsal fractures
In which bone was the greatest subjective difference in sensitivity observed between radiography and CT for fracture detection?
What was missed even with CT?

Answer 1

Butler, VRU, 2018:
4th tarsal bone
Small calcaneal chip fractures between the body of the talus and the calcaneus

Question 2

Frame, VCOT, 2017:
A calcaneotibial screw provided as much medial and lateral stability to the tarsocrural joint as intact collateral ligaments - true or false?

Answer 2

Frame, VCOT, 2017:
True

Question 3

Yardimci, VCOR, 2018:
Selective talocrural arthrodesis using hybrid transarticular ESF
What was observed around the intertarsal and tarsometatarsal joints?
Mid-term clinical outcomes?
What % had mild intermittent lameness after extensive exercise?

Answer 3

Yardimci, VCOR, 2018:
Moderate OA was observed around the intertarsal and tarsometatarsal joints
77% excellent outcomes, 17% good outcomes, 6% poor outcomes
18% had mild intermittent lameness after extensive exercise

Question 4

Armstrong, Vet Surg, 2019:
Central tarsal bone injuries
What were the most common injuries?
Complication rate?

Answer 4

Armstrong, Vet Surg, 2019:
The most common injuries were type V (comminuted) fractures (69%) and luxation of the central tarsal bone (25%)
62% complication rate

Question 5

Gunstra, JAVMA, 2019:
Prosthetic ligament placement for stabilization of medial or dorsomedial tarsometatarsal joint luxation
Minor complication rate?
Long-term function?

Answer 5

Gunstra, JAVMA, 2019:
38% minor complication rate
Long-term function was satisfactory

Question 6

Zellner, Vet Surg, 2018:
Tendon plating with a veterinary cuttable plate + ESF and non-weight-bearing sling
What adjunct therapies were administered?
A mature fibrous union bridged the site of anastomosis at 8 weeks after surgery - true or false?
Long-term outcome?

Answer 6

Zellner, Vet Surg, 2018:
Injection of platelet-rich plasma and laser therapy
True
Excellent long-term outcome

Question 7

Schulz, Vet Surg, 2019:
Loop-suture tenorrhaphy + autogenous leukoreduced platelet-rich plasma
Major complication rate?

Answer 7

Schulz, Vet Surg, 2019:
17% major complication rate

Question 8

Cocca, Vet Surg, 2019:
3 epitendinous suture patterns as adjuncts to a core locking loop suture for superficial digital flexor tendonorrhaphy
Effects of a epitendinous suture in addition to a locking loop suture?
Any differences between the 3 epitendinous suture patterns?

Answer 8

Cocca, Vet Surg, 2019:
Adding an epitendinous suture reduced gap formation and increased yield, peak and failure loads
No differences between the 3 epitendinous suture patterns

Question 9

Putterman, Vet Surg, 2019:
A continuous epitendinous suture as an adjunct to a three-loop pulley suture vs a locking loop suture for superficial digital flexor tendonorrhaphy
Which suture pattern (three-loop pulley vs locking loop) best prevented gap formation?
Effect(s) of the epitendinous suture?

Answer 9

Putterman, Vet Surg, 2019:
Gap formation was best prevented with a three-loop pulley compared with a locking loop suture
Tendinorrhaphies combined with an epitendinous suture eliminated gapping between tendon ends until failure, and increased resistance to loads tolerated at the repair site

Question 10

Perry
Calcaneal Fx in Non-racing
VetSurg 2017

Answer 10

Complications 61%
~screws and plates = less complications
~Non-sight hounds = less poor outcomes
~Major complications = poor outcome 13x