ISSN 2398-2942      

Arthrodesis: stifle

icanis
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Introduction

  • To fuse the stifle joint, thus preventing painful movement.
  • Treatment of choice: bone plate fixation on cranial aspect of femur and tibia (especially large/active dogs).
  • See arthrodesis overview Arthrodesis: overview for more detail.

Uses

  • See also general indications in arthrodesis overview Arthrodesis: overview.
  • Degenerative joint disease (DJD) - relief of intractable pain (most common indication).
  • Septic arthritis (where only one or two joints involved).
  • Comminuted articular fractures.
  • Traumatic shear injury.
  • Ligamentous damage.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Generally good, provided good range of movement in ipsilateral coxofemoral joint.
  • Circumduction of limb as advanced (common).
  • Failure to use limb at fast gaits (common).
  • Reasonable: for bilateral arthrodesis, although marked gait abnormalities ('bunny hop').

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Collins K E, Lewis D D, Lanz O I et al (2000) Use of a circular external skeletal fixator for stifle arthrodesis in a dog. JSAP 41 (7), 312-315 PubMed.

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