Medial Bone Plating for Management of Type V Central Tarsal Bone Fractures in Six Dogs

Tim G Easter, Jonathan J Pink, Bill Oxley, Alexis Bilmont
Vet Comp Orthop Traumatol. 2020 Oct 31. doi: 10.1055/s-0040-1716502.

Objective: The aim of this study was to report the surgical technique and outcomes of dogs with type V central tarsal bone (CTB) fractures stabilized with a bone plate applied to the medial aspect of the tarsus and metatarsus.

Study design: This study was a retrospective review of dogs with type V CTB fractures diagnosed with computed tomography and stabilized using a medial bone plate. Follow-up included clinical examination and radiography 8 to 10 weeks postoperatively and/or a long-term owner questionnaire.

Results: Six dogs were identified. All fractures occurred during exercise without external trauma and all dogs had additional tarsal fractures. Five dogs returned for clinical follow-up; all had no or mild lameness and evidence of fracture healing on radiography. A suspected surgical site infection occurred in one dog and resolved with medical management. Suspected contact between the plate and medial malleolus in one dog, and loosening of a talar screw in another, were identified, though not treated. Five owners completed the questionnaire, a median of 88 months postoperatively. No further complications were reported, limb function was reportedly acceptable, and all owners were very satisfied with the surgery.

Conclusion: Medial bone plate stabilization of highly comminuted CTB fractures resulted in evidence of fracture healing, and a low incidence of complications in six non-racing dogs.