| 2026, Cilt 42, e0475 |
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| Short-Term Outcomes of Closed Butterfly-Shaped External Fixation in Feline and Canine Carpal and Tarsal Joint Instability |
| Ebru Eravci Yalin1, Yusuf Altundag2, Kemal Altunatmaz3 |
| 1Istanbul University-Cerrahpaşa, Faculty of Veterinary Medicine, Department of Surgery, 34320, Istanbul, Türkiye 2Tekirdag Namik Kemal University, Faculty of Veterinary Medicine, Department of Surgery, 59030, Tekirdag, Türkiye 3Vetamerikan Animal Hospital, 34406, Istanbul, Türkiye |
| Keywords: Arthrodesis, Carpal, Cat, Dog, External fixation |
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The aim of this study was to evaluate the short-term clinical and radiographic
outcomes of a butterfly-shaped external fixation technique applied using a closed
approach for the stabilization of traumatic carpal and tarsal joint instability in cats
and dogs. This study included 39 patients (29 cats and 10 dogs) presented with
acute lameness to the Surgical Clinic of Istanbul University?Cerrahpaşa Faculty
of Veterinary Medicine. Clinical and radiographic examinations revealed carpal
or tarsal joint instability associated with luxation and ligament injuries. Joint
stabilization was achieved without opening the joint by applying a linear type II
external skeletal fixation system using Kirschner wires connected with thermoplastic
material. The butterfly-shaped configuration was designed to provide temporary
joint stabilization and promote periarticular fibrosis rather than osseous fusion.
Postoperative clinical examinations and stress radiography were performed at the
4th and 8th postoperative weeks. Successful joint stabilization was achieved in 97%
of the cases by the 8th postoperative week. Most complications were minor and
included pin tract infection, skin irritation, and occasional pin breakage. External
fixation materials were removed at the 12th postoperative week in the majority of
patients without any adverse effects or recurrence of instability. The butterfly-shaped
external fixation technique applied via a closed approach is a minimally invasive,
cost-effective, and well-tolerated alternative to arthrodesis for the treatment of
carpal and tarsal joint instability in cats and dogs. Temporary immobilization for
8?12 weeks was sufficient to restore joint stability with a low complication rate.
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