The Comparison of Latero-Medial versus Dorso-Palmar/Plantar Drilling for Cartilage Removal in the Proximal Interphalangeal Joint

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ID: 273329
2021
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Abstract
The aims of the present study were to compare the percentages of articular cartilage removed using a lateral drilling approach of the proximal interphalangeal joint (PIPJ) and a dorsal drilling approach, and to assess the usefulness of digital fluoroscopy when performing a lateral drilling approach. Sixty cadaveric PIPJs were drilled using a surgical drill bit to remove the articular cartilage. The limbs were divided into three groups containing 10 forelimbs and 10 hindlimbs each. One group received the dorsal drilling approach, the second one received the lateral drilling approach and the last one received the lateral drilling approach under digital fluoroscopy guidance. The percentage of articular cartilage removed from each articular surface was assessed using Adobe Photoshop ® software. The percentages of removed cartilage turned out to be significantly higher with lateral approach, especially under fluoroscopic guidance, both in the forelimbs (p = 0.00712) and hindlimbs (p = 0.00962). In conclusion, the lateral drilling approach seems to be a minimally invasive technique with which to perform PIPJ arthrodesis, even more efficient than the previously reported dorsal approach.
Reference Key
spadari2021animalsthe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Alessandro Spadari;Giulia Forni;Sara Del Magno;Claudio Tagliavia;Marco Canova;Annamaria Grandis;Riccardo Rinnovati;Spadari, Alessandro;Forni, Giulia;Del Magno, Sara;Tagliavia, Claudio;Canova, Marco;Grandis, Annamaria;Rinnovati, Riccardo;
Journal animals
Year 2021
DOI
10.3390/ani11061838
URL
https://www.mdpi.com/2076-2615/11/6/1838
Keywords
arthrodesis horse proximal interphalangeal joint cadaveric study

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