Proximal Interphalangeal Arthrodesis in Horses: A Meta-Analysis of Retrospective Studies

Autor(es)

de Souza, Anderson Fernando ; Paretsis, Nicole Fidalgo ; De Zoppa, Andre Luis do Valle

• Tipo de documento: Artigo Científico
• Fonte: Journal of Equine Veterinary Science; v. 122, p. 11-pg., 2023-01-31.

Resumo

The aim of this study was to determine the clinical outcomes reported in retrospective studies of prox-imal interphalangeal arthrodesis (PIA) in horses through a meta-analysis of retrospective studies. CAB Abstracts, PubMed, ScienceDirect, Web of Science, and Scopus were searched. The primary outcomes in-cluded survival and surgical site infection (SSI) rates, return to activities, and time of hospital stay and casting. Subgroups were formed for fractures and other conditions. Meta-analyses were performed with fixed and random effects models to estimate proportions, mean values, and effect size by odds ratio (OR) with 95% confidence intervals (CI). Twenty-one full articles were included, totaling 458 horses. The sur-vival rate was 90% (95% CI [86%-93%]), return to activities was 65% (95% CI [61%-70%]), and SSI was 12% (95% CI [8%-16%]). The mean hospitalization was 25 days (95% CI [18-35 days]) and time of casting was 29 days (95% CI [21-42 days]). The OR of survival ( P = .769), return to activities ( P = .576), and SSI ( P = .467) were similar between cases of fractures and other conditions. PIA is an efficient and safe method to treat injuries in the pastern region, with a high survival rate and low SSI. However, the rate of return to soundness for intended use was modest, being potentially lower for fracture cases. Thus, investigations of more efficient interventions are needed to improve this outcome. (c) 2023 Elsevier Inc. All rights reserved. (AU)

• Processo FAPESP: 21/07105-9 - Artrodese interfalangeana proximal em equinos: ensaio biomecânico e análise por elementos finitos da ocorrência de concentradores de tensão em diferentes formas de aplicação do parafuso proximal em placa de compressão bloqueada
• Beneficiário: Anderson Fernando de Souza
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto