CASE REPORT article
Front. Vet. Sci.
Sec. Veterinary Surgery
Case Report: Staged bilateral pancarpal arthrodesis using 3D-printed patient specific guides and customized hybrid plate for severe carpal joint instability associated with chronic inflammatory demyelinating polyneuropathy in a miniature dachshund
Provisionally accepted
- 1Pride Veterinary Referrals, Derby, United Kingdom
- 2University of Glasgow School of Veterinary Medicine, Glasgow, United Kingdom
- 3Vet 3D, Kendal, United Kingdom
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This clinical case report aims to describe the surgical treatment of a severe bilateral multilevel and multidirectional carpal joint instability associated with chronic inflammatory demyelinating polyneuropathy (CIDP) with staged bilateral pancarpal arthrodesis (PCA) using 3D-printed patient specific guides and customized hybrid plate in a nine-year-old female neutered Dachshund. The dog was presented due to a progressive acute onset of generalized weakness. Neurological examination, blood work, electromyography, muscle, nerve biopsies and treatment responsiveness led to a diagnosis of CIDP. Medical treatment of the CIDP resulted in resolution of muscle weakness, but did not improved the carpal hyperextension, that ultimately ended up in a severe joint instability, requiring bilateral PCA. Staged bilateral PCA using 3D-printed patient specific guides and customized hybrid plate successfully treated the carpal joint instability without associated complications and resulted in a good to excellent return to function and quality of life of the patient. PCA in chondrodystrophic and miniature breeds can be challenging. Using 3D-printed patient specific guides and customised hybrid plate in this case helped in reducing the surgical time, and offering a more stable construct.
Keywords: dog, Chronic inflammatory demyelinating polyneuropathy, pancarpal, Arthrodesis, Carpal hyperextension, Palmigrade
Received: 28 Jul 2025; Accepted: 06 Oct 2025.
Copyright: © 2025 Franca, Marco-Carpio, Oxley, Minguez Molina and Vallefuoco. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Adriana Franca, adrianafranca99@gmail.com
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