Endoscopic surgery

Authors: M. R. W. SMITH, I. M. WRIGHT
Journal: Equine Veterinary Journal

Reasons for performing the study: A minimally invasive arthroscopic technique for removal of fractures of the lateral malleolus of the tibia is considered to be beneficial but data to this effect are required.

Authors: I. M. WRIGHT, M. R. W. SMITH
Journal: Equine Veterinary Journal

Reasons for performing the study: Removal of large chip fractures of the carpal bones and the osteochondral deficits that result, have been associated with a worse prognosis than removal of small fragments in similar locations.

Hypothesis: Reducing the articular defects by repair of large osteochondral fragments may have advantages over removal.

Authors: J. G. FOWLIE, H. D. O'NEILL, B. M. BLADON, B. O'MEARA, T. PRANGE, J. P. CARON
Journal: Equine Veterinary Journal

Reasons for performing the study: The conventional arthroscopic approach to the palmar/plantar aspect of the distal interphalangeal joint (DIPJ) may result in the inadvertent penetration of the digital flexor tendon sheath (DFTS) and the navicular bursa (NB). This iatrogenic communication would be undesirable subsequent to arthroscopic lavage of a septic DIPJ.

Hypothesis: A lateral/medial approach to the palmar/plantar aspect of the DIPJ will result in a significantly lower rate of inadvertent penetration of the DFTS and NB, whilst still providing adequate intra-articular evaluation.

Authors: Florien Jenner Dr med vet, Diplomate ACVS & ECVS, Carl Kirker-Head MA, Vet MB, Diplomate ACVS & ECVS
Journal: Veterinary Surgery

Objective: To determine the physiologic response of the equine navicular bone to core decompression surgery in healthy horses.

Study Design: Experimental in vivo study.

Materials: Healthy adult horses (n=6).

Authors: Florent David DVM, MSc, Diplomate ACVS & ECVS, Sheila Laverty MVB, Diplomate ACVS & ECVS, Marcel Marcoux DVM, MSc, Mihaly Szoke DVM, MSc, Diplomate ACVS & ECVS, Christophe Celeste DVM, MSc, Diplomate ACVS & ECVS
Journal: Veterinary Surgery

Objective: To report a tenoscopic technique using monopolar electrosurgery to transect the accessory ligament of superficial digital flexor muscle (AL-SDFM) and outcome in 33 horses.

Study Design: Case series.

Animals: Horses (n=33).

Methods: Medical files and surgery video recordings of horses that had AL-SDFM desmotomy performed by tenoscopy with monopolar electrosurgical electrodes were reviewed.

Authors: Sarah N. Sampson PhD, DVM, Robert K. Schneider MS, DVM, Patrick R. Gavin PhD, DVM, Timothy V. Baszler PhD, DVM, Robert H. Mealey PhD, DVM, Chad J. Zubrod MS, DVM, Chad A. Marsh DVM
Journal: Veterinary Surgery

Objective: To evaluate: (1) an arthroscopic technique for transection of the collateral sesamoidean ligament (CSL); and (2) the healing response using magnetic resonance (MR) and microscopic examination.

Study Design: Experimental study.

Animals: Adult horses (n=6).

Authors: H. D. O'NEILL, B. M. BLADON
Journal: Equine Veterinary Journal

There is limited information on the treatment of lateral malleolus (LM) fractures in the horse, with no previously published case series for the outcome following arthroscopic removal of such fractures. This report reviews and evaluates findings of a retrospective study of 13 horses admitted to a private equine referral hospital over a 10 year period (1999–2009) that underwent arthroscopic removal of fractures of the LM.

Authors: Jennifer L. Haupt DVM, John P. Caron DVM, MVSc, Diplomate ACVS
Journal: Veterinary Surgery

Objectives: To compare the proportion of the proximal recess of the navicular bursa that could be examined through a single endoscopic portal and the severity of iatrogenic lesions between conventional and modified approaches.

Design: Descriptive study.

Sample Population: Equine cadaver forelimbs (n=16).

Authors: S. M. HENDRIX, G. M. BAXTER, C. W. Mc ILWRAITH † ‡ , D. A. HENDRICKSON, L. R. GOODRICH, D. D. FRISBIE † and G. W. TROTTER §
Journal: Equine Veterinary Journal 2010

Reasons for performing study: Medial meniscal injuries and subchondral cystic lesions (SCL) are known to occur independently within the medial femorotibial (MFT) joint in horses. However, there are no reports of a potential clinical relationship between these 2 types of lesions.

Objectives: To: 1) document the concurrent presence or sequential development of medial meniscal and SCL of the medial femoral condyle within the MFT joint; and 2) determine the prognosis with both types of lesions.

Authors: P. Brink, DVM, N. I. Dolvik, DVM, PhD and A. Tverdal, PhD
Journal: Veterinary Record

The presence and degree of tarsocrural joint effusion and lameness, and the result of a hindlimb flexion test were scored subjectively in 79 horses before, and six weeks to 20 months after, arthroscopic surgery to remove osteochondritis dissecans fragments. The scores of all three variables improved significantly after surgery. The score reductions for the right and left hindlimbs, respectively, were 82 per cent and 95 per cent for lameness, 48 per cent and 41 per cent for joint effusion, and 89 per cent and 84 per cent for reaction to flexion (P0·01).