In addition to warning clients of the complications associated with prosthetic laryngoplasty, it may be prudent to provide a guarded prognosis for full restoration of racing performance in older horses, unless they are especially talented and are free of other racing-related problems.
Results suggest that female horses with displaced condylar fractures and male horses with nondisplaced condylar fractures are more likely to be referred for treatment. The effect of sex on outcome for these horses cannot be clearly separated from the effect of fracture configuration. When adjusted for fracture configuration, males were 6 times as likely as females to race after surgery. When adjusted for sex, horses with nondisplaced fractures were 17 times as likely as horses with displaced fractures to race after surgery. Results suggest that the most distal screw should be placed above the epicondylar fossa.
The clinical relevance of the cyclic fatigue data supports the conclusion that the broad DCP fixation is biomechanically superior to the broad LC-DCP fixation in osteotomized equine MC3 bones despite the results of the static overload testing.
Forty limbs with femoropatellar osteochondritis dissecans in 24 horses were treated with arthroscopic surgery. Lesions were bilateral in 16 horses and unilateral in eight horses. Diagnostic examination and surgical treatment were performed through a single arthroscopic portal; five different instrument portal locations and six instrument approaches were used. Lesions were localized to the lateral trochlear ridge of the femur in 31 affected joints, medial trochlear ridge in two joints, lateral and medial trochlear ridges together in two joints, lateral trochlear ridge plus patella in four joints, and patella alone in one joint. The lesions consisted of subchondral defects containing chondral or osteochondral flaps or fragments, or were seen as dimpling, cracking, fibrillation, or erosion of articular cartilage, or intact cartilage over a subchondral defect. Loose bodies were found in three joints. There was a poor correlation between radiologic and arthroscopic findings. Surgical manipulations included removal of flaps, fragments, and undermined articular cartilage, and debridement of the subchondral defect. Three horses were euthanized: one electively to assess the joint grossly, one because of complications following surgery and salmonellosis, and one because of unrelated forelimb abnormalities. Immediate clinical improvement after surgery was seen in the 22 horses permitted to survive. Long‐term follow‐up on seven of 10 racehorses revealed that two have raced successfully, two are “ready to race,” three are training sound, two are sound at pasture (still in convalescence), and one has been reoperated. Of six horses used for show or pleasure, three are being shown sound, one is sound for pleasure, and two are training sound. The remaining horses are convalescing.
Four methods of treating granulating wounds on the dorsal aspect of the metacar‐pophalangeal and metatarsophalangeal joints of ponies were evaluated. The following treatments were used: Group 1—excision of the granulation tissue with no further treatment; Group 2—cryosurgery; Group 3—excision of the granulation tissue and pressure bandage; and Group 4—excision of the granulation tissue and immobilization of the limb with a plaster cast. The wounds in Group 1 healed fastest, without producing exuberant granulation tissue and with only moderate scar fibrosis. The wounds in Group 2 healed without producing exuberant granulation tissue but with marked scarring. Wounds in Groups 3 and 4 took longer (p < 0.001) to heal compared to wounds in Groups 1 and 2. Wounds in Groups 3 and 4 produced exuberant granulation tissue, but the resultant scars were the least fibrotic.
In vitro results support further evaluation of ESP for PIP joint arthrodesis in horses. Its specific design may provide increased stability without need for external coaptation support.
The objective of this study was to determine if intraarticular pressure, elastance of the soft tissue forming the dorsal pouch, and range of motion in flexion measurements are significantly different in Thoroughbred metacarpophalangeal joints with clinical evidence of idiopathic synovitis, primary synovitis, synovitis/ capsulitis, or osteoarthritis relative to clinically normal joints. Forty-two metacarpophalangeal joints, in 25 active or retired Thoroughbred racehorses, were categorised by palpation and visual inspection of the palmar pouch into one of 4 increasing grades of distention. Intra-articular pressures were then measured using 2 pressure transducers attached to 22-gauge needles from both the dorsal and palmar pouches simultaneously while the horses stood squarely under mild sedation. After obtaining baseline pressure measurements, a third needle was inserted into the dorsal pouch, and 0.5 ml increments of saline solution were added every 10 s to perform a pressure/volume (elastance) study of the dorsal pouch. The elastance study for each joint ended when leakage into the palmar pouch was detected by the pressure transducer placed in that region. A lateral radiographic view was taken of each metacarpophalangeal joint in maximal flexion. The maximum angle of flexion was measured from the radiograph, and this angle was subtracted from 180" to acquire the range of motion in flexion.In this study, all Thoroughbreds with clinical evidence of lameness and/or sensitivity to flexion, referable to the metacarpophalangeal joint region, had fluid distention of the palmar pouch (grade 2 or 3 distention). The 16 metacarpophalangeal joints with no clinical abnormalities had a mean palmar pouch pressure of -1.25 mmHg. Joints afflicted with synovitislcapsulitis had the highest intraarticular pressures (mean +51.00 mmHg); however, joints with idiopathic synovitis (mean +15.71 mmHg), primary synovitis (mean +28.33 mmHg) and osteoarthritis (mean +26.20 mmHg) also had significantly elevated intraarticular pressures relative to the clinically normal group. Thoroughbred metacarpophalangeal joints diagnosed with *Present address: Department of Large Animal Surgery, Norwegian Veterinary College, Postbox 8146 Dep. 0033 Oslo, Norway. synovitis/capsulitis, or osteoarthritis, had significantly increased elastance (stiffness) of the soft tissue forming the dorsal pouch relative to the normal group and, probably, as a result significantly decreased range of motion in flexion. The presence of primary synovitis alone did not have a significant immediate effect on elastance of the dorsal pouch and range of motion in flexion. The 16 Thoroughbred metacarpophalangeal joints assessed as having no clinical abnormalities had a mean range of motion in flexion of 60.81". The mean range of motion in flexion of Thoroughbred metacarpophalangeal joints with a clinical diagnosis of primary synovitis was 53.67"; idiopathic synovitis 52.14'; synovitislcapsulitis 44.20'; and those with radiographic evidence of moderate to marked osteoarthritis 30.80'....
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