Retrospective analysis of endoscopic versus needle lavage in horses with traumatically injured joints and tendon sheaths

Surgical treatment of synovial sepsis: Is endoscopy the best approach?

“…Yet, it should be recognised that many different synovial structures were included in these studies, and the prognosis for successful treatment is likely to vary depending on the specific structure involved. The three studies directly comparing the two surgical treatment techniques showed no significant difference in the outcome (Duggan & Mair, 2019; Troillet et al., 2020; Wereszka et al., 2007); however, the results should be interpreted with caution since the studies were not controlled and only included small numbers of patients. The authors suspect that there has been a generational shift towards favouring endoscopic lavage as a treatment technique for synovial sepsis, and the apparent advantages of endoscopic lavage are favoured by many clinicians.…”

“…Braake (2002) included cases that were diagnosed by clinical inspection to have synovial sepsis, and retrospective analysis of the cases showed the synovial cell count to range from 12–333 × 10 9 /L and the percentage of PMNs to be 85%–99%. Troillet et al., (2020) also showed the synovial cell count to range from 21.9 to 220.3 × 10 9 /L, PMN 73%–96% and TP 29.3–61.6 g/L. Wright et al., (2003) showed the TNCC to range from <5 to >100 × 10 9 /L, TP 22–82 g/L and 75% had >80% of PMN.…”