CT and MRI can be used to accurately identify the location of keratomas. Postoperative complications may be decreased by creating smaller hoof wall defects, filling the defects with antimicrobial-impregnated polymethylmethacrylate, and placing a shoe early in the postoperative period.
Repair of lateral luxation of the patella in horses and cows has consistently produced poor results; reluxation, muscle atrophy, septic arthritis, and degenerative joint disease are frequent postoperative complications of the techniques previously described. A new technique for repair of congenital lateral luxation of the patella in foals and calves is described; it includes lateral release of the patella followed by imbrication of the medial aspect of the joint capsule. Postoperative evaluation, up to 1½ years, confirmed the efficacy of the technique with retention of normal patellar position and range of motion. Muscle atrophy and lameness disappeared completely in 2 animals, which showed no radiographic evidence of degenerative joint disease at the time of surgical repair. Since the preparation of this article, 3 more calves have been successfully repaired with excellent clinical results up to 12 weeks postoperatively.
Summary
Six horses had been admitted to the hospital because of illness other than renal failure; diarrhoea, myositis, abdominal pain and/or suspected bacterial sepsis. Hypotension and disseminated intravascular coagulopathy were frequent findings in the horses. Abnormally high serum creatinine concentration and urine specific gravity of less than 1.022 were found in the horses with acute renal failure. Hyponatremia and hypochloraemia were the most common abnormal electrolyte findings. Pronounced hyperkalaemia was not found. Variable degrees of tubular necrosis were seen in three of the four horses that had kidney sections submitted for microscopic examination. Renal cortical necrosis occurred in one horse. Intravenous fluid and electrolyte replacement was the most important therapy in those cases that were non‐oliguric. Furosemide, mannitol and dopamine were used in horses with oliguria. The prognosis was generally good if the predisposing cause could be corrected and the acute renal failure was not oliguric.
For mid-body PSB fractures, arthroscopically assisted screw fixation in lag fashion and external coaptation for anesthesia recovery and initial support provides the best likelihood of return to athletic use.
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