Tears of the manica flexoria are a well-known cause of lameness in horses, and endoscopic resection using a 3-or 4-portal approach has a good success rate. This article describes the feasibility of a two-portal technique to resect the manica flexoria based on cadavers and a prospective clinical study. This technique is less invasive regarding the number of portals, allows more precise instrument handling as all sharp instruments used to transect the manica flexoria are always under visualisation and has reduced ergonomic risks for the surgeon compared with the multiple portal approaches. Fifteen of the 21 (71%) operated horses returned to pre-injury level, comparable to the results obtained with previous techniques.
This report describes the diagnosis and treatment of synovial sepsis of the infraspinatus and intertubercular (bicipital) bursae. The origin of infection was considered to be haematogenous spread from an ipsilateral foot abscess. The horse responded well to treatment and returned to full athletic function.
In dieser Fallserie von 7 Fällen einer einseitigen Luftsackmykose des Pferdes werden Erfahrungen mit dem Katheter-Embolisationsverfahren beschrieben. Diese Methode dient dem sicheren intravaskulären Verschluß der im Bereich des Luftsackes verlaufenden Gefäße, und stellt so eine etablierte Methode nicht nur zur sicheren Verhinderung letaler Blutungen sondern auch zur Behandlung der Mykose dar. In dieser Serie konnten alle Pferde mit der beschriebenen Methode operiert werden und kein Pferd zeigte nach der Operation eine weitere Blutungsepisode. Bei allen Pferden bildete sich die Luftsackmykose innerhalb von 4 -10 Wochen nach der Operation vollständig zurück und sogar Pferde, die bereits mit neurologischen Symptomen auffällig waren zeigten eine vollständige Regeneration. Das Katheter-Embolisationsverfahren ist ein sicheres, kosteneffizientes und praktikabeles Verfahren, welches mit Ausnahme der Katheter kein spezielles Equipment verlangt.
Successful treatment of a complete laceration of both flexor tendons and septic tenosynovitis using the fetlock support brace -a case report A 2-year-old thoroughbred colt was presented to the veterinary hospital for a left hind plantar metatarsal laceration with completely severed superficial and deep digital flexor tendons and septic tenosynovaginitis caused by a traumatic incident 10 days ago. After aggressive medical treatment and surgical attendance via tenoscopy and attempted tenorrhaphy, the colt was recovered in a half limb cast. Due to ongoing tissue loss he was transitioned into the custom made fetlock support brace in a last treatment attempt. Within this brace, the tissue defect healed within a few months, leading to fully functional repair tissue. Fifteen months after this catastrophic injury, the now 4 year old colt has returned to full training for 6 months. Using this case example, we describe the use of a fetlock support brace. In two further cases, we have gathered experience with this device and have recognized its value, being easily built custom-made, lending prospect even in hopeless cases.Keywords: Tendon injury/ septic tenosynovitis/ tendon repair/ fetlock support brace/ Horse
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