Arthroscopic Removal of Large Extensor Process Fragments in 18 Friesian Horses: Long‐Term Clinical Outcome and Radiological Follow‐Up of the Distal Interphalangeal Joint

Compagnie, E.; Braake, F. ter; Heer, N. de; Back, Willem

doi:10.1111/vsu.12478

Cited by 9 publications

(2 citation statements)

References 13 publications

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“…Electrosurgical (or radiofrequency) dissection has been found to facilitate the dissection of osteochondral fragments attached by fibrous tissue and facilitate osteochondral fragment retrieval in equine metacarpo-/ metatarsophalangeal and distal interphalangeal joints. [11][12][13] Briefly, high-frequency alternating electrical currents pass through electrodes resulting in either cutting or electrocoagulation of local tissue. 14,15 One of the main advantages of electrosurgery is hemostasis, 16 reducing of intraoperative hemorrhage events, improving visibility, and reducing operative time.…”

Section: Introductionmentioning

confidence: 99%

Vascularity evaluation of the equine tarsocrural and proximal intertarsal joint septum, and comparative analysis of two arthroscopic transection techniques

Labordère,

Ruzickova,

Kamus

et al. 2024

Veterinary Surgery

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ObjectiveTo evaluate vascularity of the synovial membrane covered septum (SMS) separating the tarsocrural (TC) and proximal intertarsal (PIT) joints (Part 1) and compare two methods of transection, electrosurgical or Ferris Smith rongeur (FS rongeur) (Part 2).Study designExperimental study.Sample populationPart 1, 10 SMS (n = 5 horses). Part 2, six horses (n = 12 tarsi).MethodsIn part 1, SMS harvested postmortem were each divided into eight regions of interest (ROIs), processed for histology, and immunostained with anti‐α‐actin antibody for blood vessel identification. Vascular density was calculated for each ROI. Data was compared within and between horses. In part 2, six horses underwent TC arthroscopy. Each limb was randomly assigned to undergo either electrosurgical or FS rongeur SMS transection. SMS transection and total operative time were recorded. Intraoperative hemorrhage was scored. Data was compared between both techniques.ResultsSignificant interindividual variations in SMS vascular density were detected (p = .02), but there were no differences among ROIs. No differences in the transection time were detected between electrosurgery (4.83 ± 0.54 min) and FS rongeur (4.33 ± 0.67 min). No differences were found in intraoperative hemorrhage scores between techniques.ConclusionVascularity within the SMS varies among horses but not within its regions. Electrosurgical or FS rongeur transection of the medial SMS during tarsocrural arthroscopy is a rapid technique and improves surgical access to the dorsal compartment of the PIT.

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Section: Introductionmentioning

confidence: 99%

Vascularity evaluation of the equine tarsocrural and proximal intertarsal joint septum, and comparative analysis of two arthroscopic transection techniques

Labordère,

Ruzickova,

Kamus

et al. 2024

Veterinary Surgery

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“…Furthermore, the use of RFE for chondroplasty and soft tissue debridement during routine arthroscopic procedures is frequently described. [12][13][14]…”

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confidence: 99%

The use of radiofrequency in equine orthopedic surgery

Barton

Goodrich

2023

javma

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The use of radiofrequency energy (RFE) has become increasingly popular in equine orthopedic surgery in recent years, particularly for the debridement of cartilage lesions and soft tissue resection. However, despite considerable advancements in the technology, the safety and efficacy of RFE have continued to be questioned. While studies investigating the use of RFE for chondroplasty in the equine population are lacking, there is an abundance of research studies in the human literature assessing its effect on healthy chondrocytes, and researchers are seeking to develop guidelines to minimize collateral damage. This review article provides a concise and thorough summary of the current use of RFE in equine orthopedics, in addition to discussing the recent evidence surrounding its use for chondroplasty in both the human and equine populations.

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Complications of Surgery of the Equine Foot

Leise

2021

Complications in Equine Surgery

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Arthroscopic Removal of Large Extensor Process Fragments in 18 Friesian Horses: Long‐Term Clinical Outcome and Radiological Follow‐Up of the Distal Interphalangeal Joint

Abstract: Arthroscopic removal is a good treatment option for horses with large extensor process fragmentation with a good long-term outcome. Remodeling of the remaining extensor process and the subchondral new bone formation in the fragment bed can occur with functional recovery.

Cited by 9 publications

References 13 publications

Vascularity evaluation of the equine tarsocrural and proximal intertarsal joint septum, and comparative analysis of two arthroscopic transection techniques

Vascularity evaluation of the equine tarsocrural and proximal intertarsal joint septum, and comparative analysis of two arthroscopic transection techniques

The use of radiofrequency in equine orthopedic surgery

Complications of Surgery of the Equine Foot

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