Problems and Complications of Diagnostic and Surgical Arthroscopy

McIlwraith, C. Wayne

doi:10.1016/b978-0-7234-3693-5.00015-1

Cited by 7 publications

(4 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Routine arthroscopy of the plantar pouch of the affected metatarsophalangeal joint(s) was performed under general anaesthesia with the patient in lateral recumbency. 11 Clinical care of horses included in the study was not affected in any way by their participation, and samples collected comprised fluid and tissue that would have otherwise been discarded. Prior to joint distention, a 3 mL sample of synovial fluid was obtained.…”

Section: Methodsmentioning

confidence: 99%

Plantar osteochondral fragments in young Standardbreds are associated with minimal joint inflammation at the time of surgical removal

McCoy

Secor

Roady

et al. 2022

Equine Veterinary Journal

View full text Add to dashboard Cite

Background: Plantar osteochondral fragments (POF) are common but their effect on joint health of young Standardbreds in race training is largely unknown. Objectives: Evaluate the inflammatory effects of POF in metatarsophalangeal joints of young Standardbreds as a step towards developing evidence-based recommendations for surgical removal. Study design: Cohort study. Methods: Forty-nine Standardbred horses (age 11-33 months) presented for surgical removal of POF from 56 metatarsophalangeal joints. Synovial tissue collected at arthroscopy was subjected to histopathology. IL-1β, TNFα, and PGE-2 were measured in synovial fluid using ELISA. Digital arthroscopy images were scored for inflammation. Racing performance data were retrieved from a public database.Results: Median time in race training prior to surgery was 8 weeks (IQR 4-12; range 0-40). There was minimal evidence of synovial inflammation as assessed by histopathology (median total score 2/20, IQR 0-2, range 0-5) or arthroscopy (median average total score 2.67/15, IQR 1.79-4, range 0-8.83). IL-1β was not detected in any sample. TNFα (median 0 pg/mL, IQR 0-0) and were measured at low levels. Weeks in training prior to surgery was associated with the number of starts in the season after surgery (incidence rate ratio 1.02, 95% CI 1.00, 1.04, P = .03). Main limitations:Small sample size from a single breed with a relatively short training time prior to surgery. Conclusions:There was minimal evidence of synovial inflammation in the metatarsophalangeal joints in this population of young Standardbred horses with POF. It is possible that POF may result in a different inflammatory response than other fragments because they are generally well-embedded in situ. These findings suggest that, in Standardbreds, race training can commence several weeks prior to surgical removal

show abstract

Section: Methodsmentioning

confidence: 99%

Plantar osteochondral fragments in young Standardbreds are associated with minimal joint inflammation at the time of surgical removal

McCoy

Secor

Roady

et al. 2022

Equine Veterinary Journal

View full text Add to dashboard Cite

show abstract

“…In osteoarthritic joints, the assessment of synovial membrane shape during surgical arthroscopy showed a high correlation with their histological aspects, allowing it to be a good indicator of the ongoing inflammatory process ( Agreste et al, 2021 ). Further information, such as surface integrity, thickness and stiffness of articular cartilage, and integrity of ligaments, can also be assessed ( McIlwraith et al, 2014 ). However, arthroscopy is not sufficient to identify early degenerative changes in cartilage structure and composition.…”

Section: Diagnosis Of Osteoarthritis In Horsesmentioning

confidence: 99%

Osteoarthritis: a common disease that should be avoided in the athletic horse’s life

et al. 2022

View full text Add to dashboard Cite

“…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 17–20 . For example, superior hemostasis has been demonstrated when an electrosurgery probe rather than a conventional scalpel blade was used in an experimental surgical model of oral surgery in rodents 21 .…”

Section: Introductionmentioning

confidence: 99%

“…14,15 One of the main advantages of electrosurgery is hemostasis, 16 reducing of intraoperative hemorrhage events, improving visibility, and reducing operative time. [17][18][19][20] For example, superior hemostasis has been demonstrated when an electrosurgery probe rather than a conventional scalpel blade was used in an experimental surgical model of oral surgery in rodents. 21 These characteristics make it an interesting alternative for transection of the SMS to improve PIT access and enhance visibility.…”

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

View full text Add to dashboard Cite

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.

show abstract

Problems and Complications of Diagnostic and Surgical Arthroscopy

Cited by 7 publications

References 41 publications

Plantar osteochondral fragments in young Standardbreds are associated with minimal joint inflammation at the time of surgical removal

Plantar osteochondral fragments in young Standardbreds are associated with minimal joint inflammation at the time of surgical removal

Osteoarthritis: a common disease that should be avoided in the athletic horse’s life

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

Contact Info

Product

Resources

About