Recent Advances in Standing Equine Orthopedic Surgery

O’Brien, Timothy P.; Hunt, Robert J.

doi:10.1016/j.cveq.2013.11.006

Cited by 13 publications

(27 citation statements)

References 29 publications

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“…This diagnostic limitation also occurs when soft tissue lesions of the TCj are considered. A recent report highlighted the arthroscopic diagnosis and treatment of several soft tissue lesions that were missed or partially identified during preoperative ultrasound by an experienced ultrasonographer …”

Section: Discussionmentioning

confidence: 99%

“…24 Standing techniques eliminate those risks and are currently replacing some procedures traditionally performed under GA in horses. 10,11,17,[25][26][27] To the best of our knowledge, there is no published information regarding the number of horses requiring arthroscopy of the TCj under GA solely for diagnostic purposes, but it is well known that traditional imaging has some diagnostic limitations. 3,7 Thus, the technique reported here could represent a valuable diagnostic technique for a subset of horses with tarsal pathology, especially those without a definitive diagnosis after diagnostic imaging.…”

Section: Discussionmentioning

confidence: 99%

“…8 Recent trends in equine surgery are toward standing procedures to avoid the cost and risks associated with general anesthesia (GA) and thereby include arthroscopic procedures. [9][10][11][12][13][14][15][16][17] Standing arthroscopic techniques have been reported in horses for the diagnosis and/or treatment of pathologies in two joints. [14][15][16] One of these studies introduced the use of a 1.2-mm-diameter needle arthroscope (BioVision Technologies, Golden, Colorado) for diagnostic arthroscopy of the stifle, overcoming some of the diagnostic limitations in that area.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic needle arthroscopy of the tarsocrural joint in standing sedated horses

Bonilla

2020

Veterinary Surgery

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Objective To develop and assess a needle arthroscopic technique to diagnose conditions of the tarsocrural joint (TCj) in standing sedated horses. Study design Experimental study. Sample population Six cadaveric hind limbs (phase 1) and six healthy horses (Phase 2). Methods In phase 1, each TCj was examined with a 1.2‐mm‐needle arthroscope. Suitability of the needle arthroscope and degree of joint visualization with traditional arthroscopic approaches were assessed. In phase 2, the feasibility of the procedure was assessed in six standing healthy horses. A custom‐made splint and base were developed to maintain joint flexion during the procedure. Results Thorough evaluation of the dorsal intra‐articular structures of the TCj via dorsomedial and dorsolateral approaches was possible in both phases. The procedure was feasible, quickly performed, and well tolerated by all horses. Complications consisted of moderate movement (2/6 horses) and hemarthrosis (3/6 horses). Conclusion Diagnostic standing needle arthroscopy of the TCj allowed thorough evaluation of the dorsal aspect of the joint while avoiding the cost and risks associated with general anesthesia. Inadvertent puncture of the dorsomedial vasculature with the cannula and obturator led to significant hemarthrosis. Clinical impact Needle arthroscopy of the TCj offers an alternative diagnostic tool when traditional imaging techniques (radiography and ultrasonography) are unrewarding or nondiagnostic. The technique is conceived mainly for diagnostic purposes, but its use during short interventions warrants investigation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnostic needle arthroscopy of the tarsocrural joint in standing sedated horses

Bonilla

2020

Veterinary Surgery

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“…Adequate sedation and peri‐neural analgesia are essential to ensure minimal movement of the patient (Russell and Maclean ). Other considerations included the use of thick rubber matting placed over the floor of the stocks to minimise transmission of vibrations from the drill to the horse (O'Brien and Hunt ).…”

Section: Discussionmentioning

confidence: 99%

Standing repair of an articular dorsal medial oblique fracture of the proximal third metacarpal bone in a racing Standardbred

Lean

Ahern

2019

Equine Veterinary Education

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“…; Payne and Compston ; Goodrich et al . ; O'Brien and Hunt ). In recent years, standing fracture repair has become a useful technique for reducing cost and risk associated with general anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Standing repair of a proximal, incomplete, articular fracture of the third metatarsal bone

Cillán‐García

Reardon

Schiavo

et al. 2018

Equine Veterinary Education

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Summary A 5‐year‐old National Hunt Thoroughbred mare presented with sudden onset left hindlimb lameness after race training on the gallops. Clinical examination revealed a marked painful reaction over the proximal metatarsal region but no other obvious abnormalities were detected. Survey radiographs at the yard did not reveal any abnormalities. Nuclear scintigraphic examination 3 days after injury revealed focal marked increased radiopharmaceutical uptake in the proximal metatarsal region. Subsequent radiography revealed an incomplete, articular fracture of the proximal left third metatarsal bone. Repair of the fracture using 3 × 4.5 mm cortical screws placed in lag fashion was performed under standing sedation following perineural analgesia. Follow‐up radiographs demonstrated progressive healing of the fracture. The mare returned to race training 8 months after the fracture was repaired and raced successfully 12 months post injury.

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Recent Advances in Standing Equine Orthopedic Surgery

Cited by 13 publications

References 29 publications

Diagnostic needle arthroscopy of the tarsocrural joint in standing sedated horses

Diagnostic needle arthroscopy of the tarsocrural joint in standing sedated horses

Standing repair of an articular dorsal medial oblique fracture of the proximal third metacarpal bone in a racing Standardbred

Standing repair of a proximal, incomplete, articular fracture of the third metatarsal bone

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