Veterinary surgery : VS · 2025
Mosaic arthroplasty in equine stifle and fetlock joints: A retrospective study of 31 cases between 1998 and 2023.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pál Zsófia, Tuska Pál, Vásárhelyi Gábor, Hangody László, Hurtig Mark, Kaposi András D, Bodó Gábor
Аннотация
OBJECTIVE: To evaluate the clinical application of equine mosaic arthroplasty for joint surface repair, including outcomes and complications.
STUDY DESIGN: Retrospective clinical study.
ANIMALS: A total of 31 horses diagnosed with subchondral bone cysts (SBCs) in the femoral condyle (22/31), distal metacarpus (7/31), or metatarsus (2/31).
METHODS: Medical records of horses that underwent autologous or allogeneic osteochondral graft transplantation were reviewed. Follow-up lasted at least 12 months. Success was determined in terms of improvements in lameness and post-surgical athletic performance, classified as successful, satisfactory, or unsatisfactory.
RESULTS: In total, 68% (21/31) of horses regained soundness and resumed athletic performance at the same or higher level than before surgery. Furthermore, 22% (7/31) and 10% (3/31) exhibited satisfactory and unsatisfactory results, respectively. Seven horses underwent follow-up arthroscopy to treat complications or residual lameness. Among horses with femoral condyle SBCs, 68% (15/22) achieved successful outcomes, compared with 67% (6/9) of those with fetlock SBCs. Age (≤3 vs. >3 years) did not appear to influence outcomes in stifle cases. Horses receiving fewer implanted grafts showed a tendency toward better recovery.
CONCLUSION: Mosaic arthroplasty improved lameness in 90% of this mixed-age equine population, with 68% regaining soundness and successfully returning to athletic performance. Unlike other techniques reporting success primarily in 2- and 3-year-old horses, this method could provide an effective surgical alternative for both young and mature horses with SBCs.
CLINICAL SIGNIFICANCE: Mosaic arthroplasty may serve as a viable surgical option for managing SBCs.
STUDY DESIGN: Retrospective clinical study.
ANIMALS: A total of 31 horses diagnosed with subchondral bone cysts (SBCs) in the femoral condyle (22/31), distal metacarpus (7/31), or metatarsus (2/31).
METHODS: Medical records of horses that underwent autologous or allogeneic osteochondral graft transplantation were reviewed. Follow-up lasted at least 12 months. Success was determined in terms of improvements in lameness and post-surgical athletic performance, classified as successful, satisfactory, or unsatisfactory.
RESULTS: In total, 68% (21/31) of horses regained soundness and resumed athletic performance at the same or higher level than before surgery. Furthermore, 22% (7/31) and 10% (3/31) exhibited satisfactory and unsatisfactory results, respectively. Seven horses underwent follow-up arthroscopy to treat complications or residual lameness. Among horses with femoral condyle SBCs, 68% (15/22) achieved successful outcomes, compared with 67% (6/9) of those with fetlock SBCs. Age (≤3 vs. >3 years) did not appear to influence outcomes in stifle cases. Horses receiving fewer implanted grafts showed a tendency toward better recovery.
CONCLUSION: Mosaic arthroplasty improved lameness in 90% of this mixed-age equine population, with 68% regaining soundness and successfully returning to athletic performance. Unlike other techniques reporting success primarily in 2- and 3-year-old horses, this method could provide an effective surgical alternative for both young and mature horses with SBCs.
CLINICAL SIGNIFICANCE: Mosaic arthroplasty may serve as a viable surgical option for managing SBCs.