Veterinary surgery : VS · 2004
Treatment of septic common digital extensor tenosynovitis by complete resection in seven horses.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Booth Todd M, Abbot John, Clements Antony, Singer Ellen R, Clegg Peter D
Аннотация
OBJECTIVE: To describe and evaluate a technique for radical resection of the entire intrathecal component of the common digital extensor tendon (CDET) in horses.
STUDY DESIGN: Prospective clinical study.
ANIMALS OR SAMPLE POPULATION: Seven client-owned horses.
METHODS: Seven horses with wounds that resulted in septic tenosynovitis of the CDET sheath were treated by complete surgical resection of the affected tendon and ablation of the tendon sheath; 5 had previous surgery that was unsuccessful. Time from initial injury to complete resection was 1-22 weeks. In 6 horses, the wound was closed primarily using a closed suction (4 horses), penrose (1), or passive open drainage system (1). In 1 horse, the surgical wound healed by second intention. All horses had postoperative bandaging, antibiotic administration, and physiotherapy.
RESULTS: Surgical wounds healed primarily in 6 horses and by second intention in 1 horse. Follow-up (mean, 26.4 months; range, 18-38 months) was available for 6 horses; all returned to their athletic performance level without lameness or gait abnormality.
CONCLUSIONS: Complete resection of the CDET was an effective surgical technique for management of chronic septic tenosynovitis.
CLINICAL RELEVANCE: Horses with infection of the CDET and its sheath may be returned to long-term soundness without gait abnormality after radical resection.
STUDY DESIGN: Prospective clinical study.
ANIMALS OR SAMPLE POPULATION: Seven client-owned horses.
METHODS: Seven horses with wounds that resulted in septic tenosynovitis of the CDET sheath were treated by complete surgical resection of the affected tendon and ablation of the tendon sheath; 5 had previous surgery that was unsuccessful. Time from initial injury to complete resection was 1-22 weeks. In 6 horses, the wound was closed primarily using a closed suction (4 horses), penrose (1), or passive open drainage system (1). In 1 horse, the surgical wound healed by second intention. All horses had postoperative bandaging, antibiotic administration, and physiotherapy.
RESULTS: Surgical wounds healed primarily in 6 horses and by second intention in 1 horse. Follow-up (mean, 26.4 months; range, 18-38 months) was available for 6 horses; all returned to their athletic performance level without lameness or gait abnormality.
CONCLUSIONS: Complete resection of the CDET was an effective surgical technique for management of chronic septic tenosynovitis.
CLINICAL RELEVANCE: Horses with infection of the CDET and its sheath may be returned to long-term soundness without gait abnormality after radical resection.