Veterinary surgery : VS · 2002
Medial patellar ligament splitting for the treatment of upward fixation of the patella in 7 equids.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Tnibar M Aziz
Аннотация
OBJECTIVE: To describe a surgical technique for splitting the proximal third of the medial patellar ligament (MPL) in horses and ponies with upward fixation of the patella (UFP), and to report outcome.
STUDY DESIGN: Prospective clinical study.
SAMPLE POPULATION: Four horses and 3 Shetland ponies.
METHODS: With ultrasound guidance, the proximal third of the MPL was split by percutaneous use of a no. 15 scalpel blade. The rationale for this surgical procedure was to induce a localized desmitis with subsequent ligament thickening. No anti-inflammatory drugs were administered, and horses and ponies were exercised the day after surgery. Clinical, radiographic and ultrasonographic follow-up evaluation was obtained.
RESULTS: No short-term or long-term complications were observed, and no patients had clinical signs of UFP after surgery. This clinical effect was attributed to a 2- to 3-fold increase in size of the proximal part the MPL from an induced localized desmitis. CONCLUSIONS-Percutaneous splitting of the proximal third of the MPL resolved UFP in equids.
CLINICAL RELEVANCE: Splitting of the proximal third of the MPL is effective for treatment of UFP and allows rapid return to normal activity.
STUDY DESIGN: Prospective clinical study.
SAMPLE POPULATION: Four horses and 3 Shetland ponies.
METHODS: With ultrasound guidance, the proximal third of the MPL was split by percutaneous use of a no. 15 scalpel blade. The rationale for this surgical procedure was to induce a localized desmitis with subsequent ligament thickening. No anti-inflammatory drugs were administered, and horses and ponies were exercised the day after surgery. Clinical, radiographic and ultrasonographic follow-up evaluation was obtained.
RESULTS: No short-term or long-term complications were observed, and no patients had clinical signs of UFP after surgery. This clinical effect was attributed to a 2- to 3-fold increase in size of the proximal part the MPL from an induced localized desmitis. CONCLUSIONS-Percutaneous splitting of the proximal third of the MPL resolved UFP in equids.
CLINICAL RELEVANCE: Splitting of the proximal third of the MPL is effective for treatment of UFP and allows rapid return to normal activity.