Surgery for horses encompasses a range of procedures performed to diagnose, treat, or manage various medical conditions. These procedures may involve soft tissue or orthopedic interventions and require specialized techniques to accommodate the unique anatomical and physiological characteristics of equines. Common surgical procedures in horses include colic surgery, fracture repair, and arthroscopy. The success of equine surgery depends on numerous factors, including the type of procedure, the horse's overall health, and post-operative care. This page compiles peer-reviewed research studies and scholarly articles that explore surgical techniques, outcomes, and advancements in equine surgical practices.
Lindsay WA, Horney FD.During a 6-year period, carpal arthrotomies were performed on 89 horses with carpal fractures. Fifty-two percent of the fractures involved the left forelimb; the 3rd carpal bone was most often involved (42%), followed by the radial carpal bone (30%). The effect of surgery on the performance of a subgroup of 48 thoroughbreds was evaluated by comparing the number of starts, level of racing (claiming value), and earnings for the 12 months of racing preceding and following arthrotomy. The data indicated that carpal arthrotomy in the Thoroughbred carries with it a favorable prognosis inasmuch as 80...
Smith WN.A system using a suitably sized flotation tank has been developed to reduce the weight that horses and cattle place upon their legs after undergoing surgery to their limbs. The system overcomes the need for the patient to lie down for long periods, thus preventing decubitus. The system is well tolerated with few side effects; after prolonged flotation alopecia may occur on those parts of the patient which remain continuously immersed in water. The method is now commonly referred to as the 'Queensland Sling'.
Haynes PF.Persistent dorsal displacement of the soft palate was diagnosed in 2 Thoroughbred horses examined because of decreased exercise tolerance and a respiratory noise during strenuous exercise. The persistent dorsal displacement of the soft palate was caused by an epiglottis that was approximately 2/3 normal size, and thus was incapable of maintaining the soft palate in a normal subepiglottic position. Contrast pharyngography suggested a primary epiglottic abnormality. Visual assessment of the lesion was accomplished by exploratory ventral laryngotomy and endoscopy of the oropharynx per os. Surgica...
Stick JA, Krehbiel JD, Kunze DJ, Wortman JA.Esophageal healing was evaluated in 10 ponies after sutured and nonsutured cervical esophagotomy techniques. Mucosal healing occurred significantly (P less than 0.005) faster after sutured esophagotomies (x = 7.5 days after surgery) than after nonsutured esophagotomies (x = 25.6 days after surgery), based on endoscopic and clinical evaluations. Although endoscopy was an accurate assessment of the return of normal passage of a food bolus through the esophagus, 4 of 10 ponies had radiographic evidence of a sinus tract after the mucosa was considered healed, based on endoscopic and clinical exami...
Genetzky RM, Schneider EJ, Butler HC, Guffy MM.Arthrodesis of the proximal interphalangeal joint in horses, with 2 screws crisscrossing the joint, was compared with arthrodesis achieved by placement of 3 screws crossing the joint parallel to the long axis of the bone. The comparison was made by means of radiography, gross and histologic examinations, and motion evaluation. Additionally, the fused 1st and 2nd phalanges resulting from each method were subjected to breaking forces. Motion evaluation and direct examination of the fused area demonstrated that either procedure can be used to achieve arthrodesis consistently, and the breaking pro...
Pascoe JR, Meagher DM, Wheat JD.Uterine torsion was diagnosed in 26 mares of various breeds. The mean duration of gestation was 9.6 months. The most common clinical history was intermittent unresponsive colic of varying duration. Diagnosis of uterine torsion was confirmed by rectal palpation, and surgical correction was achieved in most cases by standing flank laparotomy and manual repositioning of the gravid uterus. Recumbent laparotomy was used only if the mare was intractable, the uterus was ruptured, or hysterotomy was indicated. Of 20 foals determined to be alive during surgery, 14 (70%) were subsequently born alive.
Chisholm FR.A prolapsed uterus in a mare and the techniques to successfully replace the organ and prevent complications such as shock, laminitis and metritis are described.
Miller RI.Treatment of equine phycomycosis with a vaccine derived from ultrasonicated hyphae of Hyphomyces destruens was attempted in 30 cases of clinical hyphomycosis, 10 cases of hyphomycosis following unsuccessful surgery and 5 cases of basidiobolomycosis. Approximately 53% of animals with clinical hyphomycosis were cured after vaccination, while a further 33% clinically improved. All horses with hyphomycosis treated within 2 weeks of unsuccessful surgery were cured. There was no response to vaccination with a Hyphomyces preparation in horses with basidiobolomyucosis, while surgery alone resulted in ...
Trout DR, Lohse CL.A foal with a congenital flexure deformity of the right hock was unable to walk because of an abnormally short peroneus tertius (PT) muscle. Tension on the muscle origin and insertions limited the dorsal angle of hock extension to a 70-degrees arc. The intrauterine position of the fetus probably caused the defect. All the PT attachments were dissected in several other limbs, and illustrations made from these dissections were used to study the anatomy and surgical approach. Immediately after resection of the PT muscle, the foal's right hock extended an additional 30 degrees. Two months later, t...
Blue MG, Wittkopp RW.Enteroliths were obtained by laparotomy or necropsy of 11 horses, and a collection of smaller concretions was found on pasture. Following analysis by energy-dispersion x-ray analysis and x-ray diffraction, they were found to consist primarily of ammonium magnesium phosphate. Several minor elements were detected, including titanium in some concretions. From a farm with a history of enterolith obstructions, the well water contained a high proportion of magnesium in relation to the other cations.
Hall LW, Taylor PM.One hundred anaesthetics were administered in a clinical trial to 95 equine patients, ranging in age from nine months to 19 years and in weight from 140 to 1270 kg, undergoing a variety of surgical procedures. Acepromazine maleate premedication (0.01 to 0.03 mg per kg intramuscularly) was given to seven animals, the remainder were not premedicated. Xylazine (1.1 mg per kg) was injected intravenously over a two minute period and after a pause of two minutes ketamine (2.2 mg per kg) was injected rapidly by the same route. For 30 procedures no other anaesthetic was given but in 59 cases anaesthes...
Fackelman GE, von Rechenberg B, Fetter AW.The need for early postoperative weight bearing following fracture repair in the horse has led to investigation of various means of expediting the healing process. Bone grafting represents one means of accomplishing this, and the transplantation of autologous tissues has proven to be most useful in equine orthopedics. Acid-decalcified, frozen, allogeneic bone for grafting is easy to prepare, readily contoured, osteogenic, and elicits no obvious immune or rejection response. The most compelling reason for the use of the substance is the elimination of the need of a harvesting operation on a pat...
Elzer EJ, Bramlage LR.Outcomes have been reported for a limited number of short frontal plane fractures of the proximal phalanx following nonsurgical treatment and internal fixation. Objective: To describe a new approach, arthroscopic debridement, of short frontal plane fractures of the proximal phalanx in flat-racing Thoroughbreds and post-operative racing outcome. Methods: Retrospective case-control study. Methods: Medical records of 81 Thoroughbred racehorses treated with arthroscopic debridement for frontal plane fractures of the proximal phalanx were reviewed. Diagnostic images and operative reports were used ...
Bidwell LA.Equine anesthesia is complicated regardless of the procedure being performed. Anesthesia for the mare experiencing dystocia is complicated by the size of the fetus, positioning of the mare for the procedure, and concern over drug effect on the fetus through the neonatal period. Anesthesia of the neonate is complicated by multiple factors, specifically, sensitivity to the drugs administered. Ventilatory support, minimizing drugs administered, and minimizing anesthesia time are essential for a positive outcome.
McCarthy PH.The anatomy of each feature and structure of the laryngeal and adjacent regions, as perceived by palpation, is described for clinically normal standing horses. Visible skin contours produced by some of the superficial structures are also described. Concurrent dissection was performed on fresh cadavers to confirm initial findings. The procedure of systematic palpation in relation to clinical diagnosis and surgical procedure is discussed.
Archer RM, Schneider RK, Lindsay WA, Wilson JW.Perforated stainless steel cylinders filled with autogenous cancellous bone were implanted in the distal tarsal joints of four horses. Graft cell survival was poor two weeks after surgery in one horse. In two horses, at 10 months there was partial arthrodesis of the joints with incorporation of the implants into the osseous union. The implants were filled with vascularised woven bone. These two horses were sound nine months after surgery. One horse fractured its third tarsal bone and was still positive to a hock flexion test 12 months after surgery.
Klohnen A, Trostle SS, Stone WC, Johanningmeier D, Wilson DG, Hendrickson DA.A yearling horse was presented with a septic, transverse fracture in the frontal plane of the distal phalanx. The fracture fragment was surgically removed from the parent bone via the sole. The foot was managed by corrective farriery and the horse was able to be ridden for pleasure.
Young RL, Linford RL, Olander HJ.Physical examination and exploratory celiotomy were performed on five neonatal foals presented with signs of acute colic. Atresia coli was confirmed in each foal during surgery. The most consistent finding on physical examination was the absence of meconium staining following repeated enemas. The large, transverse and/or small colon were involved in all foals. One eight month aborted foetus was submitted for necropsy and diagnosed as having atresia coli and congenital hydrocephalus. Atresia coli should be considered for neonatal foals with signs of acute colic.
Van Hoogmoed L, Snyder JR.The medical management of postoperative abdominal disorders remains a diagnostic and therapeutic challenge for the equine clinician. Recent advances in the development of techniques and medications to offset or attenuate ischemia-reperfusion injury, endotoxemia, and ileus are encouraging and potentially will decrease the incidence of additional complications.
Booth AD, Hidalgo FL, Bellezzo F, Young JM, Bianco AW, Hughes LE, Maher M, Trumble TN, Ernst N.To describe outcomes of horses with temporohyoid osteoarthropathy (THO) treated with partial ceratohyoidectomy. 10 client-owned horses. Medical records from 2 institutions were examined for records of horses with THO treated with partial ceratohyoidectomy between 2010 and 2021. History, signalment, clinical signs, diagnostics, medications, and surgery-related details were recorded. Horses with a minimum of 6 months follow-up were recruited for neurologic and imaging examinations in the hospital or field where radiography of the basihyoid-ceratohyoid articulation were performed along with CT, w...
Witherspoon MD.Serial photography of the ovary of a mare by periodic surgical exteriorization of the ovary and peritonescopy in situ revealed that the ovulatory fossa is the site of ovulation in this species.
Adams R, Nixon A, Hager D.Real-time ultrasound was used to identify a foreign-body abscess causing an extraluminal esophageal obstruction in the neck of a horse. Surgical exploration to remove the foreign body and drain the abscess was performed after 2 months of medical management that had failed to resolve the problem. The abscess could not be visualized because there was no draining tract or other localizing sign of inflammation. Ultrasound was used aseptically to guide surgical dissection to the walled off abscess with minimal damage to adjacent vital structures in the surgical field. The signs of esophageal obstru...
Collier MA, Brighton CT, Rendano VT, Schryver HF, Kallfelz FA.Electrically induced osteogenesis exhibits a dose response curve and can induce bone formation in the absence of trauma and in nonunions. Electrically induced osteogenesis, using direct electric current (DC) in a third metacarpal diaphyseal osteotomy model, in conjunction with internal fixation and postoperative loading, was investigated. Twelve young adult ponies of mixed sex were divided into 2 treatment groups (A and B) of 3 stimulated and 3 controls each and evaluated, using a specifically designed procedure. Stimulated ponies in both groups were given 20 microA of DC via an implanted bone...
McD￮ LA, Dart AJ, Schiffman P, Parrot JJ.Enterolithiasis, as a cause of colic, was diagnosed and treated during surgical intervention in 2 Grant's zebras (Equus burchelli bohmi). The zebras were part of a wild herd in a zoo in the western United States. The clinical signs of enterolithiasis in both zebras were similar to those reported for horses. Analysis of the enterolith from 1 zebra revealed a composition identical to enteroliths that have been analyzed from horses. Three other zebras from this herd had enteroliths at necropsy. Enterolithiasis should be considered as a differential diagnosis for zebras with low-grade obstructive ...
Savage CJ, Jeffcott LB, Melsen F, Ostblom LC.Two hundred and five bone biopsies from the wing of ilium were taken from 52 growing and 70 older horses. The method was initially evaluated in 4 horses at post mortem and then performed in 26 horses under general anaesthesia. The technique was later developed for biopsying horses in the standing position under local anaesthesia (n = 70 adults; n = 22 foals). The core of the bone biopsy consisted of a central cancellous portion between two cortices. This type of sample allowed a complete histomorphometrical analysis. An integral part of the procedure was intravital bone labelling using fluoroc...
Lowe JE, Baldwin BH, Foote RH, Hillman RB, Kallefelz FA.Three Quarter-horse stallions were surgically thyroidectomized at 18 months of age. Weekly semen collections were made from these and three control stallions from 25 to 39 months of age. Although the induced state of hypothyroidism in young stallions has a depressing effect on libido and general animation and can be corrected by thyroprotein supplementation, semen characteristics, testicular histology and fertility are not affected by the operation.
Daicker B, Gywat L, Keller M, Spiess B, Brückner R.The authors describe peculiar tumors with brown-white piebald anterior surface, which had grown bilaterally from the corpora nigra (C.N.) of an adult horse and occluded the pupils. The surgical procedure for removing the larger tumor and the postoperative treatment are described. The findings by light and electron microscopy suggest that the tumor represent a so-called adenoma of the iris pigment epithelium. The white patches on its surface consist of newly formed Descemet-like material produced by displaced corneal endothelial cells, which have probably grown on the tumor after contact with t...
Gregg AS, Jones RS, Snowdon SL.A fault in the assembly of a Matrix Large Animal Circle anaesthetic machine resulted in reversal of fresh gas flow through the vaporizer. The fault was discovered only after the sudden development of excessive depth of anaesthesia in two equine patients. Laboratory investigations were conducted to determine the effect of flow reversal on vaporizer output. Results indicated that output concentration was approximately doubled under these conditions.
O'Neill HD, Bladon BM.There is limited information on the treatment of lateral malleolus (LM) fractures in the horse, with no previously published case series for the outcome following arthroscopic removal of such fractures. This report reviews and evaluates findings of a retrospective study of 13 horses admitted to a private equine referral hospital over a 10 year period (1999-2009) that underwent arthroscopic removal of fractures of the LM. Hospital records were reviewed and details including patient history, aetiology of the fracture and limb affected, results of all diagnostic tests and surgical reports were do...
Scharner D, Bankert J, Brehm W.The examination of patients suffering from an acute abdomen routinely comprises both clinical and rectal examinations, and is ever more frequently accompanied by an ultrasonographic abdominal examination. The aim of the study was to compare the findings as defined through rectal examination with the results of the ultrasonographic examination for different forms of colic. Methods: In a retrospective study, the patient records of the Large Animal Clinic of the University of Leipzig from 2012 and 2013 were analysed, and those of horses suffering from colic were included. Diagnoses made through r...
Henry RW, Diesem CD, Hunter MA, Rankin JS.Eleven ponies were used to perfect a surgical approach to the brachial plexus that would offer maximal exposure to the plexus, with minimal trauma. One pony was euthanatized to determine whether surgical exposure to the plexus was feasible. By approaching the plexus from the prescapular region, the only muscle that was found necessary to incise was the cutaneus omobrachialis. The rest of the procedure required only blunt dissection. In the other 10 ponies, the wounds healed by first intention, and the gait was not affected by the surgery.
Espinosa-Mur P, Coté N, Desjardins MR.To describe the radiographic and surgical findings of horses with osteochondral fragments (OCF) in the proximal intertarsal joint (PIJ) and to detail the technique for arthroscopic fragment retrieval and report outcomes. Methods: Retrospective case series. Methods: Twenty-nine horses (32 tarsi) with OCF in the PIJ. Methods: Medical records of horses with radiographic evidence of OCF in the PIJ were reviewed. Clinical features, number of fragments, location, arthroscopic appearance, and outcome were recorded. Technical modifications with visual aids specific to this arthroscopic technique are d...
Wright IM, Minshall GJ.Chip fractures of the dorsoproximal articular margin of the proximal phalanx are common injuries in racehorses. Large fractures can extend distal to the joint capsule insertion and have been described as dorsal frontal fractures. Objective: To report the location and morphology of short frontal plane fractures involving the dorsoproximal articular surface of the proximal phalanx and describe a technique for repair under arthroscopic and radiographic guidance. Methods: Single centre retrospective case study. Methods: Case records of horses with frontal plane fractures restricted to the dorsopro...
Hawkins JF, Lescun TB.A 4-month-old Quarter Horse was admitted for evaluation of infection that developed following bilateral hemicircumferential periosteal transection and elevation. Sepsis of the common digital extensor tendon sheath was diagnosed. Treatment included lavage of the tendon sheath, placement of an indwelling drain for lavage after surgery, establishment of drainage, and administration of antimicrobial and anti-inflammatory drugs. Three months after treatment, the foal was clinically normal.
Hodgson DS, Dunlop CI.We have discussed anesthetic techniques, special considerations, and expected complications involved in anesthetizing horses for abdominal, orthopedic, and head and neck surgery, and myelography and have described expected physiologic dysfunction that may require changes in anesthetic technique or supportive measures. The objective is high-quality patient care and reduction in anesthesia-related morbidity and death.
Velloso Álvarez A, Sandow CB, Rodgerson DH, Spirito MA.To evaluate the short and long-term outcomes of foals treated surgically for fractured ribs and variables that may affect outcome. Methods: Retrospective. Methods: Seventy-three equine neonates with surgically repaired fractured ribs. Methods: Medical records were reviewed to include sex, breed, the side of thorax affected, number of ribs fractured, co-morbidities directly associated with rib fracture, and surgical technique used. Short-term outcome was defined as survival to discharge. Long-term outcome was whether or not they started a race. Race records of maternal siblings were obtained fo...
Booth LC.Delayed closure is an underutilized technique that can produce a good cosmetic result in lower leg wounds and can significantly shorten the healing time. To be successful, the surgeon should be able to utilize tension-relieving techniques and manage dead space. Scar revision should be limited to simple elliptical excision or modifications thereof until experience is developed. Sliding skin flaps, Z-plasties, and W-plasties are used infrequently and require adequate preoperative planning.
Carmalt JL, Borg H, Näslund H, Waldner C.Proximal palmar/plantar osteochondral fragmentation of the first phalanx is a frequent radiographic finding in Standardbred horses. These lesions are routinely removed prior to the onset of a racing career with no evidence to support the timing of this surgical intervention. Objective: To determine whether horses racing before surgery slowed as they approached surgery date and whether they speeded up after surgery. To investigate the factors affecting whether a horse raced after surgery and compare the performance of horses that did and did not race before surgery. Methods: A retrospective stu...
Gillis JP, Zardiackas LD, Gilbert JA, St John KR.Paired equine third metacarpal bones were drilled and tapped for 4.5 mm and 5.5 mm cortical screws. Tapping was done by hand or with an air-driven reversible orthopedic drill. Screws were inserted and subjected to extraction forces to failure of the osseous threads or the screws. There was no difference in holding power of either screw size between hand-tapped and power-tapped holes.
Beinlich CP, Nixon AJ.In this study, the radiographic and histologic appearance of lateral palmar intercarpal ligament (LPICL) avulsion in the horse was characterized. Thirty-seven horses with radiographic evidence of avulsion fragments originating from the medial palmar aspect of the ulnar carpal bone were examined. The dorsolateral to palmaromedial projection was useful for evaluating the size and shape of the avulsed bone fragment, and the dorsopalmar projection added information on the relative proximity of the fragment to its fracture bed. Radiographic features that differentiated LPICL avulsion from subchondr...
May KA, Cheramie HS, Prater DA.Chyloperitoneum is a potential cause of colic in horses. Although rare in horses, chyloperitoneum can develop secondary to tearing of mesenteric adhesions and rupture of mesenteric lymphatic vessels. The prognosis for horses with chyloperitoneum depends on the underlying cause and the response to treatment.
