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.
Milne DW, Turner AS, Gabel AA.In the horse, surgical approaches for plating fractures of the ulna, radius, metacarpus, tibia, and metatarsus involved a single curvilinear skin incision and incision of the superficial fascia in a manner to prevent postoperative dehiscence. The tension side of the bones, as well as location of nerves, arteries, veins, and muscles, were the major determinants in developing these approaches for atraumatic surgery and short operative time.
Denny HR.Methods of treating fractures of the olecranon in the horse are reviewed. A further 4 cases are recorded in which the fracture was treated by open reduction and fixation with a heavy duty Venable's plate placed on the caudal aspect of the ulna. Three cases had an oblique fracture through the semilunar notch; this was complicated in one by a fracture of the lateral half of the radial head which resulted in subluxation of the radio-humeral joint. The fracture of the radial head was treated by open reduction and fixation with a lag screw. The fourth case had an oblique fracture of the olecranon j...
Hickman J.Sir Frederick Hobday's service as a Veterinary Officer in the Army Veterinary Corps during the Great War 1914-1918 is recorded. This is followed by a description of the fractures of the distal forelimb which can be treated satisfactorily by surgery, and includes fractures of the carpal, the small metacarpal, the proximal sesamoid bones, the first phalanx and the extensor process of the third phalanx.
Sonnichsen HV.Dexon is a new, synthetic, absorbable suture material. Its applicability for suturing distally in the extremities of horses was tested in 65 cases. The indications included burried sutures as well as skin closure. It was concluded that the material can be used with advantage in cases traditionally sutured with catgut, vetafil or mersilene. It is technically a pleasant material and has further the advantage that it shall not be removed.
Mason BJ.A survey of 28 cases of chronic purulent infection of the sinuses in the horse showed a relationship between incidence and age, and a probable relationship with breed. Dental disease was apparently the cause of half the cases. The conventional treatment of trephination followed by irrigation with antiseptic solutions resulted in freedom from recurrence of the disease for over 1 year in 17 of the 28 horses. Antibiotic therapy appears to be useless in chronic empyema. The prognosis is adversely affected by the development of facial swelling, a sign seen usually only in long-standing cases.
White NA, Wheat JD.Proximal tibial epiphyseal fractures in 2 foals were reduced and stabilized by expansion and compression between 2 transversely placed Steinman pins, one on each side of the fracture. A Charnley apparatus or turnbuckles placed between the pins on each side of the fracture provided the mechanical advantage for repositioning the fracture fragments and achieving rigid fixation during healing. A light cast was applied over the fixation apparatus, keeping the limb in an extended position. The cast and fixation apparatus were removed after 4 weeks. The technique allowed rapid healing and adequate am...
Mayhew IG.Methods for atlanto-occipital and lumbosacral collection of cerebrospinal fluid from the horse are described in detail, and the techniques and complications discussed.
Heinze H.A method of endoscopic examination of the internal genital (pelvic) organs of the mare is described. Special emphasis is placed on the induction of artificial pneumoperitoneum and the installation of an endoscopic peritoneal fistula device for prolonged observation. The potential of pelviscopy in the mare as a diagnostic aid, a new device for research in equine reproduction and as an auxillary aid to teaching is discussed.
Betteridge KJ, Mitchell D.An efficient surgical technique of collecting eggs from the oviducts of mares is described. Within 6 days after ovulation recovery was successful in 22/29 mares. The technique has been used to investigate the retention and ageing of eggs in the oviducts and to determine the origin and the nature of the accessory CL during pregnancy.
Allen WR, Rowson LE.Surgical and non-surgical methods used for the recovery and transfer of fertilized horse eggs are described. Sixteen of the twenty-three zygotes recovered surgically between Days 1 to 6 after ovulation from thirty donor mares were transferred surgically to synchronized recipients; seven pregnancies resulted. Seven of the eleven zygotes recovered non-surgically between Days 6 to 8 after ovulation from twenty-eight donor mares were transferred non-surgically to synchronized recipients; five pregnancies resulted.
Clark TL.The rarity of equine ovarian neoplasms is attested to by the lack of reports in the literature. However, sixteen cases have been diagnosed at the Iowa State University Veterinary Hospital in the last 3 years and, of these, the granulosa-cell tumour was the most common. A study of the clinical and subsequent histories of these and other mares reveals some common findings as to age, breed, reproductive status, clinical signs, and post-surgical reproductive capability.
Norrie RD.The concept of regenerative healing has been used to manipulate the healing process in experimental animals and clinically to augment bone healing in people after orthopedic operation. An implanted electrical device was used in an attempt to produce regenerative healing in experimentally created equine tendon injury. The bimetallic electrical implant did not produce regenerative healing under the conditions of this experiment. The mechanism of implantation and discussion of the results are included.
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.
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.
Voss JL, Pickett BW.Haemospermia caused infertility in the stallion and frequently results from a urethritis in the area of the ejaculatory ducts. Urethroscopic examination, urethrography, bacterial and viral cultures, biopsy, surgery of the urethra and histocytological examination should be used for diagnosis and it is essential that the exact cause and location of the haemorrhage be known before treatment is initiated. Optimal treatment includes sexual rest and appropriate antibiotics used systemically in conjunction with local medication of the urethra. Cauterization of the urethra with silver nitrate solution...
Comline RS, Hall LW, Lavelle R, Silver M.Methods developed for the insertion of catheters into the umbilical artery and vein and the uterine vein of the pregnancy mare are described. The technique requires careful anaesthesia and the maintenance of normal blood gas tensions, pH and arterial blood pressure. Fetal survival was variable: three mares delivered live foals and six fetuses survived more than 15 days with a maximal period of 41 days. The erythrocytes sedimentation rate (ESR) of the fetal foal was always very low at operation but subsequently increased slightly; a sudden large rise in ESR usually indicated imminent fetal deat...
Hilbert BJ, Rendano VT.Venous aneurysm was diagnosed in a 3-year-old horse, using contrast radiography and acid-base analysis of blood samples taken simultaneously from the right jugular vein and a swelling in the right mandibular angle. Attempted surgical correction was followed by rupture of the right maxillary vein. Hemorrhagic shock developed, and the horse died.
Stashak TS, Adams OR.Autogenous bone grafts were obtained from the tuber coxae of 9 horses. The method used involved an oblique incision to expose the lateral aspect of the tuber coxae. The periosteum was incised and reflected in order to make a 5- by 2.5-cm opening in the lateral cortex for graft retrieval. The method provided good visualization, ample grafting material, and freedom from postsurgical complications.
Turner AS, Gabel AA.Avulsion fractures of the posteromedial eminence of the 2nd phalanx were repaired, using an ASIF cortex screw in 3 reining Quarter Horses. Within 9 and 11 months, respectively, 2 horses were sound and back in competition as reining horses. The other horse was sound for pleasure class showing at 7 months after surgery.
Kawata H, Kishimoto H, Iwai S, Ishimaru K, Saito T, Kayatani F, Inamura N, Hamamichi Y, Kawada Y, Nasuno S, Maekawa S.We assessed the effect of reconstructing the pulmonary artery during arterial switch surgery for transposition of the great arteries on late pulmonary stenosis. Sixty-five patients who underwent Lecompte procedure between September 1991 and December 2006 were divided, by the procedure used chronologically to reconstruct the pulmonary artery, into group XP (single pantaloon patch with equine pericardium, n = 11), group P (direct reconstruction, n = 47), and group AP (single pantaloon patch with fresh autopericardium, n = 7). Outcome and pulmonary stenosis on the most recent ultrasound cardiogra...
Initial treatment of colic is aimed at maintaining hydration and acid-base balance, controlling pain and reestablishing peristalsis. A poor response to medical treatment in the first 12-18 hours suggests the need for laparotomy. Other indications for surgery include: rising pulse rate, exceeding 60/minute for several hours; congested mucosae; delayed capillary refill; silent abdomen; gastric reflux; distended or displaced loops of bowel on rectal examination; intractable pain; and adverse laboratory findings. Postoperative care should consist of hand-walking for 30 days, followed by confinemen...
Rapoff AJ, Markel MD, Vanderby R.By use of wire ropes as the transosseous component, an external skeletal fixator for the repair of long bone fractures in horses and cattle has been designed and tested in axial compression. Theoretical methods were used in the design process to size fixator components; however, our results suggest that conventional methods of analyzing the displacement of the transosseous component may not apply to wire ropes. Large pretensions in the wire ropes are necessary to obtain functional stiffnesses for fracture fixation. Therefore, a method was sought for terminating the ropes so that an appropriate...
Elghoul N, Jalal Y, Bouya A, Zine A, Jaafar A.Almost 2% of all emergency admissions involve an animal bite. While horses bite humans very rarely, their bites are mostly associated with fatalities. Herein, we report the case of a 23-year old bitten by a domestic horse causing a crush injury to his fourth finger with fracture dislocation of the proximal interphalangeal joint. The patient benefited upon arrival at the emergency department from copious irrigation with saline serum, tetanus toxoid, postexposure rabies vaccination, and prophylactic antibiotic therapy. In the operating room, surgical exploration found the ulnar digital pedicle s...
Arighi M, Ducharme NG, Horney FD, Livesey MA.Extensive resection (50-75%) of the large colon was performed in 12 horses. Indications for resection were: loss of viability due to large colon volvulus (seven), thromboembolic episode (three), impairment of flow of ingesta due to adhesions (one), or congenital abnormalities (one). The time required to correct the primary cause of abdominal pain and complete the resection ranged from 2.5 to 4.75 hours. Three horses had severe musculoskeletal problems postoperatively and were euthanized in the recovery stall. Four other horses were euthanized early in the postoperative period because of: furth...
Brosnan RJ, Steffey EP, Esteller-Vico A, Vaughan B, Liu IK.Digital perfusion pressure (DPP) equals mean arterial pressure (MAP) at the hoof coronet minus digital interstitial pressure (DIP) within the hoof. To test whether lamellar blood flow (LBF) changes proportionately to DPP, anesthesia was induced and maintained with isoflurane in six horses to target a MAP of 60 mmHg. Arterial, venous, and hoof interstitial pressures were measured in each pelvic limb. LBF was measured using fluorescent microspheres during dobutamine infusions targeting either 60 (low), 80 (medium), or 100 (high) mmHg MAP. Following euthanasia, hoof lamina was collected for micro...
Misheff MM, Stover SM, Pool RR.Unicortical corticocancellous bone biopsy specimens 4.5 mm and 6.5 mm in diameter were obtained without long-term complications from the 12th rib in eight standing horses. However, the bone specimens were unsuitable for histologic or histomorphometric evaluation. In in vitro comparisons of biopsy specimens 6.5 mm and 12 mm in diameter, and of unicortical and transcortical biopsy specimens, 12 mm transcortical specimens yielded the most cancellous bone. Transcortical bone biopsy specimens 12 mm in diameter were obtained from eight horses by using power-assisted trephination. The surgical proced...
Comino F, Röcken M, Gorvy D.To describe a 2-step surgical procedure combining standing laparoscopy with a conventional inguinal approach to treat deep intra-abdominal funiculitis (extended septic funiculitis) after castration. Methods: Retrospective case series. Methods: Twelve client-owned horses. Methods: Medical records of horses treated for extended septic funiculitis with the 2-step surgical procedure were reviewed. Data collected included the initial castration technique, number of surgical interventions for septic funiculitis prior to presentation, clinical signs, diagnostic and surgical procedure, and short-term ...
Freeman KD, Barrett JG, Youngstrom DW, White NA.The 6-strand Savage (SSS) tenorrhaphy pattern is biomechanically superior to the commonly employed 3-loop pulley (3LP); however, its effects on intrinsic tendon vasculature remain unknown. The objective of this study was to compare perfusion of intrinsic vasculature of the equine superficial digital flexor tendon (SDFT) after 3LP and SSS tenorrhaphies. We hypothesized that the SSS technique would significantly decrease vascular perfusion compared to the 3LP technique. Methods: Ex vivo, randomized, paired design. Methods: Horses (n = 9) METHODS: Under general anesthesia, 9 pairs of forelimb...
Chase JP, Beard WL, Bertone AL, Goltz K.Peritonitis was induced in 12 horses by median celiotomy and 1 hour of small intestinal ischemia. Six horses had primary closure of the incision, whereas six horses had a plastic mesh sutured to the ventral abdominal wall leaving the abdomen open for ventral drainage. The mesh was removed after 5 days and the abdominal wall was closed by apposition of the linea alba and subcutaneous tissues and approximation ef the skin edges. Peritoneal fluid was collected and analyzed for nucleated cell count and total protein concentration on days 0 and 5. Serum biochemical profiles, serum electrolyte conce...
Andersen C, Tnibar A.Medial patellar ligament splitting (MPLS) has been shown to be a highly effective and minimally invasive treatment for upward fixation of the patella (UFP) in horses. However, long-term follow-up results of this procedure have not previously been reported. Objective: To evaluate the long-term resolution of UFP following MPLS and provide information on complications and recurrence. Methods: Retrospective case series. Methods: Data were collected from horses that underwent MPLS between 1999 and 2013. All cases had a confirmed diagnosis of UFP that had not responded to conservative therapy. Data ...
Brünisholz HP, Schwarzwald CC, Bettschart-Wolfensberger R, Ringer SK.The aim of the present study was to investigate the effect of pentastarch on colloid osmotic pressure (COP) and cardiopulmonary function during and up to 24 h after anaesthesia in horses. Twenty-five systemically healthy horses were anaesthetised using isoflurane-medetomidine balanced anaesthesia. Twelve were assigned to treatment with hydroxyethyl starch (HES) (H group) and 13 to no HES (NH group). In the H group, 6 mL/kg of pentastarch 10% HES (200/0.5) was infused over 1 h starting 30 min after induction of anaesthesia. Horses of the NH group received an equal amount of lactated Ringer's so...
Weatherall KM, Boone LH, Munsterman A, Hanson RR.To determine the compressive effect of abdominal bandages after ventral midline celiotomy closure in horses. Methods: Ex vivo, experimental study. Methods: Equine cadavers (n = 18), six per group. Methods: A 20-cm ventral midline celiotomy was created in each of 18 equine cadavers. A 200-L inflatable bladder was placed in the abdomen, and the linea alba was apposed. Horses were randomly assigned to no bandage (C), elastic (E), or Velcro inelastic (I) bandage groups for testing. Circumferential bandages were placed with a subbandage pressure monitoring system over the incision. The bladder was ...
Richardson DW, Nunamaker DM, Sigafoos RD.Arthrodesis of the metacarpophalangeal joint was attempted in 9 adult horses, using a new external skeletal fixation device and autogenous cancellous bone graft. Four horses had excellent results, 2 horses had fair results, arthrodesis failed in 2 horses, and 1 horse fractured the third metacarpal bone. The advantages of the technique included minimal surgical trauma to the area of injury, immediate rigid fixation of the metacarpophalangeal joint, and access for treatment of soft-tissue lesions at the site of injury. Although pin loosening and pin-track infection were complications when the de...
Stanek C.A retrospective study (1984-1994) was made of 10 cases of septic arthritis of the distal interphalangeal joint in horses aged 7 months to 17 years. In 6 cases a hind limb was affected, in 4 cases a front limb. The arthritis was caused either by a puncture wound in the sole area (8 cases), by a perforating wound in the coronary region (1) or iatrogenic (1). All horses exhibited a severe lameness at the walk. Radiography showed no typical lesions in fresh cases, whilst later an increasing subluxation of the joint was observed followed by periosteal reactions. Therapy included partial resection o...
Meurice A, Pujol R, De Fourmestraux C, Coquillon M, Tessier C.Surgical approaches to the equine rectum and perirectal area are described in the literature. However, surgeries in this region can be challenging. Objective: To describe the surgical anatomy of the presacral space and to evaluate its access using a retroperitoneoscopic approach. Methods: Ex vivo experiment. Methods: Preliminary dissections were performed in two cadavers to define the boundaries of the presacral space and to determine portal locations for the surgical approach. After that, nine cadavers were used for experimental presacral retroperitoneoscopic procedure in a standing position....
Ahern BJ, Bayliss IPM, Zedler ST, Getman LM, Richardson DW.To report on a series of 4 horses with supraglenoid tubercle fractures repaired with locking compression plates. Methods: Case series. Methods: Four horses ranging in age from 6 weeks to 20 months and weighing from 121 to 425 kg with supraglenoid tubercle fractures of 1 day to 6 weeks in duration. Methods: Supraglenoid tubercle fractures were reduced and stabilized with transversely positioned locking compression plate(s) with and without additional tension band wiring. Results: All fractures reached bony union. Two postoperative surgical site infections were managed with drainage and antibiot...
Shrauner B, Blikslager A, Davis J, Campbell N, Law M, Lustgarten M, Prange T.The large size of the adult horse prevents the use of advanced imaging modalities in most areas of the axial skeleton, including the lumbosacral vertebral column. Traditional imaging techniques are frequently unable to pinpoint the underlying pathology in horses with caudal back pain. In man, lumbosacral epiduroscopy is used to diagnose and treat subjects with chronic back and leg pain. This technique may close the diagnostic gap in horses with similar clinical signs. Objective: To evaluate the safety and feasibility of lumbosacral epiduroscopy in the standing adult horse. Methods: Descriptive...
Hackett MS, Hackett RP.Ten young horses with signs of simple partial obstruction of the small intestine were found upon surgical exploration of the abdomen to have chronic intussusception of the distal ileum into the cecum. Poor general physical condition, intermittent or continual abdominal pain of varying degree, depression, and poor appetite were consistent clinical findings. Rectal palpation in eight animals was suggestive of an incomplete or intermittent obstruction of the small intestine. Laboratory determinations were not helpful in making a diagnosis. Dilatation and hypertrophy of the distal jejunum and ileu...
Charnock LN, Boveland SD, Groover ES, Moore PA, McMullen RJ.Evaluate the effects of corneoconjunctival transposition (CCT), posterior lamellar keratoplasty (PLK) and modified deep lamellar endothelial keratoplasty (DLEK) on streak retinoscopy in equine cadaver eyes. Methods: Intraocular pressure (IOP) was maintained at 25 ± 3 mmHg in 35 equine cadaver eyes. Streak retinoscopy was performed prior to (NO VISCO) and following (VISCO) intracameral injection of 1.0 ml of viscoelastic. Following optical coherence tomography (OCT), an axial CCT [n = 11] or PLK [n = 12], or peripheral DLEK [n = 12] was performed. Streak retinoscopy and OCT were r...
Twele L, Neudeck S, Delarocque J, Verhaar N, Reiners J, Noll M, Tünsmeyer J, Kästner SBR.High-definition oscillometry (HDO) over the metatarsal artery (MA) in anaesthetised horses has not yet been evaluated. This study aimed to assess agreement between HDO and invasive blood pressure (IBP) at the metatarsal artery, and to evaluate compliance with the American College of Veterinary Internal Medicine (ACVIM) consensus guidelines. In this experimental study, 11 horses underwent general anaesthesia for an unrelated, terminal surgical trial. Instrumentation included an IBP catheter in one and an HDO cuff placed over the contralateral MA, as well as thermodilution catheters. Systolic ar...
Baxter GM, Moore JN, Budsberg SC.An open radial fracture in an adult horse (450 kg) was repaired by internal fixation, using two 18-hole 4.5-mm broad dynamic compression plates and 5.5- and 4.5-mm bone screws. The fracture healed completely, but when evaluated 9 months after surgery, the horse was lame on the fractured limb at a trot. Local infiltration of anesthesia along the distal half of the bone plates greatly ameliorated the lameness, suggesting that the plates were irritating the soft tissues and extensor tendons along the cranial and lateral aspects of the antebrachium. Both bone plates were removed simultaneously wit...
Reiners SR, Jann HW, Stein LE, Good JK, Claypool PL.To compare the healing and mechanical strength of a multiple split autologous tendon graft (MG) to a whole autologous tendon graft (WG) in the deep digital flexor tendon of ponies. Methods: In vitro evaluation of two different tendon-grafting techniques. Methods: Six ponies of mixed gender and age. Methods: Tenotomies performed in forelimb deep digital flexor tendons (DDFT) distal to the insertion of the accessory ligament (AL-DDFT) were repaired with free autologous grafts from the hindlimb lateral digital extensor tendon (LDET). Grafts were either whole (WG) or split into three longitudinal ...
Holcombe SJ, Derksen FJ, Stick JA, Robinson NE.To determine the effect of bilateral tenectomy of the tensor veli palatini muscle on soft palate and nasopharyngeal function in exercising horses. Methods: 5 Standardbreds. Methods: Treadmill videoendoscopy was performed on 5 Standardbreds exercising at 50, 75, and 100% of the speed that produced maximum heart rate; tracheal and pharyngeal pressures were measured before and after surgery. Tenectomy of the tensor veli palatini muscle was performed bilaterally on each horse while under general anesthesia, using a transoral approach. Results: Peak inspiratory tracheal pressures were significantly...
Kaneps AJ, Shires GM, Watrous BJ.The use of real-time ultrasound for examination of the bladder was a useful diagnostic aid in 2 cases of cystic calculi. The ultrasound procedure revealed that a firm mass palpated per rectum in the bladder of one horse was a calculus. In the other horse, ultrasound revealed additional small uroliths. To remove the uroliths in both horses, laparocystidotomy via a ventral paramedian approach was chosen because it provided the best access to the bladder lumen. The calculi were analyzed by qualitative chemical analysis and quantitative crystallography. Results differed between analysis methods. C...
Schumacher J, Livesey L, Brawner W, Taintor J, Pinto N.Centesis of the bicipital bursa using an 8.9 cm long spinal needle has been reported but the alternative of employing a 3.8 cm long hypodermic needle requires validation. Objective: To compare the efficacy of 2 different methods of centesis of the bicipital bursa and to evaluate the usefulness of ultrasonographic imaging to determine the location of solution administered when centesis of the bursa is attempted. Methods: For Trial 1, 6 clinicians, who had no previous experience of centesis of the bicipital bursa, attempted to inject a solution composed of an aqueous radiopaque contrast medium a...
Palmer SE.The use of carbon dioxide and Nd:YAG lasers has expanded the capabilities of equine surgeons. These lasers are used to incise, vaporize, and coagulate tissue with minimal hemorrhage and reduced morbidity to the patient. In this article, practical fundamentals of laser surgery are briefly reviewed, and selected standing laser procedures of the head and neck are discussed.
Kooreman KM, Fessler JF, Voorhees C, Geddes LA, Latshaw HS, Voorhees WD.In this preliminary study, artificial respiration was produced in four anesthetized horses using trains of stimuli applied to long needle electrodes inserted bilaterally at the base of the neck. The needles were insulated to within 1 cm of the tips. The frequency of the stimuli (0.1 msec) was 35/sec and the train duration (duration of inspiration) was 1 sec. Inspired volume increased with increasing stimulus intensity. In two animals, inspired volumes of 6 liters were achieved. In another animal 4.5 liters was achieved and in another, 2.5 liters. This lower value probably represented less-than...
Buff PR, Messer NT, Cogswell AM, Wilson DA, Johnson PJ, Keisler DH, Ganjam VK.Endocrine characteristics of Quarter Horse-type mares were determined during a 68 h feed deprivation and again in the same mares following surgical thyroidectomy (THX). A crossover experimental design was implemented, in which mares received brome hay available ad libitum (FED) or were food deprived (RES) for 68 h. Blood samples were collected every 20 min for 48 h, beginning 20 h after the onset of food deprivation. Concentrations of triiodothyronine and thyroxine were undetectable post-THX. Plasma concentrations of thyrotropin were greater post-THX versus pre-THX (P<0 x 001). Plasma conce...
Barrett EJ, Rodgerson DH.To describe an ultrasound assisted arthroscopic approach for removal of non-articular basilar sesamoid fragments in Thoroughbred yearlings. Methods: Thoroughbred yearlings (n = 7). Methods: Basilar sesamoid fragments identified during pre-sale radiographic examination were removed using a palmar/plantar arthroscopic approach to the fetlock joint and ultrasonographic guidance. Complete fragment removal was confirmed by ultrasonography and radiography. Results: Basilar sesamoid fracture fragments were localized and removed successfully using rongeurs and a radiofrequency probe for soft tissu...
