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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Heat shock stress: Profile of differential expression in Corynebacterium pseudotuberculosis biovar Equi.
Gene    December 13, 2017   Volume 645 124-130 doi: 10.1016/j.gene.2017.12.015
Gomide ACP, de Sá PG, Cavalcante ALQ, de Jesus Sousa T, Gomes LGR, Ramos RTJ, Azevedo V, Silva A, Folador ARC.Transcriptome studies on Corynebacterium pseudotuberculosis have recently contributed to the understanding about this microorganism's survival mechanisms in various hostile conditions. The gene expression profile of the C. pseudotuberculosis strain 1002 (Ovis biovar), has revealed genes that are possible candidates responsible for its maintenance in adverse environments, such as those found in the host. In another strain of this bacterium, 258 (Equi biovar), a high temperature condition was simulated, in order to verify which genes are responsible for promoting the persistence of the bacterium...
Genetic contributions to precocity traits in racing Thoroughbreds.
Animal genetics    December 12, 2017   Volume 49, Issue 3 193-204 doi: 10.1111/age.12622
Farries G, McGettigan PA, Gough KF, McGivney BA, MacHugh DE, Katz LM, Hill EW.Adaptation to early training and racing (i.e. precocity), which is highly variable in racing Thoroughbreds, has implications for the selection and training of horses. We hypothesised that precocity in Thoroughbred racehorses is heritable. Age at first sprint training session (work day), age at first race and age at best race were used as phenotypes to quantify precocity. Using high-density SNP array data, additive SNP heritability (hSNP2) was estimated to be 0.17, 0.14 and 0.17 for the three traits respectively. In genome-wide association studies (GWAS) for age at first race and age at best ra...
Effects of priming with cytokines on intracellular survival and replication of Rhodococcus equi in equine macrophages.
Cytokine    December 12, 2017   Volume 102 7-11 doi: 10.1016/j.cyto.2017.12.011
Berghaus LJ, Giguère S, Bordin AI, Cohen ND.Rhodococcus equi is a common cause of pneumonia in foals and an opportunistic pathogen in immunosuppressed people. The ability of R. equi to survive and replicate in macrophages is the basis of its pathogenicity. Limited knowledge about the role of cytokines in host defense against R. equi comes from studies in mice and the role of cytokines in intracellular survival of R. equi in equine macrophages is unknown. The objectives of this study were to determine the effect of priming with interferon (IFN)-γ, interleukin (IL)-1β, IL-4, IL-6, IL-10, or tumor necrosis factor (TNF)-α at various conc...
A study on prevalence and molecular characterization of trypanosomal species infecting equines in Lahore region, Pakistan.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    December 12, 2017   Volume 42, Issue 1 96-101 doi: 10.1007/s12639-017-0972-9
Sabir N, Chaudhry ZI, Aslam A, Muhammad K, Shahid M, Hussain A, Khan SA, Ahmad I.Trypanosomiasis is an important protozoal disease with a diverse range of susceptible host including human. In the current study, molecular characterization of prevalent species was done through a pan-trypanosome polymerase chain reaction (PCR) followed by restriction fragment length polymorphism (RFLP). A total of three hundred (n = 300) equines including horses, donkeys and mules (100 each) were randomly selected and the equine blood samples were subjected to screening for trypanosomes through microhaematocrit centrifuge technique (MHCT), conventional PCR, semi-nested PCR and RFLP. Overall...
An estimation of US horse-owner/caregiver willingness-to-pay for daily use and infectious upper respiratory disease treatment options.
Equine veterinary journal    December 12, 2017   Volume 50, Issue 4 498-503 doi: 10.1111/evj.12786
Kibler ML, Pendell DL, Costanigro M, Traub-Dargatz J.Equine injury and disease cause two types of costs for those financially responsible for treating and caring for the infected horse(s); direct costs of treating the horse and indirect cost of lost use of the horse for a period of time to the user of the horse (daily horse use). Indirect costs are more difficult to estimate but pose significant financial implications for equine-owners/caregivers. Additionally, there exists a gap in existing research regarding the valuation of infectious treatment options in horses. Objective: To estimate the value a US horse-owner/caregiver places on daily hors...
The effects of subconjunctival bupivacaine, lidocaine, and mepivacaine on corneal sensitivity in healthy horses.
Veterinary ophthalmology    December 12, 2017   Volume 21, Issue 5 498-506 doi: 10.1111/vop.12537
Jinks MR, Fontenot RL, Wills RW, Betbeze CM.To compare the efficacy and duration of effect of three local anesthetics on corneal sensitivity when administered subconjunctivally in horses. Methods: Eight healthy adult horses. Methods: A randomized, masked, crossover study design was used, with a two-week washout period between trials. The subconjunctival space of the randomly selected eye was injected with 0.2 mLs of bupivacaine (0.5%), lidocaine (2%), mepivacaine (2%), or saline. All horses received each medication once. The contralateral eye served as a control. The corneal touch threshold (CTT) was measured in both eyes with a Cochet-...
Neutrophil extracellular traps are downregulated by glucocorticosteroids in lungs in an equine model of asthma.
Respiratory research    December 12, 2017   Volume 18, Issue 1 207 doi: 10.1186/s12931-017-0689-4
Vargas A, Boivin R, Cano P, Murcia Y, Bazin I, Lavoie JP.Severe neutrophilic asthma is poorly responsive to glucocorticosteroids (GC). Neutrophil extracellular traps (NETs) within the lungs have been associated with the severity of airway obstruction and inflammation in asthma, and were found to be unaffected by GC in vitro. As IL-17 is overexpressed in neutrophilic asthma and contributes to steroid insensitivity in different cell types, we hypothesized that NETs formation in asthmatic airways would be resistant to GC through an IL-17 mediated pathway. Six neutrophilic severe asthmatic horses and six healthy controls were studied while being treated...
Development and validation of an ultrahigh performance liquid chromatography-high resolution tandem mass spectrometry quantification method for hypoglycin A and methylene cyclopropyl acetic acid carnitine in horse serum in cases of atypical myopathy.
Drug testing and analysis    December 12, 2017   Volume 10, Issue 5 814-820 doi: 10.1002/dta.2337
Rudolph W, Remane D, Wissenbach DK, Klein C, Barnewitz D, Peters FT.Atypical myopathy (AM) is a fatal disease in horses presumably caused by hypoglycine A (HGA) from ingested maple seeds and its active metabolite methylene cyclopropyl acetic acid (MCPA). The aim of this study was the development and validation of a rapid and simple assay for HGA and MCPA-carnitine in horse serum and its application to authentic samples. Identification and quantification were carried out by ultra high performance liquid chromatography-high resolution tandem mass spectrometry (UHPLC-HRMS/MS) with full-scan/data-dependent MS/MS. Chromatographic separation was performed by isocrat...
Corrigendum to “Metalloproteinases and Their Tissue Inhibitors in Comparison between Different Chronic Pneumopathies in the Horse”.
Mediators of inflammation    December 11, 2017   Volume 2017 7825942 doi: 10.1155/2017/7825942
Barton AK, Shety T, Bondzio A, Einspanier R, Gehlen H.[This corrects the article DOI: 10.1155/2015/569512.].
Is there a place for dexmedetomidine in equine anaesthesia and analgesia? A systematic review (2005-2017).
Journal of veterinary pharmacology and therapeutics    December 11, 2017   Volume 41, Issue 2 205-217 doi: 10.1111/jvp.12474
Gozalo-Marcilla M, Gasthuys F, Luna SPL, Schauvliege S.The objective of this review was to perform a literature compilation of all the equine publications that used dexmedetomidine as the first article on this topic was published, in 2005. We also aimed to answer the question whether the use of dexmedetomidine can currently be justified. For that, we compiled information from databases, such as PubMed, Google Scholar and Web of Science and the proceedings of the last veterinary anaesthesiology meetings. Dexmedetomidine is an attractive drug to be used in horses, mainly due to its pharmacokinetic profile and pharmacodynamics that favour its use as ...
A scoping review of the evidence for efficacy of acupuncture in companion animals.
Animal health research reviews    December 11, 2017   Volume 18, Issue 2 177-185 doi: 10.1017/S1466252317000068
Rose WJ, Sargeant JM, Hanna WJB, Kelton D, Wolfe DM, Wisener LV.Acupuncture has become increasingly popular in veterinary medicine. Within the scientific literature there is debate regarding its efficacy. Due to the complex nature of acupuncture, a scoping review was undertaken to identify and categorize the evidence related to acupuncture in companion animals (dogs, cats, and horses). Our search identified 843 relevant citations. Narrative reviews represented the largest proportion of studies (43%). We identified 179 experimental studies and 175 case reports/case series that examined the efficacy of acupuncture. Dogs were the most common subjects in the e...
Comparative Genomic Sequencing and Pathogenic Properties of Equine Herpesvirus 1 KyA and RacL11.
Frontiers in veterinary science    December 11, 2017   Volume 4 211 doi: 10.3389/fvets.2017.00211
Shakya AK, O'Callaghan DJ, Kim SK.Equine herpesvirus 1 (EHV-1) is a major pathogen affecting equines worldwide. The virus causes respiratory disease, abortion, and, in some cases, neurological disease. EHV-1 Kentucky A (KyA) is attenuated in the mouse and equine, whereas wild-type pathogenic strain RacL11 induces severe inflammatory infiltration of the lung, causing infected mice to succumb. The complete DNA sequencing of the KyA genome revealed that genes UL17 (ORF17), US6 (ORF73; gI), US7 (ORF74; gE), and US8 (ORF75; 10 K) are deleted as compared to the RacL11 and Ab4 genomes. In-frame deletions in the US1 (ORF68), US4 (OR...
Cryptic etiopathological conditions of equine nervous system with special emphasis on viral diseases.
Veterinary world    December 10, 2017   Volume 10, Issue 12 1427-1438 doi: 10.14202/vetworld.2017.1427-1438
Kumar R, Patil RD.The importance of horse (Equus caballus) to equine practitioners and researchers cannot be ignored. An unevenly distributed population of equids harbors numerous diseases, which can affect horses of any age and breed. Among these, the affections of nervous system are potent reason for death and euthanasia in equids. Many episodes associated with the emergence of equine encephalitic conditions have also pose a threat to human population as well, which signifies their pathogenic zoonotic potential. Intensification of most of the arboviruses is associated with sophisticated interaction between ve...
Numerical time-domain modelling of hoof-ground interaction during the stance phase.
Equine veterinary journal    December 10, 2017   Volume 50, Issue 4 519-524 doi: 10.1111/evj.12782
Behnke R.Hoof-ground interaction impacts on the health and performance characteristics of horses. Due to complex interactions between hoof and ground during the stance phase, previous experimentally dominated studies concentrated on subproblems of the phenomena observed. A multidisciplinary methodology with mathematical modelling, material testing and in vivo experimental measurements seems promising. Objective: With the help of a mathematical approach, this contribution aims to explain from a biomechanical point of view the phenomena observed during experimental investigations (hoof acceleration, inte...
Analytical validation of cardiac troponin I assays in horses. Rossi TM, Kavsak PA, Maxie MG, Pearl DL, Pyle WG, Physick-Sheard PW.Human cardiac troponin I (cTnI) assays have been used in equine medicine, often without prior analytical validation for equine use. In the absence of appropriate validation, the clinical significance of assay results is uncertain and can lead to misdiagnosis. We followed the American Society for Veterinary Clinical Pathology guidelines and investigated linearity, precision, limit of quantification (LoQ), and comparative recovery for 6 commercial cTnI assays developed for use in human medicine. Clinically acceptable linearity was observed in assays A-D, whereas assay E did not detect equine cTn...
Infectious necrotic hepatitis caused by Clostridium novyi type B in a horse: case report and review of the literature. Nyaoke AC, Navarro MA, Beingesser J, Uzal FA.A 14-y-old bay Quarter Horse gelding was presented with progressive neurologic signs, elevated rectal temperature, and icterus for 3 d prior to death. Postmortem examination revealed icterus, large amounts of serosanguineous fluid in the abdominal cavity, widespread petechiae and ecchymoses in several organs, and a large, pale, and well-demarcated focus of necrosis in the liver. Histologically, there was coagulative necrosis surrounded by a rim of inflammatory cells and large numbers of gram-positive rods, which were identified as Clostridium novyi by immunohistochemistry. Liver samples tested...
Development of two surgical approaches to the pituitary gland in the Horse.
The veterinary quarterly    December 9, 2017   Volume 38, Issue 1 21-27 doi: 10.1080/01652176.2017.1415488
Carmalt JL, Scansen BA.Current treatment of equine pituitary pars intermedia dysfunction (PPID) requires daily oral medication. Minimally invasive surgical palliation of this condition is appealing as a single treatment to alleviate the clinical signs of disease, dramatically improving the welfare of the horse. Objective: To develop a surgical approach to the equine pituitary gland, for subsequent treatment of PPID. Methods: A cadaver study to develop methodology and a terminal procedure under anaesthesia in the most promising techniques. Methods: Four surgical approaches to the pituitary gland were investigated in ...
Investigating the epidemiology of EI epidemic spread in the Province of Khyber Pakhtunkhwa, Pakistan in 2015-16.
Preventive veterinary medicine    December 9, 2017   Volume 149 132-139 doi: 10.1016/j.prevetmed.2017.12.005
Khan A, Mushtaq MH, Ahmad MUD, Nazir J, Fatima Z, Khan A, Farooqi SH.EI in non-vaccinated population causes disruption and economic losses. To identify the risk factors associated with the EI epidemics in equids in Pakistan, a 1:1 matched case control study was conducted during 2015-2016. Including a total of 197 laboratory confirmed cases and negative controls, matched on the basis of geography, time of sampling, specie and age. A piloted questionnaire was used to collect data regarding risk factors associated with the occurrence of EI in face to face interviews. Conditional logistic regression was performed to analyze the data. A total of 16 out of 23 variabl...
Effect of flecainide on atrial fibrillatory rate in a large animal model with induced atrial fibrillation.
BMC cardiovascular disorders    December 8, 2017   Volume 17, Issue 1 289 doi: 10.1186/s12872-017-0720-1
Hesselkilde EZ, Carstensen H, Haugaard MM, Carlson J, Pehrson S, Jespersen T, Buhl R, Platonov PG.Atrial fibrillatory cycle length has been considered one of the indices of atrial electrical remodelling during atrial fibrillation (AF), which can be assessed from surface ECG by computer-assisted calculation of atrial fibrillatory rate (AFR). Horses have been suggested as a bona fide model for AF studies since horses too, develop lone AF, however data on AF characteristics in horses are extremely sparse and non-invasive characterization of AF complexity using surface ECG processing has not been reported. Objective: The aim was to study characteristics of induced AF and its modification by fl...
The Cladophora glomerata Enriched by Biosorption Process in Cr(III) Improves Viability, and Reduces Oxidative Stress and Apoptosis in Equine Metabolic Syndrome Derived Adipose Mesenchymal Stromal Stem Cells (ASCs) and Their Extracellular Vesicles (MV’s).
Marine drugs    December 8, 2017   Volume 15, Issue 12 385 doi: 10.3390/md15120385
Marycz K, Michalak I, Kocherova I, Marędziak M, Weiss C.This study investigated in vitro effects of freshwater alga water extract enriched during a biosorption process in Cr(III) trivalent chromium and chromium picolinate on adipose-derived mesenchymal stromal stem cells (ASCs) and extracellular microvesicles (MVs) in equine metabolic syndrome-affected horses. Chemical characterisation of natural was performed with special emphasis on: vitamin C, vitamin E, total phenols, fatty acids, free and protein-bound amino acids as well as measured Cr in algal biomass. To examine the influence of water extracts, in vitro viability, oxidative stress factor...
Comparison of different cryopreservation methods for horse and donkey embryos.
Equine veterinary journal    December 8, 2017   Volume 50, Issue 3 398-404 doi: 10.1111/evj.12777
Pérez-Marín CC, Vizuete G, Vazquez-Martinez R, Galisteo JJ.Few studies have been published about cryopreservation and embryo assessment in horses and donkeys. Objective: To evaluate the viability of embryos collected from mares and jennies that were cryopreserved by slow freezing or by vitrification. Methods: Randomised controlled experiment. Methods: Horse (n=19) and donkey (n=16) embryos (≤300 μm) were recovered on days 6.5-7.5 post-ovulation and assigned to control or cryopreservation protocols of slow freezing or vitrification. For slow freezing, 1.5 mol/L ethylene glycol (EG) was used. For vitrification, horse embryos were exposed to 1.4 mol/L...
Capillaria hepatica (Calodium hepaticum) infection in a horse: a case report.
BMC veterinary research    December 8, 2017   Volume 13, Issue 1 384 doi: 10.1186/s12917-017-1301-3
Ochi A, Hifumi T, Ueno T, Katayama Y.Capillaria hepatica is a zoonotic parasite in humans and animals and has a worldwide distribution. However, infections in mammals apart from rodents, which are natural hosts of the parasite, have rarely been reported. This report describes the first known case of C. hepatica infection in a horse in Japan. Methods: A 3-year-old filly without clinical signs was presented at a slaughterhouse in Japan. Gross examination revealed white to tan nodules 0.5 to 1.5 cm in diameter in the parenchyma of the liver. Histologically, the nodules had mature fibrous capsules and consisted of multifocal to coal...
Equine in vivo-derived metabolites of the SARM LGD-4033 and comparison with human and fungal metabolites.
Journal of chromatography. B, Analytical technologies in the biomedical and life sciences    December 7, 2017   Volume 1074-1075 91-98 doi: 10.1016/j.jchromb.2017.12.010
Hansson A, Knych H, Stanley S, Berndtson E, Jackson L, Bondesson U, Thevis M, Hedeland M.LGD-4033 has been found in human doping control samples and has the potential for illicit use in racehorses as well. It belongs to the pharmacological class of selective androgen receptor modulators (SARMs) and can stimulate muscle growth, much like anabolic steroids. However, SARMs have shown superior side effect profiles compared to anabolic steroids, which arguably makes them attractive for use by individuals seeking an unfair advantage over their competitors. The purpose of this study was to investigate the metabolites formed from LGD-4033 in the horse in order to find suitable analytical ...
Inhibin-A and inhibin-B in cyclic and pregnant mares, and mares with granulosa-theca cell tumors: Physiological and diagnostic implications.
Theriogenology    December 7, 2017   Volume 108 192-200 doi: 10.1016/j.theriogenology.2017.12.003
Conley AJ, Scholtz EL, Dujovne G, Cotterman RF, Legacki EL, Uliani RC, Alvarenga MA, Ball BA, Kalra B, Savjani GV, Kumar A.Studies in mares have examined serum inhibin concentrations using immuno-assays unable to distinguish dimeric inhibin-A from inhibin-B isoforms. Inhibin-A and inhibin-B immuno-assays were used to investigate concentrations in cyclic mares, young and old (6 vs 19 years old, respectively) mares following hemi-ovariectomy, mares during pregnancy and in mares with confirmed granulosa cell tumors (GCTs). Mares with inter-ovulatory intervals of 26 days had ovulatory peaks of inhibin-A averaging 80 pg/mL with a mid-cycle nadir of 5 pg/mL. Inhibin-A and inhibin-B concentrations were highly correlate...
Ultrasonographic scoring system for superficial digital flexor tendon injuries in horses: intra- and inter-rater variability.
The Veterinary record    December 7, 2017   Volume 181, Issue 24 655 doi: 10.1136/vr.104233
Alzola Domingo R, Riggs CM, Gardner DS, Freeman SL.Superficial digital flexor tendon (SDFT) tendinopathy is an important musculoskeletal problem in horses. The study objective was to validate an ultrasonographic scoring system for SDFT injuries. Ultrasonographic images from 14 Thoroughbred racehorses with SDFT lesions (seven core; seven diffuse) and two controls were blindly assessed by five clinicians on two occasions. Ultrasonographic parameters evaluated were: type and extent of the injury, location, echogenicity, cross-sectional area and longitudinal fibre pattern of the maximal injury zone (MIZ). Inter-rater variability and intra-rater re...
Pharmacokinetics of intravenous lithium chloride and assessment of agreement between two methods of lithium concentration measurement in the horse.
Equine veterinary journal    December 7, 2017   Volume 50, Issue 4 537-543 doi: 10.1111/evj.12778
Martin LM, Bukoski AD, Whelchel DD, Evans TJ, Wiedmeyer CE, Black SJ, Johnson PJ.Pharmacokinetics of lithium chloride (LiCl) administered as a bolus, once i.v. have not been determined in horses. There is no point-of-care test to measure lithium (Li ) concentrations in horses in order to monitor therapeutic levels and avoid toxicity. Objective: To determine the pharmacokinetics of LiCl in healthy adult horses and to compare agreement between two methods of plasma Li concentration measurement: spectrophotometric enzymatic assay (SEA) and inductively coupled plasma mass spectrometry (ICP-MS). Methods: Nonrandomised, single exposure with repeated measures over time. Methods: ...
Extracorporeal Shockwave Therapy Increases Growth Factor Release from Equine Platelet-Rich Plasma In Vitro.
Frontiers in veterinary science    December 7, 2017   Volume 4 205 doi: 10.3389/fvets.2017.00205
Seabaugh KA, Thoresen M, Giguère S.Extracorporeal shockwave therapy (ESWT) and platelet-rich plasma (PRP) are common treatments for soft tissue injuries in horses. Shockwave triggers cell specific responses to promote healing. Growth factors released from PRP also promote healing. It has been hypothesized that greater growth factor release would amplify the healing process. The combination of ESWT and PRP could promote healing in injured tendons and ligaments in the horse. The objective of this study was to determine if application of shockwaves to PRP samples increases the concentration of transforming growth factor-β1 (TGF-Î...
Effect of butorphanol, midazolam or ketamine on romifidine based sedation in horses during standing cheek tooth removal.
BMC veterinary research    December 6, 2017   Volume 13, Issue 1 381 doi: 10.1186/s12917-017-1299-6
Müller TM, Hopster K, Bienert-Zeit A, Rohn K, Kästner SBR.Standing surgery, especially dental procedures, are commonly performed in horses. This leads to an increasing demand for reliable sedation protocols. Therefore, it was the purpose of this study to investigate the influence of butorphanol, midazolam or ketamine on romifidine based sedation in horses during cheek tooth removal. Methods: Forty horses presented for tooth extraction were divided in four groups using matched pair randomization. Group R was sedated with romifidine (bolus 0.03 mg/kg, followed by a constant rate infusion (CRI) 0.05 mg/kg/h) and group RB with romifidine (same dose) an...
Is there an application for wireless capsule endoscopy in horses?
The Canadian veterinary journal = La revue veterinaire canadienne    December 6, 2017   Volume 58, Issue 12 1321-1325 
Montgomery JB, Bracamonte JL, Alam MW, Khan AH, Mohammed SK, Wahid KA.This pilot study assessed wireless capsule endoscopy in horses. Image transmission was achieved with good image quality. Time to exit the stomach was variable and identified as one limitation, together with gaps in image transmission, capsule tumbling, and inability to accurately locate the capsule. Findings demonstrate usefulness and current limitations. Cette étude pilote a évalué l’endoscopie par capsule chez les chevaux. La transmission d’images a permis d’obtenir une bonne qualité d’image. Le temps jusqu’à la sortie de l’estomac était variable et identifié comme une li...
Matrix-Induced Autologous Chondrocyte Implantation (MACI) Using a Cell-Seeded Collagen Membrane Improves Cartilage Healing in the Equine Model.
The Journal of bone and joint surgery. American volume    December 6, 2017   Volume 99, Issue 23 1987-1998 doi: 10.2106/JBJS.16.00603
Nixon AJ, Sparks HD, Begum L, McDonough S, Scimeca MS, Moran N, Matthews GL.Autologous chondrocyte implantation (ACI) using a collagen scaffold (matrix-induced ACI; MACI) is a next-generation approach to traditional ACI that provides the benefit of autologous cells and guided tissue regeneration using a biocompatible collagen scaffold. The MACI implant also has inherent advantages including surgical implantation via arthroscopy or miniarthrotomy, the elimination of periosteal harvest, and the use of tissue adhesive in lieu of sutures. This study evaluated the efficacy of the MACI implant in an equine full-thickness cartilage defect model at 1 year. Methods: Autologous...