[Direct endoscopic approach improves prognosis of septic-synovitis in the horse].
Abstract: The medical records of 71 horses with sepic arthritis, bursitis, or tenosynovitis, treated between 1996 and 2001 at Dierenkliniek Enmeloord, were reviewed. A total number of 81 joints, tendon sheaths and bursae were treated (21 tarsi, 17 digital tendon sheaths, 14 metacarpo/metatarso-phalangeal joints, 12 stifles, 6 carpi, 4 coffin joints, 2 navicular bursae, 1 elbow joint, 1 proximal-interphalangeal joint, 1 tarsal sheath, 1 bursa calcanei subtendineum). The aetiology in 42 cases was a penetrating wound (group 1), in 4 cases an intra-articular injection, and in 2 cases arthroscopic surgery (group II), and in 13 cases septic arthritis in young foals (group III); in 10 cases the aetiology was unknown (group V). A total of 93 endoscopic lavages was performed on 81 joints, tendon sheaths, and bursae (1-3 lavages, mean 1.18 lavage per synovial structure). Survival rates were 95% for group I, 100% for group II, 73% for group III and 100% for group IV. Horses were discharged after 4-73 days of hospitalization (mean 20 days). Longterm follow-up revealed a survival rate of 92% for group I, 100% for group II, 67% for group III, and 90% for group IV. Of the surviving horses, 89% were sound and 11% had some degree of residual lameness. It is concluded that instant aggressive treatment using endoscopic techniques yields the best results so far and is therefore recommended.
Publication Date: 2002-08-17 PubMed ID: 12181987
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- English Abstract
- Journal Article
Summary
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The research article discusses a study reviewing the medical records of 71 horses with septic arthritis and related conditions. The study found that aggressive immediate treatment using endoscopic techniques improved the survival and prognosis of the affected horses.
Study Sample and Methodology
- The researchers conducted a retrospective study on 71 horses that were treated for septic arthritis, bursitis, or tenosynovitis from 1996 to 2001. These conditions were all found in different joints and synovial structures, which were a total of 81 in number.
- The cause of these conditions varied: some were due to a penetrating wound, others were due to intra-articular injections or arthroscopic surgeries, while some were found in young foals. In 10 cases, the cause was unknown.
- A part of their treatment involved endoscopic lavages performed on the affected joints or structures. Some had one, while others had up to three lavages, averaging 1.18 lavage per synovial structure.
Results
- The study presented different survival rates among the groups depending on what caused the conditions. The group that had penetrating wounds as the cause (group I) had a survival rate of 95%, those that had intra-articular injections or arthroscopic surgeries (group II) had a 100% survival rate, young foals with septic arthritis (group III) survived at a rate of 73%, and for cases with unknown cause (group IV), the survival rate was 100%.
- The average hospitalization lasted 20 days, with a range of 4 to 73 days.
- The long-term follow-up showed a slight decrease in the survival rates for group I (92%), group III (67%), and group IV (90%) while group II maintained a 100% survival rate. Most surviving horses were healthy while 11% showed some residual lameness.
Conclusion
- The research concluded that immediate aggressive treatment of septic arthritis and related conditions in horses, using endoscopic techniques, resulted in better outcomes both for survival rates and for prognostics.
- It recommends this approach as it shows the best results compared to other treatment methods.
Cite This Article
APA
ter Braake F.
(2002).
[Direct endoscopic approach improves prognosis of septic-synovitis in the horse].
Tijdschr Diergeneeskd, 127(14-15), 444-449.
Publication
Researcher Affiliations
- Diergeneeskundig Centrum Noord Nederland, Espelerlaan 77, 8203 DC Emmeloord. info@dierenkliniekemmeloord.nl
MeSH Terms
- Animals
- Anti-Bacterial Agents / therapeutic use
- Arthritis, Infectious / microbiology
- Arthritis, Infectious / surgery
- Arthritis, Infectious / therapy
- Arthritis, Infectious / veterinary
- Arthroscopy / methods
- Arthroscopy / veterinary
- Bursitis / microbiology
- Bursitis / surgery
- Bursitis / therapy
- Bursitis / veterinary
- Debridement / veterinary
- Endoscopy / methods
- Endoscopy / veterinary
- Female
- Follow-Up Studies
- Horse Diseases / microbiology
- Horse Diseases / surgery
- Horse Diseases / therapy
- Horses
- Male
- Prognosis
- Retrospective Studies
- Synovitis / microbiology
- Synovitis / surgery
- Synovitis / therapy
- Synovitis / veterinary
- Tenosynovitis / microbiology
- Tenosynovitis / surgery
- Tenosynovitis / therapy
- Tenosynovitis / veterinary
- Treatment Outcome
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