Factors associated with outcome following treatment of horses with septic tenosynovitis: 51 cases (1986-2003).
Abstract: To identify factors associated with outcome (ie, survival and return to function) following treatment of horses with septic tenosynovitis. Methods: Retrospective case series. Methods: 51 horses with septic tenosynovitis. Methods: Information was obtained from medical records and through follow-up conversations with owners. Factors analyzed for an association with outcome included affected limb, etiology, duration of clinical signs prior to examination, presence of complications, primary treatment, secondary treatments, number of surgical procedures, and hospitalization time. Results: Concurrent complications were identified in 41 (80%) horses. The primary treatment consisted of through-and-through lavage in 26 (51%) horses, tenoscopy in 20 (39%), and tenosynoviotomy combined with lavage in 5 (10%). Forty (78%) horses were discharged, and 37 (73%) survived at least 1 year after surgery; 21 of the 37 (57%) returned to their previous or a higher level of performance. Percentages of horses that survived 1 year after discharge and percentages that returned to their intended use did not vary significantly among treatments. Horses with tendon rupture or sepsis of an adjacent joint were significantly less likely to survive. Horses with tendon injury or pannus were significantly less likely to return to their intended use. Conclusions: Results suggested that various factors were associated with outcome in horses with septic tenosynovitis. However, surgical technique was not found to be associated with survival rate or rate of return to intended use.
Publication Date: 2007-05-16 PubMed ID: 17501662DOI: 10.2460/javma.230.8.1195Google Scholar: Lookup
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- Journal Article
Summary
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The research article investigated the factors that could be linked to the outcomes of treating horses with septic tenosynovitis. The main outcomes studied were the horse’s survival and their ability to return to their previous function.
Methodology
- The research featured a retrospective study of 51 horses treated for septic tenosynovitis, which is an inflammation caused by a bacterial infection in the tendon sheath of horses.
- The roster of information obtained for each horse included the affected limb, the etiology or cause of the infection, how long clinical signs had been present prior to examination, any complications that came up, the primary and secondary treatments used, the number of surgical procedures the horse underwent, and how long they were hospitalized.
Results
- It was found that there were complications in the case of 41 horses (80%), primarily treated with through-and-through lavage (a cleaning procedure) in 26 (51%) cases, tenoscopy (a surgical examination) in 20 (39%) cases, and tenosynoviotomy (surgery) combined with lavage in 5 (10%) cases.
- A total of 40 horses (78%) were discharged, and 37 (73%) survived for at least one year after the surgery. Additionally, out of these 37 surviving horses, 21 (57%) were able to return to their prior level of performance or higher.
- The one-year survival rate and the return to intended use percentages did not significantly differ across treatments. However, horses with ruptured tendons or sepsis in a neighboring joint were less likely to survive, and horses with tendon injuries or pannus (an abnormal layer of fibrovascular tissue over the cornea) were less likely to return to their intended use.
Conclusions
- The study concluded that various factors influenced the outcome of treating horses with septic tenosynovitis. However, the surgical technique used was not associated with either the horse’s survival rate or the rate of returning to their intended use.
Cite This Article
APA
Wereszka MM, White NA, Furr MO.
(2007).
Factors associated with outcome following treatment of horses with septic tenosynovitis: 51 cases (1986-2003).
J Am Vet Med Assoc, 230(8), 1195-1200.
https://doi.org/10.2460/javma.230.8.1195 Publication
Researcher Affiliations
- Marion duPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Leesburg, VA 20177, USA.
MeSH Terms
- Animals
- Anti-Bacterial Agents / therapeutic use
- Female
- Horse Diseases / drug therapy
- Horse Diseases / surgery
- Horse Diseases / therapy
- Horses
- Hospitalization
- Male
- Retrospective Studies
- Survival Analysis
- Tenosynovitis / drug therapy
- Tenosynovitis / surgery
- Tenosynovitis / therapy
- Tenosynovitis / veterinary
- Time Factors
- Treatment Outcome
Citations
This article has been cited 8 times.- Mizuguchi Y, Kato A, Aizu M. Regional antibiotic perfusion through the lateral saphenous vein in two horses with septic calcaneal osteitis.. J Vet Med Sci 2023 Jan 6;85(1):55-61.
- Vajs T, Nekouei O, Biermann NM. A Descriptive Study of the Clinical Presentation, Management, and Outcome of Horses with Acute Soft Tissue Trauma of the Tarsus and the Association with Synovial Involvement.. Animals (Basel) 2022 Feb 21;12(4).
- Crosby DE, Labens R, Hughes KJ, Nielsen S, Hilbert BJ. Factors Associated With Survival and Return to Function Following Synovial Infections in Horses.. Front Vet Sci 2019;6:367.
- Stack JD, Cousty M, Steele E, Handel I, Lechartier A, Vinardell T, David F. Comparison of Serum Amyloid A Measurements in Equine Synovial Fluid With Routine Diagnostic Methods to Detect Synovial Infection in a Clinical Environment.. Front Vet Sci 2019;6:325.
- Isgren CM, Salem SE, Singer ER, Wylie CE, Lipreri G, Graham RJTY, Bladon B, Boswell JC, Fiske-Jackson AR, Mair TS, Rubio-Martínez LM. A multi-centre cohort study investigating the outcome of synovial contamination or sepsis of the calcaneal bursae in horses treated by endoscopic lavage and debridement.. Equine Vet J 2020 May;52(3):404-410.
- Sheats MK. A Comparative Review of Equine SIRS, Sepsis, and Neutrophils.. Front Vet Sci 2019;6:69.
- Robinson CS, Singer ER, Piviani M, Rubio-Martinez LM. Are serum amyloid A or D-lactate useful to diagnose synovial contamination or sepsis in horses?. Vet Rec 2017 Oct 21;181(16):425.
- Andreassen SM, Vinther AML, Nielsen SS, Andersen PH, Tnibar A, Kristensen AT, Jacobsen S. Changes in concentrations of haemostatic and inflammatory biomarkers in synovial fluid after intra-articular injection of lipopolysaccharide in horses.. BMC Vet Res 2017 Jun 19;13(1):182.
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