Femoral head ostectomy and medial patellar ligament desmotomy to treat a pregnant miniature horse with coxofemoral joint luxation and upward fixation of the patella.
Abstract: A 2-year-old, 8-weeks pregnant, non-weight bearing miniature horse mare was treated for a 6-day-old left coxofemoral joint luxation with a femoral head ostectomy. The procedure had no negative effects on pregnancy or parturition and 23 months following surgery the horse had minimal lameness. Une jument miniature non portante gravide de 8 semaines et âgée de 2 ans a été traitée pour une luxation de l’articulation coxofémorale gauche datant de 6 jours à l’aide d’une ostectomie de la tête fémorale. L’intervention n’a pas eu d’effets négatifs sur la gestation ou la parturition et 23 mois après la chirurgie, la jument présentait une boiterie minime.(Traduit par Isabelle Vallières).
Publication Date: 2017-05-11 PubMed ID: 28487594PubMed Central: PMC5394608
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Case Reports
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Diagnosis
- Disease Diagnosis
- Disease Treatment
- Equine Health
- Fetal Health
- Horses
- Lameness
- Miniature Horses
- Parturition
- Pregnancy
- Pregnant Mares' Serum Gonadotropin
- Surgery
- Veterinary Care
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
- Veterinary Research
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research studied the case of a two-year-old pregnant miniature horse that was successfully treated for a dislocated hip joint through a surgical procedure, without negative impacts on its pregnancy or birth process. Twenty-three months after the surgery, the horse showed very minor lameness.
Initial Condition of the Horse
- The horse studied was a two-year-old mare, which was eight weeks into pregnancy and non-weight bearing, i.e., it was struggling to bear weight on her leg due to discomfort or pain.
- The mare had been suffering from a left coxofemoral joint luxation (hip joint dislocation) for six days. Hip joint dislocation in horses is a serious condition that may lead to inability to bear weight and may require surgical intervention for treatment.
Treatment Process
- The surgical treatment chosen for this mare was a femoral head ostectomy. This procedure involves the surgical removal of the head of the femur bone.
- This surgical option was chosen to treat the luxation, effectively disconnecting the femur from the hip joint to mitigate the mare’s discomfort.
Post-surgery Observation
- There were no negative effects observed on the pregnancy or the parturition (process of giving birth) due to the surgical procedure. This suggests that the operation didn’t cause any stress or harm to the gestational process or the delivery of the foal.
- Even 23 months after the surgery, the mare presented only minimal lameness. The term ‘lameness’ in horses refers to any abnormalities related to their walking or gait due to an issue in their locomotor system. Minimal lameness means that the horse had almost normal locomotion, and the issue that it had was either completely resolved or did not interfere dramatically with its movement.
In conclusion, the research signifies the effectiveness of the femoral head ostectomy procedure in treating coxofemoral joint luxation in horses, even for pregnant mares, and suggests that it doesn’t negatively affect their pregnancy or delivery process. It also demonstrated long-term recovery success with only minimal lameness observed 23 months after the surgery.
Cite This Article
APA
Ludwig EK, Byron CR.
(2017).
Femoral head ostectomy and medial patellar ligament desmotomy to treat a pregnant miniature horse with coxofemoral joint luxation and upward fixation of the patella.
Can Vet J, 58(5), 498-502.
Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, Virginia 24061, USA.
- Department of Large Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, Virginia 24061, USA.
MeSH Terms
- Animals
- Female
- Hip Dislocation / complications
- Hip Dislocation / surgery
- Hip Dislocation / veterinary
- Horses / surgery
- Joint Dislocations / surgery
- Joint Dislocations / veterinary
- Lameness, Animal / surgery
- Osteotomy / veterinary
- Patella / surgery
- Patellar Ligament
- Pregnancy
References
This article includes 25 references
- American Association of Equine Practitioners. Guide for veterinary service and judging of equestrian events. Lexington, Kentucky: AAEP; 1991.
- Walmsley JP. Medial patellar desmotomy for upward fixation of the patella. Equine Vet Educ 1994;6:148–150.
- Baxter GM. The femur and coxofemoral joint. Adams and Stashak’s Lameness in Horses 6th ed. Ames, Iowa: Wiley-Blackwell; 2011. pp. 827–829.
- Garcia-Lopez JM, Boudrieau RJ, Provost PJ. Surgical repair of coxofemoral luxation in a horse.. J Am Vet Med Assoc 2001 Nov 1;219(9):1254-8, 1227.
- Bennett D, Campbell JR, Rawlinson JR. Coxofemoral luxation complicated by upward fixation of the patella in the pony.. Equine Vet J 1977 Oct;9(4):192-4.
- Clegg PD, Butson RJ. Treatment of a coxofemoral luxation secondary to upward fixation of the patella in a Shetland pony.. Vet Rec 1996 Feb 10;138(6):134-7.
- Malark JA, Nixon AJ, Haughland MA, Brown MP. Equine coxofemoral luxations: 17 cases (1975-1990).. Cornell Vet 1992 Jan;82(1):79-90.
- Ducharme NG. Pelvic fracture and coxofemoral luxation. Equine Fracture Repair Philadelphia, Pennsylvania: Saunders; 1996. pp. 295–298.
- Amitrano FN, Gutierrez-Nibeyro SD, Joslyn SK. Radiographic diagnosis of craniodorsal coxofemoral luxation in standing equids. Equine Vet Educ 2014;26:255–258.
- Richardson DW. Femur and pelvis. Equine Surgery 4th ed. St. Louis, Missouri: Elsevier/Saunders; 2012. p. 1451.
- Kuemmerle JM, Fürst AE. Treatment of a coxofemoral luxation in a pony using a prosthetic capsule technique.. Vet Surg 2011 Jul;40(5):631-5.
- Barr ARS, Fairburn AJ. Aspects of coxofemoral luxations in the horse. Equine Vet Educ 2014;26:259–261.
- Portier K, Walsh CM. Coxofemoral luxation in a horse during recovery from general anaesthesia.. Vet Rec 2006 Jul 15;159(3):84-5.
- Trotter GW, Auer JA, Arden W, Parks A. Coxofemoral luxation in two foals wearing hindlimb casts.. J Am Vet Med Assoc 1986 Sep 1;189(5):560-1.
- Platt D, Wright IM, Houlton JE. Treatment of chronic coxofemoral luxation in a Shetland pony by excision arthroplasty of the femoral head: a case report.. Br Vet J 1990 Jul-Aug;146(4):374-9.
- Toth F, Adair HS, Holder TE, Schumacher J. Femoral head ostectomy to treat a donkey for coxofemoral luxation. Equine Vet Educ 2007;19:478–481.
- Gracia Calvo LA, Martín-Cuervo M, Peña E, Fruto J, Jiménez J, Ezquerra LJ. Femoral head excision after coxofemoral luxation in an Arab filly: Four years follow-up. Equine Vet Educ 2011;23:346–352.
- Brenner S, Whitcomb MB, Green EM. How to diagnose equine coxofemoral subluxation with dynamic ultrasonography. Proc 53rd Annual Convention of the American Association of Equine Practitioners; Orlando, Florida, USA. 1–5 December, 2007.
- Brenner S, Whitcomb MB. Ultrasonographic diagnosis of coxofemoral subluxation in horses.. Vet Radiol Ultrasound 2009 Jul-Aug;50(4):423-8.
- Field JR, McLaughlin R, Davies M. Surgical repair of coxofemoral luxation in a Miniature horse.. Can Vet J 1992 Jun;33(6):404-5.
- van den Boom R, Rijkenhuizen ABM, Meij BP. Femoral head ostectomy following osteotomy of the greater trochanter in a pony with chronic coxofemoral luxation. Pferdeheilkunde 2003;19:246–252.
- Garcia-Lopez JM. Coxofemoral luxations in the horse: Surgical options and challenges. Equine Vet Educ 2010;22:554–556.
- Huggons N, Andrea R, Grant B, Duncan C. Total hip arthroplasty in the horse: Overview, technical considerations and case report. Equine Vet Educ 2010;22:547–553.
- Squire KR, Fessler JF, Toombs JP, Van Sickle DC, Blevins WE. Femoral head ostectomy in horses and cattle.. Vet Surg 1991 Nov-Dec;20(6):453-8.
- Clegg PD, Comerford EJ. Coxofemoral luxation — How does our knowledge of treatment in other species help us in the horse?. Equine Ve Educ 2007;19:482–483.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists