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Home / Equine Research Bank / Can Vet J / Fragment size is associated with post-operative complication...
The Canadian veterinary journal = La revue veterinaire canadienne2022; 63(1); 74-80;

Fragment size is associated with post-operative complications following elective arthroscopy of the tibiotarsal joint of horses.

Abstract: The objective of this retrospective study was to determine the occurrence of joint-related complications after elective arthroscopy of the tibiotarsal joint (TTJ) in 329 horses, and the association with specific clinical parameters. Data were collected from medical records of horses undergoing elective tibiotarsal joint arthroscopy for fragment removal. Exact conditional univariate regression was used to determine significant risk factors for joint-related post-operative complications. Of 485 joints, 2 (0.4%) developed surgical site infection, 4 (0.8%) developed septic arthritis, 1 (0.2%) developed synovial fistula. There was a significantly increased odds of having septic arthritis as height and length of the distal intermediate ridge of the tibia (DIRT) lesion increased. The median height and length of the DIRT fragments in affected cases was 13.5 mm and 18.0 mm, respectively. For each unit (1 mm) increase in height, there was a 42% increase in the risk of septic arthritis occurrence ( = 0.0042), and a 15% increase for each unit increase in length ( = 0.035). Horses were significantly less likely to develop septic arthritis when suture smaller than USP 0 was used. Horses with larger osteochondritis dissecans lesions of the DIRT region have an increased risk of developing septic arthritis following fragment removal. L’objectif de cette étude rétrospective était de déterminer la fréquence de complications articulaires après arthroscopie élective de l’articulation tibiotarsienne (TTJ) chez 329 chevaux, et l’association avec des paramètres cliniques spécifiques. Les données ont été recueillies à partir des dossiers médicaux de chevaux subissant une arthroscopie élective de l’articulation tibiotarsienne pour l’élimination de fragments. Une régression univariée conditionnelle exacte a été utilisée pour déterminer les facteurs de risque significatifs de complications postopératoires liées aux articulations.Sur 485 articulations, deux (0,4 %) ont développé une infection du site opératoire, quatre (0,8 %) une arthrite septique, et une (0,2 %) une fistule synoviale. Il y avait une probabilité significativement accrue d’avoir une arthrite septique à mesure que la hauteur et la longueur de la lésion de la crête intermédiaire distale du tibia (DIRT) augmentaient. La hauteur et la longueur médianes des fragments DIRT dans les cas affectés étaient respectivement de 13,5 mm et de 18,0 mm. Pour chaque unité (1 mm) d’augmentation de hauteur, il y avait une augmentation de 42 % du risque de survenue d’arthrite septique ( = 0,0042); et une augmentation de 15 % pour chaque augmentation unitaire de longueur ( = 0,035). Les chevaux étaient significativement moins susceptibles de développer une arthrite septique lorsqu’une suture plus petite que USP 0 était utilisée.Les chevaux présentant des lésions d’ostéochondrite disséquante plus importantes de la région DIRT ont un risque accru de développer une arthrite septique après le retrait des fragments.(Traduit par D Serge Messier).
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Publication Date: 2022-01-04 PubMed ID: 34975171PubMed Central: PMC8682936
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  • Journal Article

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 investigates how the fragment size observed in horses undergoing elective arthroscopy of the tibiotarsal joint relates to the occurrence of post-operative complications. It was found that a larger fragment size increases the risk of developing septic arthritis in horses after surgery.

Background of the Study

  • The study was conducted retrospectively to examine if there are joint-related complications post-arthroscopy in horses, and how these relate to certain clinical factors.
  • Information for the study was collected from the medical records of horses that had undergone elective tibiotarsal joint arthroscopy for removing fragments.
  • For the analysis, the researchers used an exact conditional univariate regression.

Findings of the Study

  • Out of 485 joints evaluated, only a minor percentage developed complications: 2 (0.4%) had surgical site infection, 4 (0.8%) got septic arthritis, and 1 (0.2%) resulted in a synovial fistula.
  • An important finding of the study was that as the height and length of the distal intermediate ridge of the tibia (DIRT) lesion increased, the chances of having septic arthritis also went up.
  • Specifically, the risk of septic arthritis occurrence increased by 42% for each unit (1 mm) increase in height, and there was a 15% increase in risk for each unit increase in length.
  • However, if sutures smaller than USP 0 were used, horses were significantly less likely to develop septic arthritis.

Conclusion

  • The research concluded that larger osteochondritis dissecans lesions in the DIRT region in horses lead to a higher risk of septic arthritis after fragment removal.
  • This conclusion can be particularly useful for veterinarians and horse owners to understand the potential risks involved in undergoing such procedures and choosing the best course of action.

Cite This Article

APA
Merchán A, Koenig J, Côté N, Cribb N, Monteith G. (2022). Fragment size is associated with post-operative complications following elective arthroscopy of the tibiotarsal joint of horses. Can Vet J, 63(1), 74-80.

Publication

The Canadian veterinary journal = La revue veterinaire canadienne
ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 63
Issue: 1
Pages: 74-80

Researcher Affiliations

Merchán, Alejandro
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1.
Koenig, Judith
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1.
Côté, Nathalie
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1.
Cribb, Nicola
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1.
Monteith, Gabrielle
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario N1G 2W1.

MeSH Terms

  • Animals
  • Arthroscopy / adverse effects
  • Arthroscopy / veterinary
  • Elective Surgical Procedures / adverse effects
  • Elective Surgical Procedures / veterinary
  • Horse Diseases / etiology
  • Horse Diseases / surgery
  • Horses
  • Joints
  • Retrospective Studies

References

This article includes 25 references
  1. Borg H, Carmalt JL. Postoperative septic arthritis after elective equine arthroscopy without antimicrobial prophylaxis.. Vet Surg 2013 Apr;42(3):262-6.
    pubmed: 23432412doi: 10.1111/j.1532-950x.2013.01106.xgoogle scholar: lookup
  2. Olds AM, Stewart AA, Freeman DE, Schaeffer DJ. Evaluation of the rate of development of septic arthritis after elective arthroscopy in horses: 7 cases (1994-2003).. J Am Vet Med Assoc 2006 Dec 15;229(12):1949-54.
    pubmed: 17173536doi: 10.2460/javma.229.12.1949google scholar: lookup
  3. Brunsting JY, Pille FJ, Oosterlinck M, Haspeslagh M, Wilderjans HC. Incidence and risk factors of surgical site infection and septic arthritis after elective arthroscopy in horses.. Vet Surg 2018 Jan;47(1):52-59.
    pubmed: 29034493doi: 10.1111/vsu.12699google scholar: lookup
  4. Valverde A, Black B, Cribb NC, Hathway A, Daw A. Assessment of unassisted recovery from repeated general isoflurane anesthesia in horses following post-anesthetic administration of xylazine or acepromazine or a combination of xylazine and ketamine.. Vet Anaesth Analg 2013 Jan;40(1):3-12.
    pubmed: 23016627doi: 10.1111/j.1467-2995.2012.00782.xgoogle scholar: lookup
  5. Frisbie DD, Johnson SA. Synovial joint biology and pathobiology. Equine Surgery 5th ed. St. Louis, Missouri: Elsevier; 2018; pp. 1326–1348.
  6. McIllwraith WC, Nixon AJ, Wright IM. Diagnostic and surgical arthroscopy of the tarsocrural (tibiotarsal) joint. Diagnostic and Surgical Arthroscopy in the Horse 4th ed. St. Louis, Missouri: Elsevier; 2015; pp. 243–272.
  7. Allum R. Complications of arthroscopy of the knee.. J Bone Joint Surg Br 2002 Sep;84(7):937-45.
    pubmed: 12358382doi: 10.1302/0301-620x.84b7.13637google scholar: lookup
  8. Larrabee WF Jr, Holloway GA Jr, Sutton D. Wound tension and blood flow in skin flaps.. Ann Otol Rhinol Laryngol 1984 Mar-Apr;93(2 Pt 1):112-5.
    pubmed: 6712084doi: 10.1177/000348948409300202google scholar: lookup
  9. Brunius U, Ahrén C. Healing of skin incisions during reduced tension of the wound area. A tensiometric and histologic study in the rat.. Acta Chir Scand 1969;135(5):383-90.
    pubmed: 4901222
  10. Celeste C. Selection of suture materials, suture patterns, and drains for wound closure. Equine Wound Management 2016:173–199.
  11. Kümmerle JM, Fogle C. Suture materials and patterns. Equine Surgery 5th ed. St. Louis, Missouri: Elsevier; 2018; pp. 255–280.
  12. Riley CB, Scott WM, Fretz PB. Osteochondrosis in draft horse breeds: A retrospective study of 25 cases 1985–1995. Proceedings 24th Ann Conf Vet Ortho Soc 1997; p. 44.
  13. Hawthorn A, Reardon R, O'Meara B, James F, Bladon B. Post operative synovial sepsis following endoscopic surgery: Increased risk associated with the carpal sheath.. Equine Vet J 2016 Jul;48(4):430-3.
    pubmed: 26095237doi: 10.1111/evj.12472google scholar: lookup
  14. Schneider RK, Bramlage LR, Moore RM, Mecklenburg LM, Kohn CW, Gabel AA. A retrospective study of 192 horses affected with septic arthritis/tenosynovitis.. Equine Vet J 1992 Nov;24(6):436-42.
    pubmed: 1459056doi: 10.1111/j.2042-3306.1992.tb02873.xgoogle scholar: lookup
  15. Weese JS, Cruz A. Retrospective study of perioperative antimicrobial use practices in horses undergoing elective arthroscopic surgery at a veterinary teaching hospital.. Can Vet J 2009 Feb;50(2):185-8.
    pmc: PMC2629423pubmed: 19412399
  16. Muntwyler N, Dubois MS, Weese JS. Retrospective assessment of perioperative antimicrobial use for elective arthroscopy in horses.. Vet Surg 2020 Apr;49(3):427-435.
    pubmed: 31950522doi: 10.1111/vsu.13382google scholar: lookup
  17. Pezzanite LM, Griffenhagen GM, Krause DM, Hendrickson DA. Retrospective evaluation of association between perioperative antimicrobial protocol and complications following elective equine synovial endoscopy.. Vet Med Sci 2021 May;7(3):609-620.
    pmc: PMC8136966pubmed: 33595201doi: 10.1002/vms3.447google scholar: lookup
  18. Southwood LL. Perioperative antimicrobials: should we be concerned about antimicrobial drug use in equine surgical patients?. Equine Vet J 2014 May;46(3):267-9.
    pubmed: 24716707doi: 10.1111/evj.12247google scholar: lookup
  19. Hanson RR. Medical Therapy in Equine Wound Management.. Vet Clin North Am Equine Pract 2018 Dec;34(3):591-603.
    pubmed: 30342803doi: 10.1016/j.cveq.2018.07.008google scholar: lookup
  20. Esposito S. Is single-dose antibiotic prophylaxis sufficient for any surgical procedure?. J Chemother 1999 Dec;11(6):556-64.
    pubmed: 10678800doi: 10.1179/joc.1999.11.6.556google scholar: lookup
  21. Cohen ND, Woods AM. Characteristics and risk factors for failure of horses with acute diarrhea to survive: 122 cases (1990-1996).. J Am Vet Med Assoc 1999 Feb 1;214(3):382-90.
    pubmed: 10023402
  22. House JK, Mainar-Jaime RC, Smith BP, House AM, Kamiya DY. Risk factors for nosocomial Salmonella infection among hospitalized horses.. J Am Vet Med Assoc 1999 May 15;214(10):1511-6.
    pubmed: 10340078
  23. SS, DWR. Surgical site infection and the use of antimicrobials. Equine Surgery 5th ed. St. Louis, Missouri: Elsevier; 2018; pp. 77–103.
  24. Wong E. Surgical site infections. Hospital Epidemiology and Infection Control Philadelphia, Pennsylvania: Lippincott Williams & Wilkins; 2004; pp. 287–310.
  25. Pezzanite L, Chow L, Soontararak S, Phillips J, Goodrich L, Dow S. Amikacin induces rapid dose-dependent apoptotic cell death in equine chondrocytes and synovial cells in vitro.. Equine Vet J 2020 Sep;52(5):715-724.
    pubmed: 31997397doi: 10.1111/evj.13243google scholar: lookup

Citations

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