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Veterinary surgery : VS2024; 54(1); 77-88; doi: 10.1111/vsu.14137

Hoof wall masses removal in 30 standing sedated horses: Surgical technique, postoperative complications and long-term outcome.

Abstract: To describe the surgical technique for removal of hoof wall masses in horses under standing sedation (SS) and local anesthesia (LA), and to report complications and long-term outcome following surgery. Methods: Observational retrospective study. Methods: Client-owned horses (n = 30). Methods: Horses undergoing keratoma removal under SS and LA in a single equine hospital between August 2016 and July 2023 were included in the study. Signalment, affected foot, history of lameness and/or foot abscesses, degree of lameness on admission, imaging findings (radiography and magnetic resonance imaging [MRI] when available), location of the mass, surgical technique, remedial farriery, postoperative care, complications and outcome were recorded. Long-term follow-up information was obtained by telephone questionnaire. Results: A total of 30 horses met the inclusion criteria. Duration of lameness ranged from 1 to 289 days (mean 90 days). The degree of lameness varied from absent to grade 4/5 (AAEP) (mean grade 3/5). All horses underwent preoperative radiographic examination and 14/30 underwent MRI. All horses underwent partial hoof wall resection. The surgery was performed safely in all cases. Postoperative complications included marked lameness in the early postoperative period in 3/30 horses and exuberant granulation tissue formation in 2/30 horses. Long-term (>6 months) follow-up information was available for 28 horses, and 26/28 horses returned to previous levels of exercise. Recurrence was suspected in 1/30 horses. Conclusions: The complication rate was lower than previously reported for keratoma removal under general anesthesia (GA). Conclusions: Removal of hoof wall masses under SS and LA can be considered as an alternative to removal under GA.
© 2024 American College of Veterinary Surgeons.
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Publication Date: 2024-07-19 PubMed ID: 39031450DOI: 10.1111/vsu.14137Google Scholar: Lookup
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  • Journal Article
  • Observational Study
  • Veterinary

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.

The research study examines the surgical procedure for removing hoof wall masses in horses while using standing sedation and local anesthesia, sharing the related complications and long-lasting results. The study incorporates 30 horses, all of which successfully underwent partial hoof wall resection and displayed a lower complication rate compared to other procedures using general anesthesia.

Methodology

  • This research study adopts an observational retrospective approach.
  • The study primarily bases its research on data from client-owned horses (30 in number) who underwent a keratoma removal process.
  • The time frame for these surgical procedures stretches from August 2016 to July 2023, conducted in the same equine hospital.
  • All the horses were subjected to pre-operative radiographic examinations, and 14 out of 30 also underwent Magnetic Resonance Imaging (MRI).
  • Data collected includes the affected foot, previous incidents of lameness or foot abscesses, levels of lameness upon admission, imaging findings, the exact location of the mass, the surgical procedure used, subsequent farriery measures, postoperative care, any complications, and the final outcome.
  • Follow-up data for the long-term were gathered telephonically.

Results

  • The research showed a variety in the duration of lameness among the subjects, ranging from 1 to 289 days with an average of 90 days.
  • The lameness levels also varied from non-existent to a grade 4/5 (based on the AAEP scale) with most horses averaging at 3/5.
  • All the horses underwent a successful partial hoof wall resection surgery.
  • However, postoperative complications surfaced in a few horses, with 3 out of 30 horses showing marked lameness post-surgery and 2 out of 30 showing vigorous formation of granulation tissue.
  • Long-term follow-up (over 6 months) was available for 28 horses, with most of them (26 horses) returning to their previous exercise regimen. Recurrence was suspected in one horse.

Conclusions

  • The complication rate noticed in this surgery under standing sedation and local anesthesia was lower than the rate previously noted for procedures involving general anesthesia.
  • The study concludes that the removal of hoof wall masses using standing sedation and local anesthesia can be considered a viable alternative to procedures that require general anesthesia.

Cite This Article

APA
Ross C, White JM, Hibner-Szaltys M, Stephenson RS, Withers JM, Marcatili M. (2024). Hoof wall masses removal in 30 standing sedated horses: Surgical technique, postoperative complications and long-term outcome. Vet Surg, 54(1), 77-88. https://doi.org/10.1111/vsu.14137

Publication

Veterinary surgery : VS
ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 54
Issue: 1
Pages: 77-88

Researcher Affiliations

Ross, Catherine
  • Pool House Equine Hospital, IVC, Lichfield, UK.
White, Jonathan M
  • The University of the West Indies, St. Augustine, Trinidad and Tobago.
Hibner-Szaltys, Maria
  • Pool House Equine Hospital, IVC, Lichfield, UK.
Stephenson, Richard S
  • University of Nottingham School of Veterinary Medicine and Science, Sutton Bonington, UK.
Withers, Jonathan M
  • Pool House Equine Hospital, IVC, Lichfield, UK.
Marcatili, Marco
  • Pool House Equine Hospital, IVC, Lichfield, UK.

MeSH Terms

  • Animals
  • Horses
  • Horse Diseases / surgery
  • Retrospective Studies
  • Female
  • Male
  • Postoperative Complications / veterinary
  • Hoof and Claw / surgery
  • Hoof and Claw / pathology
  • Foot Diseases / surgery
  • Foot Diseases / veterinary
  • Treatment Outcome
  • Anesthesia, Local / veterinary
  • Lameness, Animal / surgery
  • Lameness, Animal / etiology

Grant Funding

  • IVC Evidensia

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