Intrathecal deep digital flexor tenectomy for treatment of septic tendonitis/tenosynovitis in four horses.
Abstract: To describe partial removal of the intrathecal component of the deep digital flexor tendon (DDFT) in horses with chronic septic DDF tendonitis and tenosynovitis unresponsive to conventional therapy, and to report long-term outcome. Methods: Case series. Methods: Horses (n=4). Methods: Four horses with chronic septic DDF tendonitis and tenosynovitis were treated by surgical tenectomy of the intrathecal component of the DDFT, followed by stabilization in casts and subsequent corrective shoeing. All horses were previously managed unsuccessfully with combinations of conventional therapy consisting of systemic antibiotics, through and through tendon sheath lavage/open drainage, regional limb perfusions, tenoscopy with debridement and transection of the palmar/plantar annular ligament, and intrathecal antibiotics. Results: Time from initial injury/diagnosis to tenectomy ranged from 10 to 210 days. Mean hospitalization time after surgery was 82 days. Long-term follow-up (>1.5 years; mean, 3.8 years) was available. All 4 horses were able to walk comfortably at pasture and were used as broodmares. Conclusions: Intrathecal tenectomy is a viable surgical procedure for treatment of chronic septic tenosynovitis of the digital sheath that is complicated by septic tendonitis of the DDFT.
© Copyright 2011 by The American College of Veterinary Surgeons.
Publication Date: 2011-02-11 PubMed ID: 21314702DOI: 10.1111/j.1532-950X.2011.00795.xGoogle Scholar: Lookup
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Summary
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This research paper describes a surgical procedure performed on horses suffering from chronic septic tendonitis and tenosynovitis, conditions unresponsive to conventional treatments. The long-term results and implications of this treatment method are recorded and reported in the study.
Objective and Methodology
- The study aimed to explore and discuss the procedure of partially removing the deep digital flexor tendon (DDFT) in horses suffering from chronic septic DDF tendonitis and tenosynovitis. The chronic conditions in the horses were unresponsive to the conventional therapies previously applied.
- The researchers adopted a case series method, with the subjects comprising of four horses with the condition described. The surgical procedure for tenectomy (a surgical operation that involves the division or resection of a tendon) of the intrathecal (occurring within or introduced into the spinal theca) component of the DDFT was followed by stabilization in casts and subsequent corrective shoeing for the horses.
Previous Unsuccessful Treatments
- The horses had previously been unsuccessfully managed with a range of conventional treatments which included systemic antibiotics, through and through tendon sheath lavage (cleaning), open drainage, regional limb perfusions (process of delivering a high dose of chemotherapy to an isolated limb via a blood circuit), tenoscopy with debridement (the medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue) and transection (cutting across) of the palmar/plantar annular ligament, and intrathecal antibiotics.
Results and Conclusion
- The results of the study showed that the time from the initial injury or diagnosis to tenectomy ranged between 10 to 210 days. The mean hospitalization time after the surgery was measured as 82 days. Long-term follow-up of more than 1.5 years, with an average of 3.8 years, was available and recorded.
- Post-procedure, all four horses were able to walk comfortably at pasture and were used as broodmares. This led the researchers to conclude that intrathecal tenectomy is a viable and effective surgical procedure for the treatment of chronic septic tenosynovitis of the digital sheath complicated by septic tendonitis of the DDFT.
Cite This Article
APA
Marsh CA, Watkins JP, Schneider RK.
(2011).
Intrathecal deep digital flexor tenectomy for treatment of septic tendonitis/tenosynovitis in four horses.
Vet Surg, 40(3), 284-290.
https://doi.org/10.1111/j.1532-950X.2011.00795.x Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, 100 Grimes Way, Pullman, WA, USA. camarsh@vetmed.wsu.edu
MeSH Terms
- Animals
- Anti-Bacterial Agents / therapeutic use
- Bacterial Infections / drug therapy
- Bacterial Infections / etiology
- Bacterial Infections / surgery
- Bacterial Infections / veterinary
- Female
- Forelimb / surgery
- Horse Diseases / surgery
- Horses
- Tendinopathy / complications
- Tendinopathy / drug therapy
- Tendinopathy / surgery
- Tendinopathy / veterinary
Citations
This article has been cited 1 times.- Haltmayer E, Schwendenwein I, Licka TF. Course of serum amyloid A (SAA) plasma concentrations in horses undergoing surgery for injuries penetrating synovial structures, an observational clinical study. BMC Vet Res 2017 May 22;13(1):137.
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