Medial patellar ligament splitting for the treatment of upward fixation of the patella in 7 equids.
Abstract: To describe a surgical technique for splitting the proximal third of the medial patellar ligament (MPL) in horses and ponies with upward fixation of the patella (UFP), and to report outcome. Methods: Prospective clinical study. Methods: Four horses and 3 Shetland ponies. Methods: With ultrasound guidance, the proximal third of the MPL was split by percutaneous use of a no. 15 scalpel blade. The rationale for this surgical procedure was to induce a localized desmitis with subsequent ligament thickening. No anti-inflammatory drugs were administered, and horses and ponies were exercised the day after surgery. Clinical, radiographic and ultrasonographic follow-up evaluation was obtained. Results: No short-term or long-term complications were observed, and no patients had clinical signs of UFP after surgery. This clinical effect was attributed to a 2- to 3-fold increase in size of the proximal part the MPL from an induced localized desmitis. CONCLUSIONS-Percutaneous splitting of the proximal third of the MPL resolved UFP in equids. Conclusions: Splitting of the proximal third of the MPL is effective for treatment of UFP and allows rapid return to normal activity.
Copyright 2002 by The American College of Veterinary Surgeons
Publication Date: 2002-09-05 PubMed ID: 12209417DOI: 10.1053/jvet.2002.34660Google Scholar: Lookup
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Summary
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This research article presents a study on a surgical procedure for treating upward fixation of the patella (UFP) in horses and ponies. The procedure involves splitting the proximal third of the medial patellar ligament (MPL) to induce localized ligament thickening. The study indicates that this procedure is effective in resolving UFP without causing any short-term or long-term complications.
Introduction
- The research investigates a novel surgical technique aimed at treating a condition known as Upward Fixation of the Patella (UFP) in horses and ponies.
- UFP is a debilitating condition where the patella, or kneecap, gets stuck in an upwardly fixed position, impairing the animal’s ability to move freely.
Methodology
- The research was conducted as a prospective clinical study on four horses and three Shetland ponies suffering from UFP.
- The surgical procedure involves splitting the proximal third of the Medial Patellar Ligament (MPL), a ligament located on the inside of the knee joint, using a number 15 scalpel blade, performed percutaneously (through the skin) under ultrasound guidance.
- The intention behind the technique was to stimulate a localized inflammation or desmitis, which is expected to result in the thickening of the ligament.
- To ensure the inflammation was localized, no anti-inflammatory drugs were used after surgery. Besides, animals were encouraged to exercise the day after surgery to facilitate healing.
Results
- The study showed that none of the operated animals exhibited either short-term or long-term complications after surgery.
- All of them showed recovery from signs of UFP, which was attributed to the significant (2 to 3 times) increase in the size of the proximal part of MPL due to the induced localized desmitis.
Conclusions
- The study concludes that the surgical splitting of the proximal third of the MPL results in resolving UFP in equids (the horse family).
- The procedure enables rapid return to normal activities, making it an effective treatment strategy for UFP. Therefore, it can be considered a reliable and safe therapeutic intervention for horses and ponies affected by UFP.
Cite This Article
APA
Tnibar MA.
(2002).
Medial patellar ligament splitting for the treatment of upward fixation of the patella in 7 equids.
Vet Surg, 31(5), 462-467.
https://doi.org/10.1053/jvet.2002.34660 Publication
Researcher Affiliations
- Clinique Equine, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort, France.
MeSH Terms
- Animals
- Arthroscopy / methods
- Arthroscopy / veterinary
- Female
- Horses / surgery
- Male
- Patella / diagnostic imaging
- Patella / surgery
- Patellar Ligament / diagnostic imaging
- Patellar Ligament / surgery
- Prospective Studies
- Radiography
- Treatment Outcome
- Ultrasonography, Interventional / veterinary
Citations
This article has been cited 2 times.- Peitzmeier MD, Koontz ZD, Lynch TM, Hughes FE, Slone DE. Outcome of medial patellar ligament desmoplasty for treatment of intermittent upward fixation of the patella in 24 horses (2005-2012). Can Vet J 2015 Feb;56(2):193-5.
- Spaas JH, Guest DJ, Van de Walle GR. Tendon regeneration in human and equine athletes: Ubi Sumus-Quo Vadimus (where are we and where are we going to)?. Sports Med 2012 Oct 1;42(10):871-90.
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