Outcome of medial patellar ligament desmoplasty for treatment of intermittent upward fixation of the patella in 24 horses (2005-2012).
Abstract: This retrospective study provides long-term results of medial patellar ligament (MPL) desmoplasty in horses with intermittent upward fixation of the patella (UFP) that were treated at a single referral hospital over a 7-year period. Follow-up interviews were conducted with owners, trainers, or referring veterinarians using a standardized questionnaire. Overall, 71% of horses returned to their intended use with only 18% at a higher level. Recurrence of UFP was noted in 33% of cases. Satisfaction with the procedure was generally low, with only 50% of owners being completely satisfied. Further investigation is warranted to determine appropriate medical and/or surgical therapy. Résultat de la desmoplastie du ligament superficiel interne pour le traitement de l’accrochement supérieur intermittent de la rotule chez 24 chevaux (2005–2012). Cette étude rétrospective présente les résultats à long terme de la desmoplastie du ligament superficiel interne (LSI) chez des chevaux atteints d’un accrochement supérieur intermittent de la rotule (ASI) qui ont été traités dans un seul hôpital spécialisé pendant une période de 7 ans. Des entrevues de suivi ont été réalisées auprès des propriétaires, des dresseurs ou des vétérinaires traitants à l’aide d’un questionnaire standardisé. Dans l’ensemble, 71 % des chevaux sont retournés à leur utilisation attitrée et seulement 18 % des chevaux ont réussi à mieux performer. La récurrence de l’ASI a été notée dans 33 % des cas. La satisfaction à l’égard de l’intervention était généralement faible, et seulement 50 % des propriétaires étaient entièrement satisfaits. De nouvelles études sont justifiées afin de déterminer le traitement médical et/ou chirurgical approprié.(Traduit par Isabelle Vallières).
Publication Date: 2015-02-20 PubMed ID: 25694670PubMed Central: PMC4298274
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
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 article presents a retrospective study on the long-term outcomes of medial patellar ligament (MPL) desmoplasty in horses with intermittent upward fixation of the patella over a seven-year span.
Study Overview
- The study analyzed the effectiveness of medial patellar ligament desmoplasty, a surgical procedure performed on horses suffering from intermittent upward fixation of the patella (UFP), a painful condition affecting leg movement.
- The study is retrospective in nature, meaning it looks back at past cases that were treated at a single referral hospital over a 7-year period (2005-2012).
Data Collection
- Data for the research were gathered through follow-up interviews with horse owners, trainers, and referring veterinarians using a standardized questionnaire.
- The questionnaire was designed to gather specific information related to the post-operative health and functionality of the horses, as well as the satisfaction level of the owners.
Study Findings
- Overall, the study found that 71% of the treated horses were able to return to their prior level of activity, while only 18% could perform at a higher level post-surgery.
- A recurrence of UFP was reported in 33% of the cases, indicating that a third of the horses experienced the same issue they were initially treated for.
- When it came to satisfaction with the surgical procedure, the results showed mixed responses from the horse owners. Only half (50%) of the owners stated they were fully satisfied with the procedure’s outcome and its effect on their horses’ health and performance.
Conclusion
- The authors concluded that the outcomes of medial patellar ligament desmoplasty for treating intermittent upward fixation of the patella in horses were not completely satisfactory, as per owner feedback and recurrence rates.
- They emphasize that there is a need for additional research to identify more effective medical and/or surgical treatments for this particular equine condition.
Cite This Article
APA
Peitzmeier MD, Koontz ZD, Lynch TM, Hughes FE, Slone DE.
(2015).
Outcome of medial patellar ligament desmoplasty for treatment of intermittent upward fixation of the patella in 24 horses (2005-2012).
Can Vet J, 56(2), 193-195.
Publication
Researcher Affiliations
- Peterson and Smith Equine Hospital, 4747 SW 60th Avenue, Ocala, Florida 34474, USA.
- Peterson and Smith Equine Hospital, 4747 SW 60th Avenue, Ocala, Florida 34474, USA.
- Peterson and Smith Equine Hospital, 4747 SW 60th Avenue, Ocala, Florida 34474, USA.
- Peterson and Smith Equine Hospital, 4747 SW 60th Avenue, Ocala, Florida 34474, USA.
- Peterson and Smith Equine Hospital, 4747 SW 60th Avenue, Ocala, Florida 34474, USA.
MeSH Terms
- Animals
- Female
- Horse Diseases / surgery
- Horses
- Male
- Patella / surgery
- Patellar Ligament / surgery
- Retrospective Studies
- Treatment Outcome
References
This article includes 8 references
- Fowlie JG, Stick JA, Nickels FA. Stifle. Equine Surgery 4th ed. Philadelphia, Pennsylvania: Saunders; 2012. pp. 1439–1440.
- Dumoulin M, Pille F, Desmet P. Upward fixation of the patella in the horse: A retrospective study. Vet Comp Orth Trauma 2007;20:119–125.
- Sullins KE, Kawcak C. Upward fixation of the patella. Adams & Stashak’s Lameness in Horses 6th ed. Ames, Iowa: Wiley-Blackwell; 2011. pp. 793–796.
- Tnibar MA. Treatment of upward fixation of the patella in the horse: An update. Equine Vet Educ 2003;15:236–242.
- Tnibar MA. Medial patellar ligament splitting for the treatment of upward fixation of the patella in 7 equids. Vet Surg 2002;31:412–467.
- Gibson KT, McIlwraith CW, Park RD, Norrdin RW. Production of patellar lesions by medial patellar desmotomy in normal horses. Vet Surg 1989;18:466–471.
- Bathe AP, O’Hara LK. A retrospective study of the outcome of medial patellar desmotomy in 49 horses. Proceedings: Am Assoc Eq Pract Denver, Colorado. 2004. pp. 476–478.
- McIlwraith CW. Osteochondral fragmentation of the distal aspect of the patella in horses. Equine Vet J 1990;22:157–163.
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
