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Home / Equine Research Bank / Open Vet J / Palmar annular ligament desmotomy in horses with the Arthrex...
Open veterinary journal2018; 8(1); 53-56; doi: 10.4314/ovj.v8i1.9

Palmar annular ligament desmotomy in horses with the Arthrex-Centerline™ : An ex-vivo study.

Abstract: The aim of this study was to evaluate the use of a single-portal endoscopic desmotomy of the PAL with the use of Arthrex - Centerline™. Ten horse distal front limbs from horses free of PAL disease were prepared for tenoscopy of the digital flexor tendon sheath (DFTS). A dual-port endoscopic desmotomy with a hook knife was performed in 5 specimens (Group A) and single port Arthrex-Centerline™ Desmotomy was performed in another 5 specimens (Group B). The performing time, judgments of the surgeon, number of blade passages, and gross anatomy were evaluated. The performing time and surgeon judgments were significantly lower in Group B. No significant differences were assessed in number of passages to achieve a complete PAL resection and a gross anatomy evaluation. The use of Arthrex-Centerline™ is feasible for a PAL desmotomy procedure. It was faster with more handling ease compared with the free-hand double-portal desmotomy and allowed the same results in terms of number of passages to complete the release evaluated at gross anatomy.
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Publication Date: 2018-02-07 PubMed ID: 29445622PubMed Central: PMC5806669DOI: 10.4314/ovj.v8i1.9Google Scholar: Lookup
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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 study examines the effectiveness of the Arthrex-Centerline™ for performing palmar annular ligament desmotomy procedures in horses, finding that it is feasible, faster, and easier to handle compared to the standard two-port desmotomy, while still achieving the same results.

Objective of the Study

  • The main objective of the study was to assess the use of a single-portal endoscopic desmotomy of the palmar annular ligament (PAL) in horses using the Arthrex-Centerline™, comparing its effectiveness to the conventional method.

Methodology

  • The study used ten distal front limbs from horses that were free of PAL disease. These limbs were prepared for tenoscopy of the digital flexor tendon sheath (DFTS).
  • A dual-port endoscopic desmotomy method with a hook knife was carried out on five of these specimens (Group A), and a single-port Arthrex-Centerline™ Desmotomy was conducted on the other five specimens (Group B).
  • Evaluations were made based on how long the procedure took, the judgments made by the surgeon, the number of blade passages required to achieve complete PAL resection, and the evaluation of gross anatomy.

Results and Findings

  • The findings showed that the procedures carried out on Group B were executed more rapidly and the surgeon judgments were lower, demonstrating the effectiveness and simplicity of the Arthrex-Centerline™ tool.
  • Furthemore, there were no significant differences in the number of blade passages needed for a complete PAL resection and in the gross anatomical evaluations between the two groups, indicating that the use of the Arthrex-Centerline™ does not affect the quality or outcome of the procedure.

Conclusion

  • Based on the results, the single port Arthrex-Centerline™ Desmotomy is a feasible method for performing a PAL desmotomy procedure on horses. It proved to be more efficient and easier to handle compared to the routine free-hand double-portal desmotomy, while achieving the same results in terms of the number of passages to fully release the PAL.

Cite This Article

APA
Lacitignola L, De Luca P, Imperante A, Tommasa SD, Crovace A. (2018). Palmar annular ligament desmotomy in horses with the Arthrex-Centerline™ : An ex-vivo study. Open Vet J, 8(1), 53-56. https://doi.org/10.4314/ovj.v8i1.9

Publication

Open veterinary journal
ISSN: 2226-4485
NlmUniqueID: 101653182
Country: Libya
Language: English
Volume: 8
Issue: 1
Pages: 53-56

Researcher Affiliations

Lacitignola, Luca
  • Universitàdegli Studi di Bari, Dipertimento Dell'Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e p.a. Bari, Italy.
De Luca, Pasquale
  • Universitàdegli Studi di Bari, Dipertimento Dell'Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e p.a. Bari, Italy.
Imperante, Annarita
  • Universitàdegli Studi di Bari, Dipertimento Dell'Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e p.a. Bari, Italy.
Tommasa, Simone Della
  • Universitàdegli Studi di Bari, Dipertimento Dell'Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e p.a. Bari, Italy.
Crovace, Antonio
  • Universitàdegli Studi di Bari, Dipertimento Dell'Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e p.a. Bari, Italy.

References

This article includes 14 references
  1. Adams OR. Constriction of the palmar (volar) or plantar annular ligament of the fetlock in the horse.. Vet Med Small Anim Clin 1974 Mar;69(3):327-9.
    pubmed: 4492856
  2. Barr AR, Dyson SJ, Barr FJ, O'Brien JK. Tendonitis of the deep digital flexor tendon in the distal metacarpal/metatarsal region associated with tenosynovitis of the digital sheath in the horse.. Equine Vet J 1995 Sep;27(5):348-55.
    pubmed: 8654349doi: 10.1111/j.2042-3306.1995.tb04069.xgoogle scholar: lookup
  3. Chan CC, Murphy H, Munroe GA. Treatment of chronic digital septic tenosynovitis in 12 horses by modified open annular ligament desmotomy and passive open drainage.. Vet Rec 2000 Sep 30;147(14):388-93.
    pubmed: 11073001doi: 10.1136/vr.147.14.388google scholar: lookup
  4. Dik KJ, Dyson SJ, Vail TB. Aseptic tenosynovitis of the digital flexor tendon sheath, fetlock and pastern annular ligament constriction.. Vet Clin North Am Equine Pract 1995 Aug;11(2):151-62.
    pubmed: 7584732doi: 10.1016/s0749-0739(17)30317-6google scholar: lookup
  5. Fortier LA, Nixon AJ, Ducharme NG, Mohammed HO, Yeager A. Tenoscopic examination and proximal annular ligament desmotomy for treatment of equine "complex" digital sheath tenosynovitis.. Vet Surg 1999 Nov-Dec;28(6):429-35.
    pubmed: 10582739doi: 10.1111/j.1532-950x.1999.00429.xgoogle scholar: lookup
  6. Gerring EL, Webbon PM. Fetlock annular ligament desmotomy: a report of 24 cases.. Equine Vet J 1984 Mar;16(2):113-6.
    pubmed: 6714212doi: 10.1111/j.2042-3306.1984.tb01874.xgoogle scholar: lookup
  7. Hawkins JF, Moulton JS. Arthroscope-assisted annular desmotomy in horses. Equine Vet. Educ. 2002;14:252–255.
  8. McGhee JD, White NA, Goodrich LR. Primary desmitis of the palmar and plantar annular ligaments in horses: 25 cases (1990-2003).. J Am Vet Med Assoc 2005 Jan 1;226(1):83-6.
    pubmed: 15646578doi: 10.2460/javma.2005.226.83google scholar: lookup
  9. Nixon AJ. Endoscopy of the digital flexor tendon sheath in horses.. Vet Surg 1990 Jul-Aug;19(4):266-71.
    pubmed: 2382395doi: 10.1111/j.1532-950x.1990.tb01182.xgoogle scholar: lookup
  10. Nixon AJ, Sams AE, Ducharme NG. Endoscopically assisted annular ligament release in horses.. Vet Surg 1993 Nov-Dec;22(6):501-7.
    pubmed: 8116207doi: 10.1111/j.1532-950x.1993.tb00428.xgoogle scholar: lookup
  11. Smith MR, Wright IM. Noninfected tenosynovitis of the digital flexor tendon sheath: a retrospective analysis of 76 cases.. Equine Vet J 2006 Mar;38(2):134-41.
    pubmed: 16536382doi: 10.2746/042516406776563350google scholar: lookup
  12. van den Berg MJ, Rijkenhuizen AB, Németh F, Gruys E. The fetlock tunnel syndrome: a macroscopic and microscopic study.. Vet Q 1995 Dec;17(4):138-42.
    pubmed: 8751275doi: 10.1080/01652176.1995.9694553google scholar: lookup
  13. Wilderjans H, Boussauw B, Madder K, Simon O. Tenosynovitis of the digital flexor tendon sheath and annular ligament constriction syndrome caused by longitudinal tears in the deep digital flexor tendon: a clinical and surgical report of 17 cases in warmblood horses.. Equine Vet J 2003 May;35(3):270-5.
    pubmed: 12755430doi: 10.2746/042516403776148183google scholar: lookup
  14. Wright IM, McMahon PJ. Tenosynovitis associated with longitudinal tears of the digital flexor tendons in horses: a report of 20 cases.. Equine Vet J 1999 Jan;31(1):12-8.
    pubmed: 9952324doi: 10.1111/j.2042-3306.1999.tb03785.xgoogle scholar: lookup

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