Periosteal transection and stripping for treatment of angular limb deformities in foals: clinical observations.
Abstract: Correction was attempted in 27 foals (41 limbs) with angular deformities at the carpal region (35 limbs), metatarsophalangeal region (5 limbs) and distal end of the tibia (1 limb) by hemicircumferential transection of the periosteum (HCTP) and periosteal stripping (PS). Successful outcome was determined by straight limbs and soundness, which was achieved in 81.5% of the cases, with 60% of the horses in performance training. Follow-up evaluation for all foals was completed at various times after physiologic closure of the physes. In none of the limbs was the deformity overcorrected. Owners of foals with carpal region deviations corrected by means of HCTP and PS were satisfied with the result. The cosmetic appearance of the surgical site was excellent. The HCTP and PS adequately corrected greater degrees of carpal region deformity and greater degrees of deformity in older foals than previously reported with this or other surgical techniques.
Publication Date: 1985-07-15 PubMed ID: 4030448
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- Journal Article
Summary
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The research article discusses a study conducted on 27 foals with angular limb deformities, in which hemicircumferential transection of the periosteum (HCTP) and periosteal stripping (PS) was used to attempt correction. A successful outcome was achieved in 81.5% of cases, gauged by the straightness of limbs and soundness of the foals which eventually went into performance training.
Study Participants And Methodology
- The participants of the study were 27 foals exhibiting angular deformities in their limbs. The deformities were primarily located in the carpal region, with a few cases in the metatarsophalangeal region and at the distal end of the tibia.
- Correction of these deformities was attempted using two surgical techniques: Hemicircumferential Transection of the Periosteum (HCTP) and Periosteal Stripping (PS).
Measurement Of Success
- The success of the surgical correction was measured by the straightness of the limbs and the overall health and functionality (soundness) of the treated foals.
- A positive outcome was realized in 81.5% of the cases, signifying the effectiveness of the surgical techniques used.
- About 60% of the treated foals went on to receive performance training, further indicating successful application of the corrective surgical methods.
Follow-Up And Owner Satisfaction
- A follow-up evaluation of all the treated foals was conducted after the physiologic closure of the physes. This was done at varying times to ascertain the long-term effects of the surgeries.
- None of the treated limbs exhibited an overcorrection of the deformity, maintaining the balance between adequate correction and overcompensation.
- The owners of the foals that underwent correction in the carpal region expressed satisfaction with the results of the surgeries. Additionally, the cosmetic appearance of the surgical site was found to be excellent.
Comparison With Other Techniques
- The HCTP and PS techniques used in this study were found to correct more significant degrees of limb deformity, especially in the carpal region, than had been previously reported with these or other surgical methods.
- These techniques were also noted to be more effective in treating older foals with advanced deformities, expanding their scope and applicability.
Cite This Article
APA
Bertone AL, Turner AS, Park RD.
(1985).
Periosteal transection and stripping for treatment of angular limb deformities in foals: clinical observations.
J Am Vet Med Assoc, 187(2), 145-152.
Publication
Researcher Affiliations
MeSH Terms
- Animals
- Bone Diseases, Developmental / diagnostic imaging
- Bone Diseases, Developmental / veterinary
- Carpal Bones / surgery
- Carpus, Animal / diagnostic imaging
- Carpus, Animal / surgery
- Female
- Follow-Up Studies
- Forelimb / surgery
- Horse Diseases / diagnostic imaging
- Horse Diseases / surgery
- Horses
- Male
- Periosteum / surgery
- Radiography
- Retrospective Studies
Citations
This article has been cited 5 times.- Dubuc J, Da Silveira EA. Partial resection of bilateral ulnar remnants for treatment of carpus valgus in a 3-week-old Hanoverian foal. Can Vet J 2019 Aug;60(8):864-868.
- Ibrahim MR, Singh S, Merican AM, Raghavendran HR, Murali MR, Naveen SV, Kamarul T. The effect of strontium ranelate on the healing of a fractured ulna with bone gap in rabbit. BMC Vet Res 2016 Jun 16;12(1):112.
- Halanski MA, Yildirim T, Chaudhary R, Chin MS, Leiferman E. Periosteal Fiber Transection During Periosteal Procedures Is Crucial to Accelerate Growth in the Rabbit Model. Clin Orthop Relat Res 2016 Apr;474(4):1028-37.
- Hunter B, Duesterdieck-Zellmer KF, Huber MJ, Parker JE, Semevolos SA. Carpal valgus in llamas and alpacas: Retrospective evaluation of patient characteristics, radiographic features and outcomes following surgical treatment. Can Vet J 2014 Dec;55(12):1153-9.
- Caron JP, Fretz PB, Pharr JW, Bailey JV. Bilateral carpus valgus with cranial bowing of the distal radius in a foal. Can Vet J 1986 Jun;27(6):242-4.
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