Recent advances in standing equine orthopedic surgery.

This research discusses the latest developments in standing equine orthopedic surgery, the advantages, limitations, and the importance of patient compliance, operator experience, and understanding of anatomic landmarks.

Introduction

The research article explores the recent advancements in standing equine orthopedic surgery. This involves the process of conducting surgery on a horse, without the need for the animal to be in a state of general anesthesia.

Patient Compliance

• The crucial aspect in these surgeries is the compliance and cooperation of the patient (the horse in this case). The horse’s willingness to stand still and tolerate the surgery not only makes the process easier but also affects the success rate of the surgery.
• Some surgical procedures, such as internal fixation of fractures of the third metacarpal or metatarsal condyles and sagittal fracture of the first phalanx, are not possible while the horse is standing. This can be due to the location and nature of the injury, or the behavior of the horse itself.
• Young and untrained horses may not be suitable for standing surgical treatment due to their unpredictable disposition. Procedures such as the treatment of septic pedal osteitis or the implantation and removal of transphyseal screws are mentioned as examples where the horse’s behavior can become a significant factor.

Operator Experience and Knowledge of Anatomic Landmarks

• Previous surgical experience by the operating surgeon is beneficial when performing these standing surgeries. The surgeon’s understanding and handling of different surgical procedures under general anesthesia can contribute to the success of the surgery.
• The surgeon’s familiarity with the topographical anatomy of the horse is equally important. An understanding of the location and relationship of different bodily structures can guide the surgeon during the surgery.
• Intraoperative radiographic control is also noted as a useful tool. This involves the use of radiography (X-Rays) to guide the surgeon during the surgery, providing real-time imagery of the animal’s inner structures.