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Veterinary surgery : VS2019; 48(8); 1372-1381; doi: 10.1111/vsu.13272

Standing MRI for surgical planning of equine fracture repair.

Abstract: To report the feasibility of standing MRI (sMRI) and document the value of sMRI in surgical planning for surgical repair of limb fractures in the horse. Methods: Retrospective case series. Methods: Thirty-one horses with preoperative sMRI. Methods: Medical records were reviewed for fracture type, application of a polyester cast, sMRI sequences performed, technical variables, and image quality. Fracture geometry and concomitant lesions were compared between sMRI and radiography. The relative value of sMRI with regard to surgical planning was classified as minor (sMRI did not provide additional findings), intermediate (additional lesions found or slight modification to surgical plan), or major (sMRI led to significant alternations in surgical plan). Results: Standing MRI provided good studies in all horses. Standing MRI was classified as having major relevance in 12 of 31 horses, intermediate relevance in 14 of 31 horses, and minor relevance in 5 of 31 horses. Conclusions: Preoperative sMRI produced good studies in all horses and influenced the surgical planning in the majority of fractures in this study. Application of a polyester cast seemed to improve comfort without appreciable loss of image quality. Conclusions: Standing MRI can be considered as an adjunct to plan the repair of equine fractures, and a polyester cast does not impair image quality.
Publication Date: 2019-07-03 PubMed ID: 31270830DOI: 10.1111/vsu.13272Google Scholar: Lookup
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  • Journal Article

Summary

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The research article discusses the application and effectiveness of standing MRI (sMRI) in the surgical planning for limb fractures repair in horses. The study reveals that the sMRI not only provides good quality imaging, but also aids significantly in surgical planning in most cases.

Methods

  • The study is a retrospective case series investigation on 31 horses who underwent a standing MRI prior to surgery.
  • The researchers reviewed medical records for various details such as fracture type, the application of a polyester cast, performed sMRI sequences, technical variables, and image quality.
  • The comparison was done between sMRI and traditional radiography based on the fracture geometry and associated lesions.
  • The researchers also classified the relative value of sMRI in surgical planning into three categories.
    • Minor: where sMRI did not provide additional information;
    • Intermediate: where additional lesions were found or minor changes were made to the surgical plan;
    • Major: in which sMRI led to significant modifications in the surgical plan.

Results

  • Results showed that standing MRI provided good quality studies in all horse cases.
  • The benefits from using sMRI were categorized as having major relevance in 12 cases, intermediate relevance in 14 cases, and minor relevance in 5 cases out of the total 31 horses studied.

Conclusions

  • The study conclusively states that preoperative standing MRI produced good studies in all horses and influenced the surgical planning in the majority of the fractures.
  • The application of a polyester cast seemed to augment comfort without any appreciable compromise on the image quality.
  • Therefore, the article suggests that standing MRI can be considered as a valuable adjunct tool for planning the repair of equine limb fractures and assures that a polyester cast does not undermine the image quality.

Cite This Article

APA
Genton M, Vila T, Olive J, Rossignol F. (2019). Standing MRI for surgical planning of equine fracture repair. Vet Surg, 48(8), 1372-1381. https://doi.org/10.1111/vsu.13272

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 48
Issue: 8
Pages: 1372-1381

Researcher Affiliations

Genton, Martin
  • Clinique vétérinaire de Grosbois, Boissy-St-Léger, France.
  • Ecole Nationale Vétérinaire d'Alfort, Clinique Equine, Maisons-Alfort, France.
Vila, Thibault
  • Clinique vétérinaire equine de Chantilly, Chantilly, France.
Olive, Julien
  • Clinique vétérinaire equine de Chantilly, Chantilly, France.
  • Vet-CT Specialists, Cambridge, United Kingdom.
Rossignol, Fabrice
  • Clinique vétérinaire de Grosbois, Boissy-St-Léger, France.
  • Clinique vétérinaire equine de Chantilly, Chantilly, France.

MeSH Terms

  • Animals
  • Casts, Surgical / classification
  • Casts, Surgical / veterinary
  • Extremities / diagnostic imaging
  • Extremities / pathology
  • Female
  • Fracture Fixation, Internal / veterinary
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery
  • Fractures, Bone / veterinary
  • Horse Diseases / diagnostic imaging
  • Horse Diseases / surgery
  • Horses / injuries
  • Magnetic Resonance Imaging / methods
  • Magnetic Resonance Imaging / veterinary
  • Male
  • Radiography / veterinary
  • Retrospective Studies

References

This article includes 23 references
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Citations

This article has been cited 2 times.
  1. Steel C, Ahern B, Zedler S, Vallance S, Galuppo L, Richardson J, Whitton C, Young A. Comparison of Radiography and Computed Tomography for Evaluation of Third Carpal Bone Fractures in Horses. Animals (Basel) 2023 Apr 25;13(9).
    doi: 10.3390/ani13091459pubmed: 37174496google scholar: lookup
  2. Taylor CJ, Peter VG, Coleridge MOD, Bathe AP. Immediate pre-operative computed tomography for surgical planning of equine fracture repair: A retrospective review of 55 cases. PLoS One 2022;17(12):e0278748.
    doi: 10.1371/journal.pone.0278748pubmed: 36576917google scholar: lookup