Publication Database

Ex vivo evaluation of an alternative technique for resection of the proximal manica flexoria in horses (2020)

Art

Zeitschriftenartikel / wissenschaftlicher Beitrag

Autoren

Noguera Cender, Andrea (WE 17)

Mählmann, Kathrin (WE 17)

Lischer, Christoph J. (WE 17)

Quelle

Veterinary surgery : the official journal of the American College of Veterinary Surgeons and the European College of Veterinary Surgeon

Bandzählung: 49

Heftzählung: 2

Seiten: 401 – 408

ISSN: 1532-950x

Sprache

Englisch

Verweise

URL (Volltext): https://onlinelibrary.wiley.com/doi/epdf/10.1111/vsu.13336

DOI: 10.1111/vsu.13336

Pubmed: 31667869

Kontakt

Pferdeklinik

Oertzenweg 19 b
14163 Berlin
+49 30 838 62299 / 62300
pferdeklinik@vetmed.fu-berlin.de

Abstract / Zusammenfassung

Objective: To describe and evaluate an alternative technique for tenoscopic resection of the manica flexoria (MF).

Study design: Descriptive study.

Sample population: Equine cadaver forelimbs and hind limbs (n = 36).

Methods: Three surgeons varying in experience resected the MF in 12 limbs. The procedure was divided into six steps, including resection of the lateral/medial borders of the MF with a hook knife and resection of the proximal border with a micro scalpel. Outcomes compared between surgeons included completeness of resection, appearance of the margins of resection, appearance of the resected MF, collateral damage, and time required for resection.

Results: The MF was successfully resected in all specimens, with a median time of 14 minutes 54 seconds (range, 6 minutes 42 seconds to 43 minutes 33 seconds). Nineteen of 36 MF were categorized as symmetric, 11 of 36 MF were categorized as mildly asymmetrical, and six of 36 MF had unequal borders. No differences were detected between surgeons regarding the appearance of the MF and number of iatrogenic lesions. Five lesions were considered potentially clinically relevant; three were caused by the arthroscope in the scutum (1) and the deep digital flexor tendon (DDFT; 2), and two consisted of DDFT damage caused by the microscalpel.

Conclusion: The MF was successfully and symmetrically resected with minimal damage to adjacent structures by surgeons with varying levels of experience.