Outcomes of diode laser-facilitated ankylosis of the distal tarsal joints in horses: A retrospective study of 64 cases.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2025-07-28 DOI:10.1111/vsu.14312

Rodrigo Sanchez-Arjona, Carla Lopez Cruz, Brent A Hague, Judith Jayawickrama, J Lacy Kamm

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引用次数: 0

Abstract

Objective: To evaluate the outcomes of diode laser-facilitated (DLF) ankylosis using different surgical techniques to treat distal tarsal osteoarthritis (OA) in horses.

Study design: Retrospective cohort study.

Animals: A total of 64 client-owned horses with distal tarsal OA treated with DLF ankylosis between 2011 and 2021 in a referral hospital were included.

Methods: DLF ankylosis techniques included: intra-articular diode laser (L), diode laser with periarticular drilling (L + D) and diode laser with cuboidal bone fenestration (L + F). Horses requiring a second surgery formed a fourth group (T). Outcome was assessed through client telephone surveys. Preoperative variables and surgical technique were assessed using logistical regression and OR models.

Results: A total of 64 horses met the inclusion criteria, and data was collected at a median follow-up time of 5 years (interquartile range [IQR]: 3-8 years). Improvement in lameness was observed in 83% (53/64) of horses, with 64% (39/61) returning to their previous level of athleticism. Sex significantly influenced outcome with males more likely to return to athleticism (p = .03, OR: 4.25). The return to previous level of athleticism for L, L + D and L + F was 67.9%, 50% and 66.7%, respectively. A smaller proportion of horses treated with L + D and L + F required additional surgical intervention compared to L (0%, 0%, and 20.8%, respectively).

Conclusion: DLF ankylosis offered a reliable treatment for distal tarsal OA in horses. Incorporating cuboidal bone fenestration provided good athletic outcomes while reducing the need for reintervention.

Clinical significance: DLF ankylosis offers a less invasive alternative to treat distal tarsal OA in horses with good athletic outcomes.

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二极管激光诱导马跗骨远端关节强直的疗效：回顾性研究64例。

目的：评价不同术式治疗马远端跗骨关节炎（OA）的效果。研究设计：回顾性队列研究。动物：在2011年至2021年期间，在一家转诊医院接受DLF强直治疗的64匹客户拥有的远端跗骨骨关节炎马被纳入研究。方法：DLF强直技术包括：关节内二极管激光(L)、关节周钻孔二极管激光（L + D）和立方体骨开窗二极管激光（L + F）。需要第二次手术的马组成第四组(T)。通过客户电话调查评估结果。使用逻辑回归和OR模型评估术前变量和手术技术。结果：符合纳入标准的马共64匹，数据收集的中位随访时间为5年（四分位数间距[IQR]: 3-8年）。83%（53/64）的马的跛行得到改善，64%（39/61）的马恢复到以前的运动水平。性别显著影响结果，男性更有可能恢复运动能力(p =。03，或：4.25)。L、L + D和L + F的运动能力恢复率分别为67.9%、50%和66.7%。与L + D和L + F治疗的马相比，L + D和L + F治疗的马需要额外手术干预的比例较小（分别为0%、0%和20.8%）。结论：DLF强直是治疗马远端跗骨骨关节炎的可靠方法。结合立方体骨开窗提供了良好的运动结果，同时减少了再次干预的需要。临床意义：DLF强直是治疗马远端跗骨骨关节炎的一种侵入性较小的方法，具有良好的运动效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.