Veterinary Surgery最新文献

{"title":"Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease.","authors":"Elisabeth A Lemmon, Rui Xiao, Robert L Mauck, Kimberly A Agnello","doi":"10.1111/vsu.14222","DOIUrl":"10.1111/vsu.14222","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the occurrence, degree, and risk factors associated with arthroscopic stifle joint synovitis in dogs with cranial cruciate ligament (CCL) disease.</p><p><strong>Study design: </strong>Retrospective, observational study.</p><p><strong>Sample population: </strong>Canine CCL disease (n = 163) from 149 dogs and their arthroscopic video recordings.</p><p><strong>Methods: </strong>Arthroscopic video recordings were reviewed. A synovitis severity (0-5) and a modified Outerbridge cartilage classification system score were assigned, along with recording the presence or absence of a medial meniscal bucket handle tear. Medical records were reviewed for age, sex, limb, and duration of clinical signs. Univariate analyses were performed via a Fisher's exact test for categorical independent variables, and ordered logistic regression was used for continuous variables. Multivariable ordered logistic regression considered independent variables with a p-value <.2 on univariate analyses. p-value <.05 was considered statistically significant.</p><p><strong>Results: </strong>Synovitis was identified in 100% of the stifles examined. The most frequent synovitis severity score was 3/5. Univariate analysis showed a significant association between synovitis severity score and bodyweight (p = .005), median cartilage score (p = .002), and being female (p = .032). On multivariable analysis, the synovitis severity score was significantly associated with median cartilage score (p = .042) and duration of clinical signs (p < .001).</p><p><strong>Conclusion: </strong>Synovitis was arthroscopically always identified in stifles with CCL disease. The severity of synovitis was associated with more progressive damage to the articular cartilage and a longer duration of clinical signs.</p><p><strong>Clinical significance: </strong>Earlier intervention in dogs with CCL disease may be warranted to decrease synovitis and progression of osteoarthritis.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"486-495"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender disparity in the impact of COVID-19 on childcare responsibilities and professional standing among specialty small animal surgeons.","authors":"Nicole J Buote, Marije Risselada, Michelle A Steffey, Valery Scharf, Alexandra Winter, Helia Zamprogno, Dominique Griffon","doi":"10.1111/vsu.14254","DOIUrl":"https://doi.org/10.1111/vsu.14254","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to report the effects of the COVID-19 pandemic on childcare responsibilities, mental health, and professional relationships of small animal surgeons.</p><p><strong>Study design: </strong>Voluntary, non-incentivized, anonymized 40-question internet survey deployed November 2021-February 2022.</p><p><strong>Sample population: </strong>A total of 333 completed surveys from veterinary surgeons and residents in the USA.</p><p><strong>Methods: </strong>Respondents provided information regarding demographics, family composition, effects of the COVID-19 pandemic on childcare, impact of work-life balance changes on mental health, and interpersonal work relationships. The influence of variables such as age and gender on these data was analyzed. Associations between demographics and responses were analyzed (p < .05).</p><p><strong>Results: </strong>Families were most commonly categorized as \"children and a partner\" (139/312, 44.6%), followed by \"partner and no children\" (100/312, 32%). A total of 46.5% (67/145) of respondents reported disruptions in school schedules affected their work schedule. Female respondents were most likely affected (OR = 2.2, p = .047). Respondents experiencing stress due to disruptions in work-life balance reported three or more feelings of mental distress and were more likely to be female (p < .001). Female gender was associated with a delay in promotion, adverse effects on relationships with colleagues, and negative effects on relationships with administration (p = .016, p < .001, p = .01).</p><p><strong>Conclusion: </strong>The COVID-19 pandemic affected childcare responsibilities, professional standing, and the mental health of veterinary surgeons. Female gender was the most common variable associated with dysregulation of work-life balance.</p><p><strong>Clinical impact: </strong>Identifying variables assists in creating strategies that improve job satisfaction and serve as a foundation for enhancing the profession's preparedness for future disruptions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of antimicrobial prophylaxis in horses undergoing sutured castrations.","authors":"Ida Sjöberg, Isabella Horn, Karl Ljungvall, Pia H Andersen, Susanna Sternberg-Lewerin","doi":"10.1111/vsu.14256","DOIUrl":"https://doi.org/10.1111/vsu.14256","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the influence of surgical antimicrobial prophylaxis (SAP) on complication rates and surgical site infections (SSI) in horses undergoing sutured castration in a hospital setting.</p><p><strong>Study design: </strong>Retrospective chart review of a convenience sample.</p><p><strong>Animals: </strong>A total of 220 colts and stallions admitted for sutured castration.</p><p><strong>Methods: </strong>Medical records of sutured castration were assessed for patient characteristics, perioperative and postoperative medications, and postoperative complications within 6 weeks after surgery. The effect of these variables on the occurrence of complications was analyzed using χ² tests, and the association between SAP use and SSI probability was evaluated.</p><p><strong>Results: </strong>The median age of horses included in the study was 3 years (range 1-14 years), and the overall complication rate was 10.0% (22/220). Surgical antimicrobial prophylaxis was administered to 62% of the patients (136/220). There were no differences in the overall complication rates, with a 7.1% (6/84) complication rate among horses without SAP (SAP-) and an 11.8% (16/136) rate in those receiving SAP (SAP+) (p = .36). There was no association between the use of SAP and the probability of SSI, with an incidence of 3.6% in SAP- and 4.4% in SAP+ (3/84 and 6/136 respectively) (p = 1.0).</p><p><strong>Conclusion: </strong>Administering SAP did not influence the overall complication rate or the SSI rate following sutured castrations in a hospital setting.</p><p><strong>Clinical significance: </strong>These findings prompt a reconsideration of the use of SAP for sutured castrations under aseptic conditions. The results may also serve as a basis for future randomized controlled trials.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal femoral shortening osteotomy for managing irreducible hips during total hip replacement in four dogs with severe luxoid hips.","authors":"YoungJin Jeon, Jaemin Jeong, Aldo Vezzoni, Haebeom Lee","doi":"10.1111/vsu.14257","DOIUrl":"https://doi.org/10.1111/vsu.14257","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the surgical technique and clinical outcomes of distal femoral shortening osteotomy (DFSO) to facilitate prosthesis reduction in dogs with irreducible luxoid hips undergoing total hip replacement (THR).</p><p><strong>Animals: </strong>Four client-owned dogs with luxoid hips.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>Standard THR was performed to alleviate pain and restore limb function. After confirming the prostheses were non-reducible, DFSO was performed as a novel tension-relieving technique at a level that allowed internal fixation. The shortening length was determined by the intraoperative tension required to reduce and maintain the prosthesis. Data from medical records were collected, including signalment, clinical signs, implant used, shortening length, and outcomes.</p><p><strong>Results: </strong>Following DFSO, prosthesis reduction was successful in all dogs. The median femoral shortening length ratio was 13.8% (range, 10.7%-15.3%). One intraoperative complication involved a fissure of the greater trochanter, which occurred during trial reduction before DFSO. Median duration of follow-up was 21 months (range, 3-34 months). Two dogs showed good to excellent limb function. Bone union was consistently achieved in all DFSO procedures. Two postoperative complications were observed: one case of prosthesis luxation and one case of aseptic stem loosening. The owner declined revision surgery for luxation, and explantation was performed for the stem loosening.</p><p><strong>Conclusion: </strong>DFSO could effectively manage irreducible prostheses in dogs with luxoid hips when conventional methods fail. However, careful case selection and meticulous surgical planning were essential to avoid complications.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of a table-bound reduction and drill guide system for minimally invasive sacroiliac screw placement in cats.","authors":"Yolanda López Barroso, Simone Anesi, Stephen Clarke, Alexis Bilmont","doi":"10.1111/vsu.14251","DOIUrl":"https://doi.org/10.1111/vsu.14251","url":null,"abstract":"<p><strong>Objective: </strong>To describe the equipment and accuracy of a table-bound reduction system and three-dimensional (3D) printed drill guide for fluoroscopically guided, minimally invasive sacroiliac luxation (SIL) reduction and stabilization by means of a single iliosacral lag screw in cats.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>A total of 17 cats (20 screws).</p><p><strong>Methods: </strong>Medical records of a single institution were retrospectively reviewed for cats that underwent SIL reduction and stabilization as described in the above objective. Postoperative images were assessed for screw positioning, percentage of sacroiliac reduction, sacral width purchase, and craniocaudal and dorsoventral screw angulation.</p><p><strong>Results: </strong>Sacral width purchase was 82.52% ± 10.67. Percentage of sacroiliac (SI) joint reduction was 94.25% ± 8.14. Craniocaudal screw angle was -1.22° ± 3.96. Dorsoventral screw angles was 0.7° ± 3.90. All screws were classed as being positioned within the sacral body (in).</p><p><strong>Conclusion: </strong>Stabilization of SIL in cats by mean of a single iliosacral screw placed minimally invasively using intraoperative fluoroscopy and a table bound reduction system and 3D printed drill guide system, led to screws that were repeatably placed within the sacral body based on either computed tomography (CT) scan assessment or subjective radiographic assessment.</p><p><strong>Clinical significance: </strong>The described technique and equipment allow placement of iliosacral screws in cats with repeatable accuracy.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penile urethral anastomosis to the vesico-urethral junction, after transabdominal wall passage of the penis, as treatment for intrapelvic stent-related urethral obstruction in a dog.","authors":"Armando Foglia, Veronica Cola, Sara Del Magno, Francesco Dondi, Roberta Troia, Stefano Zanardi, Filippo Cinti, Luciano Pisoni","doi":"10.1111/vsu.14249","DOIUrl":"https://doi.org/10.1111/vsu.14249","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the present study was to report the outcome of a novel technique of urethral intra-abdominal anastomosis after transabdominal wall passage of the penis in a dog with stent-related urethral obstruction.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animal: </strong>A seven-year-old neutered male Cocker Spaniel.</p><p><strong>Methods: </strong>The dog was evaluated for urinary retention and overflow incontinence of approximately 1-year duration. The dog had a urethral self-expanding metallic stent placed 6 years prior as treatment for pelvic urethral stricture, secondary to severe pelvic trauma. Stent fracture and stent-related tissue hyperplasia were diagnosed leading to intrapelvic urethral obstruction and concomitant atonic bladder complicated by cystolithiasis and urinary tract infection. An intra-abdominal urethral anastomosis was performed to restore urethral patency, after passing the penis through the abdominal wall, into the inguinal area; the surgery was successful in bypassing the urethral obstruction.</p><p><strong>Results: </strong>No contrast leakage was noted on positive contrast cystourethrography 10 days postoperatively. The urinary bladder was easily emptied by manual expression and bethanechol was started. At 6-months follow-up, the urinary bladder remained atonic but was easily emptied by manual expression, with mild urinary incontinence remaining. No signs of recurrent urinary tract infections were noted. Nine months after surgery the dog was euthanized for reasons unrelated to the surgery.</p><p><strong>Conclusion: </strong>The transabdominal wall urethral anastomosis, after penile abdominal tunnelization resulted in bypassing the urethral obstruction in this dog, restoring urethral patency. The technique reported could be a viable surgical option for restoring urethral patency in dogs with severe pelvic urethral damage or obstructive lesions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overground endoscopic examination following laryngeal tie-forward in horses with dorsal displacement of the soft palate.","authors":"Timothy P Barnett, Victoria A Colgate, Natalie Robinson, Lewis C R Smith, Lorraine Palmer, Safia Z Barakzai","doi":"10.1111/vsu.14245","DOIUrl":"https://doi.org/10.1111/vsu.14245","url":null,"abstract":"<p><strong>Objectives: </strong>To compare overground endoscopy (OGE) findings and racing performance in horses before and after laryngeal tie-forward (LTF) surgery for the treatment of intermittent dorsal displacement of the soft palate (iDDSP).</p><p><strong>Study design: </strong>Retrospective case series with follow up.</p><p><strong>Animals: </strong>A total of 56 horses met the inclusion criteria.</p><p><strong>Methods: </strong>Clinical record review of all horses definitively diagnosed with iDDSP, treated with LTF surgery, and evaluated with a single OGE examination postoperatively. In addition to LTF, some horses underwent bilateral aryepiglottic fold resection (AEFR) and/or soft palate thermocautery (SPTC). Overground endoscopy findings and racing performance metrics were compared preoperatively and postoperatively.</p><p><strong>Results: </strong>There was a 75% reduction (p < .001, 95% CI: 64% to 86%) in the presence of iDDSP and a 23% reduction (p = .002, 95% CI: 10% to 36%) in the presence of palatal instability (PI) on OGE after LTF. Soft palate thermocautery was performed concurrently with LTF in 16 horses but they showed no additional reduction in prevalence of iDDSP after surgery. There was a 22% increase (p = .01, 95% CI: 5% to 38%) in the number of horses that raced and an 18% increase (p = .05, 95% CI: 1% to 35%) in those that were placed postsurgery. Horses reported to have suspected upper airway impairment postoperatively had higher odds of iDDSP on repeat OGE (OR: 11, 95% CI: 2-55).</p><p><strong>Conclusion: </strong>Seventy five percent of horses undergoing LTF had no evidence of iDDSP on postoperative OGE, and SPTC did not reduce the incidence further. Horses with reported suspected upper airway impairment postoperatively were more likely to have continued iDDSP.</p><p><strong>Clinical significance: </strong>Laryngeal tie-forward surgery is a successful treatment option for iDDSP in horses. Soft palate thermocautery does not appear to offer additional benefits. Reports of suspected ongoing upper airway impairment would warrant repeat OGE.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased radiographic stifle soft tissue opacity in dogs with patella luxation.","authors":"Karl E Hoenecke, Kimberly A Agnello, Darko Stefanovski, Anna M Massie","doi":"10.1111/vsu.14247","DOIUrl":"https://doi.org/10.1111/vsu.14247","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of increased radiographic soft tissue opacity in canine stifles with patella luxation in the absence of overt cranial cruciate ligament (CCL) pathology.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animal population: </strong>A total of 49 client-owned dogs (57 limbs).</p><p><strong>Methods: </strong>Dogs with patella luxation that underwent arthrotomy with CCL evaluation were included. Dogs were excluded if overt pathology of the CCL was noted during orthopedic examination and/or surgical evaluation. Correlation of increased radiographic soft tissue opacity with age, breed, weight, duration of clinical signs, presence of stifle osteoarthritis, muscle atrophy, and luxation grade were evaluated.</p><p><strong>Results: </strong>Increased radiographic soft tissue opacity of the stifle was appreciated in 37/57 (65%) stifles. Weight (p = .029) and presence of osteoarthritis (p = .0143) were associated with the presence of increased radiographic soft tissue opacity. For every 1 kg increase in weight there is a 10% increased risk in having this radiographic change. Four of 21 dogs (19%) with long term follow-up were diagnosed with a CCL injury 2, 2.5, 4, and 4.5 years postoperatively. Two of the four dogs (50%) with later CCL injury had increased radiographic soft tissue opacity in the stifle joint when initially presenting for patella luxation.</p><p><strong>Conclusion: </strong>Increased soft tissue opacity of the stifle joint may be found on radiographs of dogs with patella luxation without overt CCL pathology.</p><p><strong>Clinical significance/impact: </strong>Increased radiographic soft tissue opacity within the stifle joint is not uncommon in dogs with patellar luxation that do not have overt CCL pathology. Increased radiographic soft tissue opacity alone should not infer pathology of the CCL in dogs with patella luxation.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of a dorsolateral approach and a dorsomedial approach to access the medial malleolus of the distal tibia in horses.","authors":"Margherita Guerra, Lauren V Schnabel, Carrie C Jacobs","doi":"10.1111/vsu.14241","DOIUrl":"https://doi.org/10.1111/vsu.14241","url":null,"abstract":"<p><strong>Objective: </strong>To determine the utility of a dorsolateral arthroscopic approach to the tarsocrural joint (TCJ) to examine and surgically access the medial malleolus (MM) and compare this to the standard dorsomedial approach to the MM.</p><p><strong>Study design: </strong>Experimental cadaver study.</p><p><strong>Animals: </strong>Six pelvic limbs from four adult horses.</p><p><strong>Methods: </strong>Arthroscopic examination of the dorsal aspect of the TCJ was performed followed by the dorsomedial and dorsolateral surgical approaches to the MM, in randomized order on cadaver limbs (n = 6). The dorsomedial approach involved placing the arthroscope and instrument in the dorsomedial pouch. The dorsolateral approach involved placing the arthroscope dorsolaterally and the instrument dorsomedially. Identification and surgical access grades for the MM were assessed and recorded.</p><p><strong>Results: </strong>Using the dorsomedial approach, identification grades were excellent for the MM and surgical access to the MM was excellent or good in all limbs. Using the dorsolateral approach, identification and surgical access grades for the MM were excellent in all limbs. Interference between the arthroscope and instrument only occurred during the dorsomedial approach. The view of the axial aspect of the MM was improved with the dorsolateral approach.</p><p><strong>Conclusion: </strong>The dorsolateral approach allowed identification and surgical access to the MM and provided an improved view of the axial aspect of the MM. No interference between the instrument and arthroscope was encountered.</p><p><strong>Clinical significance: </strong>The dorsolateral arthroscopic approach to the TCJ can be used for debridement of MM OCD lesions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity, distribution and postoperative therapy are not predictors of return to work in western performance horses with stifle chondromalacia.","authors":"Angie M Esselman, Sherry A Johnson, Brent A Hague, David D Frisbie","doi":"10.1111/vsu.14196","DOIUrl":"https://doi.org/10.1111/vsu.14196","url":null,"abstract":"<p><strong>Objective: </strong>(1) To evaluate the ability of western performance horses diagnosed with chondromalacia to return to performance; Specifically, the relationship between the grade of chondromalacia and the horses' ability to resume work; (2) To determine the impact of postoperative therapy on clinical outcomes.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>Horses (n = 34).</p><p><strong>Methods: </strong>Records of western performance horses with lameness localized to the stifle that underwent subsequent arthroscopy with chondromalacia as the most significant diagnosis were reviewed. Chondromalacia was surgeon-graded as slight, mild, moderate, or marked. Three evaluated categories of postoperative intra-articular therapy included: (1) bone marrow derived mesenchymal stem cells, (2) equine amniotic allograft product or (3) none. Outcome was defined as returning to previous level of work on a numeric scale (1-10).</p><p><strong>Results: </strong>Chondromalacia and its degree of severity and focal vs. diffuse distribution identified arthroscopically did not show a significant association (p = .54, .40, respectively) or correlation (p = .18; R-value: 0.27) with the ability to return to athletic performance. The type of postoperative intra-articular therapy did not have any association with the horse returning to athletic work (p = .53).</p><p><strong>Conclusion: </strong>A statistically significant association between severity, distribution or subsequent postoperative therapy for stifle chondromalacia and the ability to return to work was not observed.</p><p><strong>Clinical significance: </strong>Compared to previously published reports, this study demonstrated a 74% more favorable prognosis for returning to some level of athletic work despite only 44% of horses returning to their previous level of performance.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}