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Complete Resection as Treatment of Septic Common Digital Extensor Tendosynovitis
Bayer 1228.jpg Picture: © Bayer Animal Health
Seven horses with wounds that resulted in septic tendosynovitis of the CDET sheath were treated by complete surgical resection of the affected tendon and ablation of the tendon sheath in a prospective clinical study - with surprising good results.

5 of these animals had previous surgery that was unsuccessful. Time from initial injury to complete resection was 1-22 weeks.

In 6 horses, the wound was closed primarily using a closed suction (4 horses), penrose (1), or passive open drainage system (1). In 1 horse, the surgical wound healed by second intention.

All horses had postoperative bandaging, antibiotic administration, and physiotherapy.

The wounds healed primarily in 6 horses and by second intention in 1 horse. Follow-up (mean, 26.4 months; range, 18-38 months) was available for 6 horses; all returned to their athletic performance level without lameness or gait abnormality.

Thus complete resection of the CDET was an effective surgical technique for management of chronic septic tendosynovitis. Horses with infection of the CDET and its sheath may be returned to long-term soundness without gait abnormality after radical resection.


Source: Booth, Todd M., Abbot, John, Clements, Antony, Singer, Ellen R. & Clegg, Peter D. (2004):
Treatment of Septic Common Digital Extensor Tenosynovitis by Complete Resection in Seven Horses. In: Veterinary Surgery 33 (2), 107-111.




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EQUINE

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In horses, the only established method for reinnervation of the larynx is the nerve‐muscle pedicle implantation, whereas in human medicine, direct nerve implantation is a standard surgical technique for selective laryngeal reinnervation in human patients suffering from bilateral vocal fold paralysis. Thus, the objectives of this case series were
(1) To describe a modified first or second cervical nerve transplantation technique for the treatment of recurrent laryngeal neuropathy (RLN) in horses and (2) evaluate the outcomes of reinnervation using direct nerve needle‐stimulation of the first cervical nerve and exercising endoscopy before and after surgery.

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