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Closed reduction and surgical fixation of elbow joint luxation in an adult mare and in a 3-month-old foal using knotless bone anchors and FiberTape
Equine Veterinary Education ( IF 0.9 ) Pub Date : 2021-08-11 , DOI: 10.1111/eve.13541
G. Fridel 1 , A. E. Fürst 1 , A. Pozzi 2 , F. Del Chicca 3 , M. A. Jackson 1
Affiliation  

This report describes the successful surgical stabilisation of elbow joint luxation using knotless bone anchors and FiberTape to repair the medial collateral ligament in an 11-year-old mare (Case 1) and both medial and lateral collateral ligaments in a 3-month-old foal (Case 2). Radiography (both cases) and computed tomography (Case 2) were used to diagnose subluxation (Case 1) and complete luxation (Case 2) with suspected rupture of both collateral ligaments. Case 1 was supported in a rescue sling for 7 weeks postoperatively to prevent recumbency. Recovery was good, and the mare was sound at the walk at the time of discharge 8 weeks after surgery and 1 year later at the follow-up visit. Case 2 was discharged 3 weeks after surgery and was sound at the trot when re-evaluated 2 and 6 months postoperatively. Although elbow luxation accompanied by torn collateral ligaments is rare in horses, successful outcomes have been described. In the present case report, joint stabilisation and a successful outcome were achieved, for the first time, with closed reduction and an open approach for placement of knotless bone anchors and FiberTape. Limitations of our study included inability to directly assess the integrity of the implants during healing and relying mainly on clinical signs to assess healing.

中文翻译:

使用无节骨锚和 FiberTape 闭合复位和手术固定成年母马和 3 个月大的马驹肘关节脱位

本报告描述了使用无结骨锚和 FiberTape 成功修复肘关节脱位的手术稳定,以修复 11 岁母马的内侧副韧带(案例 1)和 3 个月大马驹的内侧和外侧副韧带(案例 2)。放射线照相(两个病例)和计算机断层扫描(病例 2)被用来诊断半脱位(病例 1)和完全脱位(病例 2),怀疑两侧副韧带断裂。病例 1 在术后 7 周用救援吊带支撑,以防止卧床。恢复良好,在手术后 8 周和 1 年后出院时,母马的步行状况良好。病例 2 术后 3 周出院,术后 2 个月和 6 个月重新评估时小跑良好。虽然伴随副韧带撕裂的肘部脱位在马中很少见,但已经描述了成功的结果。在本病例报告中,首次通过闭合复位和开放式方法放置无结骨锚和 FiberTape 实现了关节稳定和成功的结果。我们研究的局限性包括无法在愈合过程中直接评估植入物的完整性,并且主要依靠临床体征来评估愈合情况。
更新日期:2021-08-11
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