[Direct endoscopic approach improves prognosis of septic-synovitis in the horse].
The medical records of 71 horses with sepic arthritis, bursitis, or tenosynovitis, treated between 1996 and 2001 at Dierenkliniek Enmeloord, were reviewed. A total number of 81 joints, tendon sheaths and bursae were treated (21 tarsi, 17 digital tendon sheaths, 14 metacarpo/metatarso-phalangeal joints, 12 stifles, 6 carpi, 4 coffin joints, 2 navicular bursae, 1 elbow joint, 1 proximal-interphalangeal joint, 1 tarsal sheath, 1 bursa calcanei subtendineum). The aetiology in 42 cases was a penetrating wound (group 1), in 4 cases an intra-articular injection, and in 2 cases arthroscopic surgery (group II), and in 13 cases septic arthritis in young foals (group III); in 10 cases the aetiology was unknown (group V). A total of 93 endoscopic lavages was performed on 81 joints, tendon sheaths, and bursae (1-3 lavages, mean 1.18 lavage per synovial structure). Survival rates were 95% for group I, 100% for group II, 73% for group III and 100% for group IV. Horses were discharged after 4-73 days of hospitalization (mean 20 days). Longterm follow-up revealed a survival rate of 92% for group I, 100% for group II, 67% for group III, and 90% for group IV. Of the surviving horses, 89% were sound and 11% had some degree of residual lameness. It is concluded that instant aggressive treatment using endoscopic techniques yields the best results so far and is therefore recommended.
Diergeneeskundig Centrum Noord Nederland, Espelerlaan 77, 8203 DC Emmeloord. info@dierenkliniekemmeloord.nl
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D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000382:microbiology / Q000601:surgery / Q000628:therapy / Q000662:veterinary; D001182:Arthroscopy / Q000379:methods / Q000662:veterinary; D002062:Bursitis / Q000382:microbiology / Q000601:surgery / Q000628:therapy / Q000662:veterinary; D003646:Debridement / Q000662:veterinary; D004724:Endoscopy / Q000379:methods / Q000662:veterinary*; D005260:Female; D005500:Follow-Up Studies; D006734:Horse Diseases / Q000382:microbiology / Q000601:surgery* / Q000628:therapy; D006736:Horses; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D013585:Synovitis / Q000382:microbiology / Q000601:surgery / Q000628:therapy / Q000662:veterinary*; D013717:Tenosynovitis / Q000382:microbiology / Q000601:surgery / Q000628:therapy / Q000662:veterinary; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents