title: Medial patellar ligament splitting for the treatment of upward fixation of the patella in 7 equids.
abstract: OBJECTIVE
  To describe a surgical technique for splitting the proximal third of the medial patellar ligament (MPL) in horses and ponies with upward fixation of the patella (UFP), and to report outcome.
  
  
  METHODS
  Prospective clinical study.
  
  
  METHODS
  Four horses and 3 Shetland ponies.
  
  
  METHODS
  With ultrasound guidance, the proximal third of the MPL was split by percutaneous use of a no. 15 scalpel blade. The rationale for this surgical procedure was to induce a localized desmitis with subsequent ligament thickening. No anti-inflammatory drugs were administered, and horses and ponies were exercised the day after surgery. Clinical, radiographic and ultrasonographic follow-up evaluation was obtained.
  
  
  RESULTS
  No short-term or long-term complications were observed, and no patients had clinical signs of UFP after surgery. This clinical effect was attributed to a 2- to 3-fold increase in size of the proximal part the MPL from an induced localized desmitis. CONCLUSIONS-Percutaneous splitting of the proximal third of the MPL resolved UFP in equids.
  
  
  CONCLUSIONS
  Splitting of the proximal third of the MPL is effective for treatment of UFP and allows rapid return to normal activity.
authors.affiliation: Clinique Equine, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort, France.
authors.forename: M Aziz
authors.initials: MA
authors.lastname: Tnibar
mesh_terms: D000818:Animals; D001182:Arthroscopy / Q000379:methods / Q000662:veterinary*; D005260:Female; D006736:Horses / Q000601:surgery*; D008297:Male; D010329:Patella / Q000000981:diagnostic imaging / Q000601:surgery*; D017847:Patellar Ligament / Q000000981:diagnostic imaging / Q000601:surgery*; D011446:Prospective Studies; D011859:Radiography; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000662:veterinary