title: Arthroscopic removal of axial osteochondral fragments of the proximoplantar aspect of the proximal phalanx using electrocautery probes in 23 standardbred racehorses.
abstract: OBJECTIVE
  To describe the outcome after arthroscopic electrosurgical excision of axial osteochondral (OC) fragments of the proximal plantar aspect of the 1st phalanx (P1) in horses.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Twenty-three Standardbred racehorses.
  
  
  METHODS
  Medical records of Standardbred racehorses that had arthroscopic dissection of axial OC fragments of the proximal plantar aspect of P1 with electrocautery probes were reviewed. Horses were positioned in dorsal recumbency; a 1.5% glycine solution was used to maintain joint distension. The arthroscope portal was in the proximal plantar joint pouch and OC fragments were approached using either an ipsilateral or a contralateral triangulation technique. Dissection of the fibrous attachments was performed using loop and hook electrocautery probes. Follow-up was obtained by telephone questionnaire of owners or trainers and examination of race summary records.
  
  
  RESULTS
  Thirty-three axial OC fragments were removed from 28 metatarsophalangeal joints (left, 14; right, 14). No major operative or postoperative complications occurred. Seven of 8 (79%) of horses that raced before surgery raced after surgery. Thirty-six percent (n=4) of horses that had not raced before surgery raced after surgery.
  
  
  CONCLUSIONS
  Intra-articular electrosurgery is a safe, easy alternative to conventional excision of axial OC fragments of the proximal plantar aspect of P1.
  
  
  CONCLUSIONS
  Arthroscopic excision using electrocautery probes is a valid alternate method for removal of axial OC fragments of the proximal plantar aspect of P1. In addition, the dorsal recumbency position facilitates removal of several fragments and multiple joint surgery.
authors.affiliation: Département des Sciences Cliniques, Centre Hospitalier Universitaire Vétérinaire, Université de Montréal, Saint-Hyacinthe, Canada.
authors.forename: Olivier
authors.initials: O
authors.lastname: Simon
authors.forename: Sheila
authors.initials: S
authors.lastname: Laverty
authors.forename: Ludovic
authors.initials: L
authors.lastname: Bouré
authors.forename: Marcel
authors.initials: M
authors.lastname: Marcoux
authors.forename: Mihaly
authors.initials: M
authors.lastname: O  Szöke
mesh_terms: D000818:Animals; D001182:Arthroscopy / Q000662:veterinary*; D001530:Belgium / Q000453:epidemiology; D004564:Electrocoagulation / Q000662:veterinary; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery / Q000662:veterinary; D006734:Horse Diseases / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D006736:Horses / Q000293:injuries / Q000601:surgery; D007794:Lameness, Animal / Q000209:etiology / Q000601:surgery; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000601:surgery; D010007:Osteochondritis / Q000150:complications / Q000601:surgery / Q000662:veterinary*; D010805:Physical Conditioning, Animal; D011996:Records / Q000662:veterinary; D012189:Retrospective Studies; D013177:Sports