title: Pull-through technique for palmar digital neurectomy: forty-one horses (1998-2004).
abstract: OBJECTIVE
  To report outcome of horses treated for navicular syndrome using a pull-through (PT) technique for palmar digital neurectomy (PDN).
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Horses (n=41) with navicular syndrome (NS).
  
  
  METHODS
  Medical records (1998-2002) for horses that had NS and failed to respond to conservative management that had unilateral or bilateral forelimb, biaxial PDN were reviewed. Outcome for up to 6 years was obtained by telephone questionnaire or lameness examination. Survival analysis was used to assess time to recurrence of lameness.
  
  
  RESULTS
  One year after PDN, 36 horses (88%) were free of lameness. Mean survival with no lameness after surgery was estimated at 4.14+/-0.33 years (median, 5 years).
  
  
  CONCLUSIONS
  PT-PDN technique resulted in soundness for 88% of horses for at least 1 year. PT-PDN was easily and quickly performed without specialized equipment, and had a low incidence of complications.
  
  
  CONCLUSIONS
  The PT technique is an effective and viable alternative surgical method for PDN.
authors.affiliation: Veterinary Medical Teaching Hospital, University of California-Davis, Davis, CA 95616, USA. omaher@vmth.ucdavis.edu
authors.forename: Omar
authors.initials: O
authors.lastname: Maher
authors.forename: David Michael
authors.initials: DM
authors.lastname: Davis
authors.forename: Christiana
authors.initials: C
authors.lastname: Drake
authors.forename: Grant D
authors.initials: GD
authors.lastname: Myhre
authors.forename: Karen M
authors.initials: KM
authors.lastname: Labbe
authors.forename: Janet H
authors.initials: JH
authors.lastname: Han
authors.forename: Sarah S
authors.initials: SS
authors.lastname: Lejeune
mesh_terms: D000818:Animals; D018572:Disease-Free Survival; D005260:Female; D005534:Foot Diseases / Q000601:surgery / Q000662:veterinary*; D005552:Forelimb / Q000294:innervation* / Q000601:surgery; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D007794:Lameness, Animal / Q000453:epidemiology / Q000601:surgery; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods / Q000662:veterinary*; D010525:Peripheral Nerves / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000662:veterinary; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome