ISSN 2398-2977      

Carpus: chip removal

pequis
Contributor(s):

Steve Adair


Introduction

Uses

Advantages

Arthroscopic removal
  • Improved visualization of field over arthrotomy.
  • Minimal trauma to the joint and especially the soft tissues.
  • Major pathophysiological advantages to the operated joint and its continued function.
  • Improved cosmetic result.
  • Permits irrigation of joint.
  • Multiple joints can be examined.
  • Improved prognosis.
  • Faster return to training and racing than with arthrotomy or rest alone.

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends on the amount of cartilage and bone loss (grading of lesion), with a decrease in cases where there is extensive loss of subchondral bone and, to a less degree, with cartilage loss. The site and number of fragments are also important.
  • The type of horse; what work it does; how early in the pathogenesis of the lesion has surgery been elected; adherence to post-operative protocols; individual trainers and their routines; and owner wishes can all affect the long-term prognosis.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Lucas J M, Ross M W & Richardson D W (1999) Post-operative performance of racing Standardbreds treated arthroscopically for carpal chip fractures: 176 cases (1986-1993). Equine Vet J 31 (1), 48-52 PubMed.
  • Barr A R (1994) Carpal conformation in relation to carpal chip fractures. Vet Rec 134 (25), 646-50 PubMed.

Other sources of information

  • McIlwraith C W, Nixon A J & Wright I M (2015) Diagnostic and Surgical Arthroscopy in the Horse. Elsevier, USA.

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