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, 214 (4), 517-9

Deep Digital Flexor Tenotomy as a Treatment for Chronic Laminitis in Horses: 35 Cases (1988-1997)

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  • PMID: 10029854

Deep Digital Flexor Tenotomy as a Treatment for Chronic Laminitis in Horses: 35 Cases (1988-1997)

T G Eastman et al. J Am Vet Med Assoc.

Erratum in

  • J Am Vet Med Assoc 1999 Apr 15;214(8):1217

Abstract

Objective: To determine long-term prognosis for horses with laminitis treated by deep digital flexor (DDF) tenotomy and to identify factors affecting success of the surgical procedure.

Design: Retrospective study.

Animals: 35 horses with laminitis treated by DDF tenotomy between 1988 and 1997.

Procedure: Information was obtained from individual medical records and follow-up telephone interviews with owners and referring veterinarians. Cumulative proportions of horses that survived 6 months and 2 years after tenotomy were determined. Effect of Obel grade of lameness on 6-month and 2-year survival and effect of distal phalangeal rotation on survival and future performance were evaluated by chi 2 analysis. Body weights of horses that survived > or = 2 years were compared with those of horses that survived < 2 years by ANOVA.

Results: 27 of the 35 (77%) horses survived > or = 6 months, and 19 of 32 (59%) survived > 2 years. Obel grade of lameness and body weight at time of surgery had no effect on 6-month or 2-year survival. Degree of distal phalangeal rotation had no effect on 2-year survival or the ability of horses to be used for light riding. Twenty-two of the 30 (73%) owners interviewed indicated they would have the procedure repeated on their horses given similar circumstances.

Clinical implications: DDF tenotomy is a viable alternative for horses with laminitis refractory to conventional medical treatment. In some instances, the procedure may be effective in returning horses to light athletic use.

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