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Desmectomy of a septic accessory ligament of the deep digital flexor tendon in the hindlimb of a horse under standing sedation
Authors:L P Lamas  F M D Henson  J A Kidd
Institution:1. Queen's Veterinary School Hospital, The University of Cambridge, Madingley Road, Cambridge CB3 OES, UK;2. Minster Equine Clinic, Northfield Lane, Upper Poppleton, York YO26 6QF, UK;3. Ridgeway Veterinary Group, Valley Equine Hospital, Upper Lambourn Road, Lambourn, Berkshire RG17 8QG, UK
Abstract:A horse presented with a discharging wound over the proximal aspect of the right metatarsal region. Examination, radiography and ultrasonography diagnosed a septic process within the accessory ligament of the deep digital flexor tendon (ALDDFT). Due to previous unsuccessful treatment with systemic antibiotics as well as financial restrictions, an ALDDFT desmectomy was performed with the patient under standing sedation and local analgesia. Histopathology confirmed the septic process within the affected structure. The patient made a rapid recovery and was discharged from the hospital 7 days post operatively and 2 years later was still in full work. This report describes the first case of infective hindlimb ALDDFT and the first desmectomy of this structure performed under standing sedation.
Keywords:horse  hindlimb  ALDDFT  sepsis  desmitis  desmectomy  standing sedation
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