Arthroscopic findings and long-term outcomes in 76 sport horses with meniscal injuries (2008-2018).
Vet Surg
; 51(3): 409-417, 2022 Apr.
Article
em En
| MEDLINE
| ID: mdl-35178749
ABSTRACT
OBJECTIVE:
To report the findings and long-term outcome of 76 sport horses with meniscal injury. STUDYDESIGN:
Retrospective case series. ANIMALS Seventy-six horses with 93 meniscal injuries in 85 stifles.METHODS:
Medical records of sport horses diagnosed with meniscal injury during arthroscopy were reviewed. Owner follow up was obtained via telephone interview ≥1.5 years postoperatively. Preoperative and intraoperative findings, and postoperative treatments, were analyzed for potential association with return to athletic performance.RESULTS:
The medial meniscus was involved in 82.8% of cases, with grade 1 injuries diagnosed in 76.3% of menisci. Overall, 85.5% of horses returned to athletic performance, with 40% returning to their previous level. The grade of meniscal injury was associated with long-term outcome (P = .023). The presence of preoperative radiographic abnormalities (P = .259) or additional joint pathology (P = 1.00) was not associated with long-term outcomes. Fifty-nine stifles were treated with an orthobiologic autologous conditioned serum, platelet-rich plasma, or marrow-derived mesenchymal stem cells. There was no association between the use of any orthobiologic and long-term outcome (P = .394).CONCLUSION:
This is the first report on long-term outcome of sport horses with meniscal injuries following arthroscopic surgery. Overall, the long-term prognosis was fair, with 40% of horses returning to their previous level of use. Severity of the meniscal injury was a prognostic indicator for return to work. The presence of radiographic abnormalities or additional joint pathology, or the use of orthobiologics, was not associated with long-term outcome. CLINICALSIGNIFICANCE:
These findings can help in prognostication for sport horses with meniscal injuries.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Menisco
/
Lesões do Menisco Tibial
/
Doenças dos Cavalos
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Animals
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article