Mc Nally Turlough P, Slone Donnie E, Hughes Faith E, Lynch Timothy M
Peterson and Smith Equine Hospital, Ocala, FL 34474, USA.
Vet Surg. 2013 Jan;42(1):114-8. doi: 10.1111/j.1532-950X.2012.01033.x. Epub 2012 Nov 19.
To describe a tenosynoviotomy technique for treatment of sepsis of the digital flexor tendon sheath (DFTS) in horses and report long-term outcome.
Case series.
Horses (n = 9).
Horses were positioned in lateral recumbency with the affected limb uppermost. A linear incision was made just lateral to the mesotenon beginning 5 cm proximal to the apices of the proximal sesamoid bones, extending 2 cm distal to the bifurcation of the superficial digital flexor tendon (SDFT). The incision was continued through the skin, subcutaneous tissue, palmar/plantar annular ligament, and DFTS. Tenotomy of the distal lateral branch of the SDFT was also performed. The site was thoroughly debrided, lavaged, and packed with gauze and allowed to heal by second intention. Follow-up was obtained via owner telephone interview.
Mean surgery time was 32 minutes (range, 10-64 minutes). Systemic antibiotics were administered postoperatively (range, 11-46 days; mean, 23 days). Mean hospitalization was 11 days (range, 0-49 days). Follow-up was available for 7 (70%) horses. One year postoperatively, 5 (71%) horses were serviceable for their intended use, and 2 (29%) had been euthanatized. Of 5 survivors, 3 returned to ridden exercise, 1 was retired as a broodmare, and 1 was a broodmare. All owners were satisfied with the cosmetic appearance of the surgery site.
Open drainage via tenosynoviotomy, performed as a salvage procedure, represents a feasible treatment for DFTS sepsis.
描述一种用于治疗马指屈肌腱鞘炎（DFTS）败血症的腱鞘切开术技术，并报告长期疗效。
病例系列。
马（n = 9）。
将马侧卧，患侧肢体在上。在籽骨近端顶点近端5 cm处的腱鞘外侧做一条直线切口，向浅屈肌腱（SDFT）分叉处远端延伸2 cm。切口依次穿过皮肤、皮下组织、掌/跖环形韧带和DFTS。还对SDFT的远端外侧分支进行了腱切断术。对手术部位进行彻底清创、冲洗，并用纱布填充，让其二期愈合。通过与马主电话访谈进行随访。
平均手术时间为32分钟（范围10 - 64分钟）。术后使用全身性抗生素（范围11 - 46天；平均23天）。平均住院时间为11天（范围0 - 49天）。7匹（70%）马获得了随访。术后1年，5匹（71%）马可用于其预期用途，2匹（29%）已实施安乐死。在5匹存活的马中，3匹恢复了骑乘运动，1匹作为繁殖母马退役，1匹是繁殖母马。所有马主对手术部位的外观都很满意。
作为一种挽救性手术，通过腱鞘切开术进行开放引流是治疗DFTS败血症的一种可行方法。
