Lacitignola Luca, De Luca Pasquale, Imperante Annarita, Tommasa Simone Della, Crovace Antonio
Universitàdegli Studi di Bari, Dipertimento Dell'Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e p.a. Bari, Italy.
Open Vet J. 2018;8(1):53-56. doi: 10.4314/ovj.v8i1.9. Epub 2018 Feb 7.
The aim of this study was to evaluate the use of a single-portal endoscopic desmotomy of the PAL with the use of Arthrex - Centerline™. Ten horse distal front limbs from horses free of PAL disease were prepared for tenoscopy of the digital flexor tendon sheath (DFTS). A dual-port endoscopic desmotomy with a hook knife was performed in 5 specimens (Group A) and single port Arthrex-Centerline™ Desmotomy was performed in another 5 specimens (Group B). The performing time, judgments of the surgeon, number of blade passages, and gross anatomy were evaluated. The performing time and surgeon judgments were significantly lower in Group B. No significant differences were assessed in number of passages to achieve a complete PAL resection and a gross anatomy evaluation. The use of Arthrex-Centerline™ is feasible for a PAL desmotomy procedure. It was faster with more handling ease compared with the free-hand double-portal desmotomy and allowed the same results in terms of number of passages to complete the release evaluated at gross anatomy.
本研究的目的是评估使用Arthrex - Centerline™进行单通道内镜下掌指关节掌板切断术的效果。对10匹无掌指关节疾病的马的前肢远端进行了指屈肌腱鞘（DFTS）的关节镜检查准备。5个标本采用双端口内镜下用钩刀进行掌板切断术（A组），另外5个标本采用单通道Arthrex-Centerline™掌板切断术（B组）。评估了手术时间、术者判断、刀片通过次数和大体解剖情况。B组的手术时间和术者判断明显更低。在实现掌板完全切除的通过次数和大体解剖评估方面，未评估出显著差异。使用Arthrex-Centerline™进行掌板切断术是可行的。与徒手双端口掌板切断术相比，它速度更快，操作更轻松，并且在大体解剖评估中完成松解的通过次数方面能达到相同的结果。
