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Standing musculoskeletal surgery
1Marion duPont Scott Equine Medical Center, Leesburg, Virginia.
The Veterinary Clinics of North America. Equine Practice
|December 1, 1991
Summary
Standing orthopedic surgery in horses offers alternatives when general anesthesia is risky or costly. Advances in sedation and pain management enhance horse tolerance, but surgeons must use careful judgment for each unique case.
Area of Science:
- Veterinary Surgery
- Equine Orthopedics
Background:
- General anesthesia in horses poses risks, including injury during recovery.
- Cost can be a significant factor in equine surgical decisions.
- Traditional anesthesia methods may not be suitable for all equine patients.
Purpose of the Study:
- To outline the indications and considerations for performing orthopedic surgery on standing horses.
- To highlight the advantages and challenges of standing equine surgery.
- To emphasize the role of modern pharmacology in facilitating these procedures.
Main Methods:
- Review of current practices and literature regarding standing equine orthopedic surgery.
- Discussion of the impact of improved sedative and analgesic agents.
- Emphasis on case-by-case assessment and surgical judgment.
Main Results:
- Standing surgery is indicated when horses cannot tolerate general anesthesia or when anesthesia recovery poses a high risk.
- Modern sedatives and analgesics increase horse tolerance, expanding procedural options.
- Successful standing surgery requires greater surgeon experience and meticulous case selection.
Conclusions:
- Standing orthopedic surgery is a viable and sometimes necessary option in equine practice.
- Careful consideration of patient status, surgical demands, and available pharmacological support is crucial.
- Individualized assessment remains paramount for successful outcomes in standing equine surgery.