[Interruption of the sensory nerve tract in chronically lame horses]

Within the framework of the series 'Papers of yesterday and today', two articles on neurotomy by Moubis (1876 and 1878) are used to evaluate the present status of neurectomy. In 1800 neurotomy was replaced by neurectomy because of the reinnervation which occurred after several weeks. On the basis of a literature review and clinical experience in the Department of Large Animal Surgery the indications, conditions, anatomy, operative techniques, complications and results of neurectomy are discussed. Post-operative neuroma formation is the most important complication following palmar digital neurectomy. The many operative techniques and modifications which have been conceived and used are the consequence of the search for technical and surgical variations for prevention of neuroma formation. The ethical aspects of the use and misuse of the neurectomised patient are discussed. The importance of the ethical appreciation of owners and the very important informative function of the veterinary surgeon are emphasised.