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Palmar digital neurectomy in horses. 57 cases (1984-1990)
B R Jackman1, G M Baxter, R E Doran
1Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens.
Veterinary Surgery : VS
|July 1, 1993
Summary
Palmar digital neurectomy in horses can lead to complications like recurrent heel pain, with success rates decreasing over time. This study reviewed 57 horses undergoing the procedure.
Area of Science:
- Equine surgery
- Veterinary orthopedics
Background:
- Palmar digital neurectomy is a surgical procedure for horses with chronic heel pain.
- The procedure involves cutting specific nerves in the lower leg.
Purpose of the Study:
- To review the outcomes and complications of palmar digital neurectomy in horses.
- To identify risk factors and long-term success rates.
Main Methods:
- Retrospective review of 57 horses undergoing palmar digital neurectomy between 1984 and 1990.
- Analysis of surgical techniques (transection/electrocoagulation vs. guillotine).
- Evaluation of complication rates and long-term soundness.
Main Results:
- Middle-aged geldings, Quarter Horses, and Thoroughbreds were over-represented.
- Hunter/jumper horses also showed over-representation.
- Complications occurred in 34% of horses, with recurrent heel pain (28%) and painful neuromas (6%) being most common.
- One year post-surgery, 74% of horses were sound, decreasing to 63% at two years.
Conclusions:
- Palmar digital neurectomy has a significant complication rate, including nerve-related issues.
- Long-term success rates for palmar digital neurectomy diminish over time.
- Breed and discipline may influence the need for this procedure.