Arthroscopy

Does your horse have a joint problem? We can examine and treat this accurately using arthroscopy, with minimal disruption.

Arthroscopy

Does your horse have a joint problem? An arthroscopy allows us to both examine and treat the joint.

What is arthroscopy in horses?

Arthroscopy, also known as keyhole surgery on a joint, is a modern, minimally invasive surgical technique that allows joints to be examined and treated from the inside. The term ‘minimally invasive’ refers to surgical techniques that cause as little tissue damage as possible, which generally results in a faster recovery.

During arthroscopy, two or more small incisions (approximately 6–8 mm in diameter), known as portals, are made. An arthroscope (a viewing tube with a diameter of 4 mm) is inserted into the joint via one portal, enabling the surgeon to examine the joint structures in detail. Surgical instruments, such as a probe or rongeur, are inserted via a second portal to carry out the necessary treatment with precision.

Benefits of arthroscopy

  • Excellent visibility and precision during the procedure

  • Often a quicker recovery and a shorter rehabilitation period.

  • Less tissue damage and, generally, a lower risk of wound complications.

  • Better cosmetic results thanks to small incisions

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When is arthroscopy carried out?

Arthroscopic surgery is performed to diagnose and treat joint problems in horses. The most common indication is OCD (Osteochondrosis dissecans), often referred to as a ‘chip’ in practice.

OCD is caused by small loose fragments of bone or cartilage forming within the joint. This usually occurs whilst the young horse is growing, when the cartilage and the underlying bone do not develop properly.

The development of OCD is multifactorial and can be influenced by genetic predisposition, growth rate, diet and exercise.

Other indications for arthroscopy

  • Traumatic joint fragments (not related to OCD)

  • Assessment of cartilage and ligaments

  • Treatment of certain bone cysts.

  • Treatment of an inflamed or septic joint

  • Treatment of injuries extending into the joint

  • Assistance with the anatomical reconstruction of joint fractures.

Joints that can be treated

Many of a horse’s joints can be examined and treated arthroscopically. The most common joints in which arthroscopy is performed are the hock joint, the knee joint, the pastern joint and the coffin joint.

OCD fragments and other loose particles are most commonly found in these joints. In specific cases, surgery may also be performed on other joints, such as the wrist, elbow, shoulder and hip joints. Recent developments have also made it possible to remove fragments from the cervical joints (facet joints).

What can you expect?

We would ask you to bring your horse to us at least one day before the scheduled procedure, so that the animal can settle into its new surroundings at its own pace.

When you register, you will be given the option, if you wish and subject to availability, to take out insurance against the risks associated with anaesthesia.

Our clinic vet carries out a full pre-anaesthetic examination beforehand to carefully assess your horse’s health and condition.

Your horse must be fasted (kept without food) the evening before the operation.

Your horse will be sedated. Where possible, the surgical site will be shorn and washed (pre-scrub) whilst the horse is standing, in order to keep the duration of anaesthesia as short as possible.

Prior to the procedure, the horse is routinely given antibiotics and pain relief.

Whilst under anaesthesia, your horse will be continuously monitored by our veterinary anaesthetist.

After the operation, your horse will be helped to stand up (assisted recovery), under the supervision of experienced veterinary assistants and staff.

You will be contacted by telephone as soon as the procedure has been completed and your horse is back on its feet safely.

The day after the operation, your horse will undergo a thorough examination. If necessary, follow-up X-rays will be taken and the dressing will be changed.

If everything looks fine, your horse can usually go home the same day.

You will receive a clear and personalised aftercare plan with instructions on wound care, medication and rehabilitation.

Would you like more information about arthroscopic surgery? Please feel free to contact us. We’d be happy to offer you tailored advice. 

Call us
+31 (0)546 67 26 00

Email us
info@dierenkliniekdenham.nl

Daarleseweg 35a
7683 RC Den Ham

Opening Hours
Monday 
 8:00 AM – 5:30 PM
Tuesday
 8:00 AM – 5:30 PM
Wednesday
 8:00 AM – 5:30 PM
Thursday
 8:00 AM – 5:30 PM
Friday
          8:00 AM – 5:30 PM
Saturday
 9:30 AM – 11:00 AM
Sunday Closed

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