Peer-reviewed veterinary case report
CT or MRI guided hoof wall surgery to remove keratomas in horses
By Getman, Liberty M et al.·Published in Veterinary surgery : VS·2011·Department of Clinical Studies, United States·View original on PubMed →
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Original publication title: Computed tomography or magnetic resonance imaging-assisted partial hoof wall resection for keratoma removal.
- Species:
- horse
Plain-English summary
Ten horses with keratomas, which are abnormal growths in the hoof, underwent surgery to remove these growths using advanced imaging techniques like CT and MRI to guide the procedure. After surgery, some horses experienced complications such as infection and excessive tissue growth, but none had a recurrence of the keratomas. Most horses recovered well, with seven out of eight returning to soundness and work within a few months. The use of smaller surgical openings and special materials helped reduce complications and improve recovery times.
People also search for: horse hoof growth removal · keratoma surgery recovery · horse lameness treatment
Abstract
OBJECTIVES: To (1) describe the computed tomography (CT) and magnetic resonance imaging (MRI) appearance of keratomas; (2) describe a CT- or MRI-assisted partial hoof wall resection technique for removal of keratomas; and (3) evaluate the morbidity and postoperative outcome of these horses. STUDY DESIGN: Case series. ANIMALS: Horses (n=10) with keratoma. METHODS: Data retrieved from medical records included signalment, lameness duration and grade, physical and diagnostic evaluation findings, CT and MRI technique and findings, surgical details, histopathologic diagnosis, postoperative treatment, and complications experienced. Long-term outcome was obtained by telephone interviews of owners. RESULTS: Complications including excessive granulation tissue formation and infection were seen in 2 horses (20%). No keratoma recurrence occurred. Follow-up information was available for 8 horses; 7 were sound and had resumed work. Mean time until they became sound was 2.7 months, and mean time until work resumed was 3.6 months. CONCLUSIONS: CT and MRI can be used to accurately identify the location of keratomas. Postoperative complications may be decreased by creating smaller hoof wall defects, filling the defects with antimicrobial-impregnated polymethylmethacrylate, and placing a shoe early in the postoperative period.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21770987/