In this Simini Equine Surgery Podcast episode, we explore two impactful studies from the August 2025 issue of Veterinary Surgery, offering data-driven refinement for both orthopedic and soft tissue equine procedures.

We cover:

✅ Ruspi et al. — A 20-year retrospective on medial condylar fractures in 150 racehorses. Despite historical concern, survival to discharge was 98.7%, long-term survival 93.3%, and 71% returned to racing. However, plating came with 7× higher complication risk (28% vs. 4%) than lag screws alone—shaping a critical discussion on fixation choice.

✅ Barnett et al. — A prospective study of laryngeal tie-forward (LTF) outcomes in 56 horses with IDDSP, assessed using post-op overground endoscopy (OGE). While 75% had resolution of displacement, 71% still had palatal instability, and owner/trainer concern post-op predicted 11× higher odds of persistent dysfunction—proving that vigilant follow-up is just as important as the surgery itself.

🎓 Journal Articles Discussed:

• Ruspi et al. — Short- and long-term survival, complications, return to
  racing, and racing performance of 150 racehorses with
  medial condylar fractures of the third metacarpal/
  metatarsal bone treated by internal fixation
• Barnett et al. — Overground endoscopic examination following laryngeal
  tie-forward in horses with dorsal displacement of the
  soft palate
  📚 From the August 2025 issue of Veterinary Surgery

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👉 www.simini.com

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In this Simini Equine Surgery Podcast episode, we unpack two orthopedic studies from the August 2025 issue of Veterinary Surgery. These papers tackle both surgical mapping and cartilage regeneration—bringing fresh insights for accessing difficult anatomy and improving outcomes in mature horses.

We cover:

✅ Kerber et al. — A cadaveric study mapping the medial digital flexor tendon sheath (MDFTS) and evaluating the feasibility of needle endoscopy. Using a 2.4 mm needle scope and a two-portal technique, they successfully navigated this complex space and revealed multiple internal synovial folds that trap debris and resist clearance. Standard arthroscopy was not feasible, often causing iatrogenic damage, and conventional saline lavage left up to 42% of bacteria behind, underscoring the need for targeted lavage solutions like Simini Protect.

✅ Paul et al. — A 25-year retrospective on mosaic arthroplasty for treating subchondral bone cysts (SBCs) in the equine stifle and fetlock. With 68% return to work and 90% lameness improvement, the study breaks the age barrier—showing strong outcomes even in horses over 3 years old. Fewer, larger grafts led to better outcomes (90% success with 2 or fewer vs. 50% with 3+), and overdrilling proud grafts was emphasized to prevent damage.

🎓 Journal Articles Discussed:

• Kerber et al. — Gross anatomy, computed tomographic contrast
  tenography, and needle endoscopy of the equine
  medial digital flexor tendon sheath
• Paul et al. — Mosaic arthroplasty in equine stifle and fetlock joints:
  A retrospective study of 31 cases between 1998 and 2023
  📚 From the August 2025 issue of Veterinary Surgery

🎁 Learn more about Simini Protect Lavage or request a sample:
👉 www.simini.com

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In this Simini Equine Surgery Podcast episode, we break down two clinical studies from the August 2025 issue of Veterinary Surgery, both centered on smarter, more effective approaches to fetlock joint management—from first-line lavage to deep-pocket fragment removal.

We cover:

✅ Beggan et al. — An ex vivo study comparing needle-through-and-through lavage (NTA) to endoscopic lavage (EL) for equine joints. In both the fetlock and DFTS, NTA cleared debris just as well—especially in the first 2 liters, and even outperformed EL in early-stage flushing. But remember: EL remains essential for established sepsis and foreign body removal, and saline alone may leave up to 42% of bacteria behind.

✅ Foucaud et al. — A study introducing a direct dorsal arthroscopic approach to the distal palmar/plantar fetlock pouch, used in 25 horses. It yielded 100% successful fragment removal with zero complications—and was especially useful in horses over 4 years, where 100% had cartilage damage, 73% of which was full-thickness. Flexed radiographs and ultrasound are key to identifying these hidden lesions.

🎓 Journal Articles Discussed:

• Beggan et al. — Efficacy of needle and endoscopic lavage on the
  recuperation of microspheres from the adult equine
  metacarpo/metatarsophalangeal joint and digital
  flexor tendon sheath
• Foucaud et al. — Direct arthroscopic approach to the distal pouch of
  the palmar/plantar recess of the metacarpophalangeal/
  metatarsophalangeal joint in horses
  📚 From the August 2025 issue of Veterinary Surgery

🎁 Learn more about Simini Protect Lavage or request a sample:
👉 www.simini.com

👉 Request a Sample