{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:17:43Z","timestamp":1789550263398,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,4,28]],"date-time":"2004-04-28T00:00:00Z","timestamp":1083110400000},"content-version":"vor","delay-in-days":605,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2002,9]]},"abstract":"<jats:p><jats:bold>Objective\u2014<\/jats:bold> To describe a surgical technique for splitting the proximal third of the medial patellar ligament (MPL) in horses and ponies with upward fixation of the patella (UFP), and to report outcome.<\/jats:p><jats:p><jats:bold>Study design\u2014<\/jats:bold> Prospective clinical study.<\/jats:p><jats:p><jats:bold>Sample population\u2014<\/jats:bold> Four horses and 3 Shetland ponies.<\/jats:p><jats:p><jats:bold>Methods\u2014<\/jats:bold> With ultrasound guidance, the proximal third of the MPL was split by percutaneous use of a no. 15 scalpel blade. The rationale for this surgical procedure was to induce a localized desmitis with subsequent ligament thickening. No anti\u2010inflammatory drugs were administered, and horses and ponies were exercised the day after surgery. Clinical, radiographic and ultrasonographic follow\u2010up evaluation was obtained.<\/jats:p><jats:p><jats:bold>Results\u2014<\/jats:bold> No short\u2010term or long\u2010term complications were observed, and no patients had clinical signs of UFP after surgery. This clinical effect was attributed to a 2\u2010 to 3\u2010fold increase in size of the proximal part the MPL from an induced localized desmitis.<\/jats:p><jats:p><jats:bold>Conclusions\u2014<\/jats:bold> Percutaneous splitting of the proximal third of the MPL resolved UFP in equids.<\/jats:p><jats:p><jats:bold>Clinical relevance\u2014<\/jats:bold> Splitting of the proximal third of the MPL is effective for treatment of UFP and allows rapid return to normal activity.<\/jats:p>","DOI":"10.1053\/jvet.2002.34660","type":"journal-article","created":{"date-parts":[[2002,9,3]],"date-time":"2002-09-03T13:59:40Z","timestamp":1031061580000},"page":"462-467","source":"Crossref","is-referenced-by-count":28,"title":["Medial Patellar Ligament Splitting for the Treatment of Upward Fixation of the Patella in 7 Equids"],"prefix":"10.1111","volume":"31","author":[{"given":"M. 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