{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T01:27:42Z","timestamp":1775870862315,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,4,27]],"date-time":"2016-04-27T00:00:00Z","timestamp":1461715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Report long\u2010term clinical and radiological follow\u2010up in horses after removal of large extensor process fragments occupying &gt;25% of the joint surface of the distal interphalangeal joint (DIJ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><jats:p><jats:bold>Animals<\/jats:bold>: Friesian horses (n=18) that underwent arthroscopic removal of a large extensor process fragment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Arthroscopic examination of the DIJ was performed in dorsal recumbency with the affected foot in extension using routine portals. Visualization of the fragment was improved using motorized synovial resectors. A dissection plane between the common digital extensor tendon and the extensor process fragment was created using sharp lever instruments, in some cases aided by motorized burrs and radiofrequency ligament dissection. The fragment was removed piecemeal using Ferris\u2010Smith rongeurs. Medical records, preoperative and postoperative radiographs, and owner surveys were reviewed for case details and outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The technique described allowed removal of the large fragment in all 18 horses. Of the 17 horses where long\u2010term clinical follow\u2010up was available, 14 were used as intended and 3 kept some degree of lameness. The angle between the remodeled extensor process and the dorsal surface of the distal phalanx was increased and subchondral bone remodeling at the fragment bed was noted on postoperative lateromedial radiographs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthroscopic removal is a good treatment option for horses with large extensor process fragmentation with a good long\u2010term outcome. Remodeling of the remaining extensor process and the subchondral new bone formation in the fragment bed can occur with functional recovery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12478","type":"journal-article","created":{"date-parts":[[2016,4,27]],"date-time":"2016-04-27T23:04:08Z","timestamp":1461798248000},"page":"536-541","source":"Crossref","is-referenced-by-count":10,"title":["Arthroscopic Removal of Large Extensor Process Fragments in 18 Friesian Horses: Long\u2010Term Clinical Outcome and Radiological Follow\u2010Up of the Distal Interphalangeal Joint"],"prefix":"10.1111","volume":"45","author":[{"given":"Ellen","family":"Compagnie","sequence":"first","affiliation":[{"name":"Equine Department of Veterinary Clinic Emmeloord Emmeloord The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frerik","family":"ter Braake","sequence":"additional","affiliation":[{"name":"Equine Department of Veterinary Clinic Emmeloord Emmeloord The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natascha","family":"de Heer","sequence":"additional","affiliation":[{"name":"Equine Department of Veterinary Clinic Emmeloord Emmeloord The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willem","family":"Back","sequence":"additional","affiliation":[{"name":"Department of Equine Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht The Netherlands"},{"name":"Department of Surgery and Anaesthesiology of Domestic Animals, Faculty of Veterinary Medicine Ghent University Merelbeke Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2000.217.1351"},{"key":"e_1_2_6_3_1","first-page":"645","volume-title":"Adam's lameness in horses","author":"Stashak TS","year":"2002"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2009.00608.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-0867-7.00090-9"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-6069-7.00033-X"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3292.2011.00302.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3292.2005.tb00345.x"},{"key":"e_1_2_6_9_1","unstructured":"SchrammeM: Clinical significance of osteochondral fragments of the distal interphalangeal joint and navicular bone. Proc 5th Dutch Equine Conference Arnhem The Netherlands November 2013"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7234-3281-4.50015-4"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.2460\/javma.1974.164.01.61","article-title":"Internal fixation of fractured extensor process of the third phalanx in a horse","volume":"164","author":"Haynes PF","year":"1974","journal-title":"J Am Vet Med Assoc"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-0813.1979.tb09543.x"},{"key":"e_1_2_6_13_1","first-page":"226","article-title":"Lag screw fixation of an extensor process fracture in a foal with flexural deformity","volume":"38","author":"MacLellan KNM","year":"1997","journal-title":"Canadian Vet J"},{"key":"e_1_2_6_14_1","first-page":"311","article-title":"Diagnostic and surgical arthroscopy of the equine coffin joint","volume":"35","author":"Boening KJ","year":"1989","journal-title":"Proc Am Assoc Equine Pract"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-6069-7.00007-9"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.21836\/PEM19880402"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.2746\/042516403776114199"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2460\/ajvr.72.4.474"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3306.2010.00341.x"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fvsu.12478","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.12478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T22:18:17Z","timestamp":1748902697000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vsu.12478"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,27]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.1111\/vsu.12478"],"URL":"https:\/\/doi.org\/10.1111\/vsu.12478","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"value":"0161-3499","type":"print"},{"value":"1532-950X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,27]]}}}