{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:09:11Z","timestamp":1747188551343,"version":"3.40.5"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T00:00:00Z","timestamp":1703203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the ability to completely transect the equine accessory ligament of the deep digital flexor tendon (AL\u2010DDFT) via an ultrasonographically\u2010guided, percutaneous looped thread desmotomy using FiberWire suture as a cutting device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Ex\u2010vivo study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>A total of 24 normal equine distal forelimb specimens.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Under ultrasonographic guidance, a Jamshidi needle was placed between the suspensory ligament and the AL\u2010DDFT, and between the AL\u2010DDFT and the deep digital flexor tendon, through two stab incisions. FiberWire suture was fed through the needle and looped around the AL\u2010DDFT. Using a sawing motion, the ligament was transected, and the suture exited through the lateral incision. Surgical sites were dissected and assessed for completeness of transection, iatrogenic injuries, and suture remnants. Descriptive statistics were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The procedure met the successful criteria in 18\/24 (75%) of the limbs. The median surgical time was 11\u2009min (range 7\u201325). No suture failure or suture remnants were noted in any of the specimens. Complications included iatrogenic injury to the medial and lateral neurovascular bundles in 4\/24 and 1\/24 specimens, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Complete transection of the AL\u2010DDFT was achieved in 22\/24 (92%) of the specimens; however, the neurovascular bundles were injured in 5\/24 (21%) of the specimens.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>A percutaneous looped thread desmotomy of the AL\u2010DDFT can be studied as an alternative technique for use in equine models prior to its clinical use in patients. Additional studies are required to evaluate efficacy and safety in anesthetized or standing horses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.14065","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T07:24:35Z","timestamp":1703316275000},"page":"503-512","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ex\u2010vivo evaluation of a percutaneous looped thread desmotomy of the accessory ligament of the deep digital flexor tendon in horses"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6912-8908","authenticated-orcid":false,"given":"David","family":"Orozco Lopez","sequence":"first","affiliation":[{"name":"Department of Pathobiology and Population Medicine College of Veterinary Medicine, Mississippi State University  Mississippi State Mississippi 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