{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T08:07:17Z","timestamp":1775722037505,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2026,2]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To describe a modified two\u2010portal tenoscopic technique for proximal manica flexoria (MF) resection designed to preserve the mesotendons (MTs) of the deep digital flexor tendon (DDFT).<\/jats:p>\n <\/jats:sec>\n \n Study design<\/jats:title>\n Prospective clinical study.<\/jats:p>\n <\/jats:sec>\n \n Animals<\/jats:title>\n \n Client\u2010owned horses (\n n<\/jats:italic>\n \u2009=\u200930).\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n MF resection was performed in four steps: (1) Transection of the lateral attachment of the MF to the superficial digital flexor tendon (SDFT), staying abaxial to the lateral MT; (2) transection of the medial attachment of the MF to the SDFT between the flexor tendons from distal to proximal until reaching the level of the medial MT; (3) transection of the proximal medial attachment of the MF to the SDFT dorsal to the DDFT; and (4) fixation with a Kocher\u2013Ochsner clamp, followed by rotation to disrupt the areolar tissue and extract the MF. Long\u2010term follow\u2010up (>6\u2009months) was assessed by telephone interview.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Proximal MF tears were located medially in 20\/30 (66.7%), laterally in 7\/30 (23.3%), and both medially and laterally in 3\/30 (10.0%) cases. Hindlimbs were affected in 27\/30 (90.0%), and forelimbs in 3\/30 (10.0%). Nine of 11 sport horses (81.8%) and 12 of 17 leisure horses (70.6%) returned to the same or a higher level of work.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The MF was successfully resected in all horses irrespective of tear localization.<\/jats:p>\n <\/jats:sec>\n \n Clinical significance<\/jats:title>\n This two\u2010portal MF resection technique, described step by step, was developed to further limit surgical trauma with a specific focus on preserving the MTs and thereby maintaining the extrinsic blood supply to the flexor tendons.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/vsu.70057","type":"journal-article","created":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T07:25:08Z","timestamp":1763191508000},"page":"416-428","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Four\u2010step tenoscopic technique to resect a torn proximal manica flexoria while sparing the mesotendons of the deep digital flexor tendon in 30 horses"],"prefix":"10.1111","volume":"55","author":[{"given":"Julien","family":"Racine","sequence":"first","affiliation":[{"name":"Department of Equine Surgery Pferdeklinik Leichlingen Leichlingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Ungermann","sequence":"additional","affiliation":[{"name":"Department of Equine Surgery Pferdeklinik Leichlingen Leichlingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlis","family":"Blatter","sequence":"additional","affiliation":[{"name":"Department of Equine Surgery Pferdeklinik Leichlingen Leichlingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"von Plato","sequence":"additional","affiliation":[{"name":"Department of Equine Surgery Pferdeklinik Leichlingen Leichlingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid B. M.","family":"Rijkenhuizen","sequence":"additional","affiliation":[{"name":"Department of Equine Surgery Pferdeklinik Leichlingen Leichlingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT\u20103416\u20103401\u20100016"},{"key":"e_1_2_7_3_1","unstructured":"RacineJ.Personal communication.2025."},{"issue":"10","key":"e_1_2_7_4_1","first-page":"14209","article-title":"Tenoscopic\u2010guided resection of the manica flexoria utilizing radiofrequency energy. A proof of concept study","volume":"13","author":"Barton CK","year":"2025","journal-title":"Vet Surg"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/evj.13856"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/eve.13164"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20101950X.2012.01044.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/eve.13687"},{"key":"e_1_2_7_9_1","first-page":"O1","article-title":"Four\u2010Step Tenoscopic Technique to Resect Torn Proximal Manica Flexoria While Sparing the Mesotenons of the Deep Digital Flexor Tendon. Scientific Presentation Abstracts 2023 ACVS Surgery Summit October 12\u201014, Louisville, Kentucky","volume":"52","author":"Racine J","year":"2023","journal-title":"Vet Surg"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2746\/042516406776563350"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-6069-7.00074-2"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.13336"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4160-6069-7.00007-9"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/vru.12586"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-48420-6.00007-7"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-48420-6.00086-7"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/evj.12472"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12699"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20101950x.1995.tb01303.x"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.70057","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/vsu.70057","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.70057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T07:37:48Z","timestamp":1775720268000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vsu.70057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,14]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/vsu.70057"],"URL":"https:\/\/doi.org\/10.1111\/vsu.70057","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"value":"0161-3499","type":"print"},{"value":"1532-950X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,14]]},"assertion":[{"value":"2025-07-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}