As surgery
is performed it will be viewed on this monitor. This close
up photo shows the waterproof sterile camera attached to the
viewing lens of the arthroscope A much
enlarged image appears on the monitor as Dr. Kleider
performs the operation. Using the TV screen to monitor the
operation offers advantages over the viewing it through the
lens. Arthroscopic
surgery is being being used here to remove bone chips from
the knee of a Thoroughbred mare. It is far less invasive
than conventional surgery as the incision is
minimal. Apical
sesamoid fractures and fragments lodged at the back of the
fetlock (proximal P1 axial ocd fragments) are difficult to
remove because extensive dissection is necessary.
Dr. Kleider
uses electrosurgery with special arthroscopic probes to
neatly dissect away all soft tissue attachments. This
decreases anaesthetic time and soft tissue trauma.
Fluoroscopic
confirmation of complete fragment removal Dr. Kleider removing bone
chips from the knee of a valuable race horse. He manipulates
the arthroscope with his right hand, loosens and removes the
bone chips with the forceps in his left hand, and is guided
in the procedure by referring to the monitor (inset
picture) Arthroscopy
means scoping or looking into a joint by means of a
miniature telescope called an Arthroscope. Arthroscopy
allows the joint to be fully evaluated. Advanced equipment such as
an arthroscopic 3 chip camera/monitor, a fluid pump and a c
mount arthroscope enables us to do arthroscopic surgery in
almost every joint of the horse. Joints that Dr. Kleider
routinely does include the knee, fetlock, hock, stifle and
even tight joints such as the coffin and pastern!
The surgery is done while
viewing the monitor since a waterproof sterile camera is
attached to the viewing lens of the arthroscope. Surgery of
an area such as the stifle is difficult when viewing with
only one's eye looking through the scope because the scope
is inserted parallel to the limb, leaving little room for
one's head. The camera also decreases chance of infection
since the surgeon's head is not over the top of the surgical
site. ARTHROSCOPIC SURGERIES
FOR OSTEOCHONDROSIS (OCD) OF THE STIFLE AND HOCK ARE NOW
ROUTINE! Osteochondrosis (OCD) is a
joint problem usually seen in young horses at any stage of
development but frequently when they start training. It is a
condition that results from improper development of
cartilage into bone. Previously horses needing
surgical correction for these conditions were referred to
U.S. clinics or universities such as Pullman, Washington.
A motorised arthroscopy
shaver system, an advanced technology that works inside the
fluid medium of the joint, allowing us to grind and smooth
out any remaining rough surfaces left after the major pieces
have been removed with forceps. It is also used for
synovectomies in infected joints and for tendon/ligament
surgery. We are proud to be helping more horses with OCD
lead full and productive lives. All surgeries are presently
being recorded on DVD for the horse owner's viewing
pleasure. We find that reviewing the surgery gives the owner
an appreciation of any pathology. Our
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Over 25 Years Of Excellence
Kleider
Veterinary Services
8036 - 232 Street RR#6 Langley, British Columbia V1M 3R8
Office (604) 888-7565 Fax: (604) 888-4033 nkleider@aol.com
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