EFFECTS OF EXPERIMENTAL DESMOTOMY ON MATERIAL PROPERTIES AND HISTOMORPHOLOGIC AND ULTRASONOGRAPHIC FEATURES OF THE ACCESSORY LIGAMENT OF THE DEEP DIGITAL FLEXOR TENDON IN CLINICALLY NORMAL HORSES
Ck. Becker et al., EFFECTS OF EXPERIMENTAL DESMOTOMY ON MATERIAL PROPERTIES AND HISTOMORPHOLOGIC AND ULTRASONOGRAPHIC FEATURES OF THE ACCESSORY LIGAMENT OF THE DEEP DIGITAL FLEXOR TENDON IN CLINICALLY NORMAL HORSES, American journal of veterinary research, 59(3), 1998, pp. 352-358
Objective-To evaluate posttrauma biomechanical behavior of the scar at
tributable to desmotomy of the accessory ligament of the deep digital
flexor tendon (AL-DDFT), compared with the histomorphologic and ultras
onographic appearance. Animals-5 Standardbred trotters. Procedure-Gros
s appearance, length, cross-sectional area (CSA), in vitro material pr
operties, and ultrasonographic and histomorphologic features were stud
ied 6 months after desmotomy. Tensile tests were conducted with forces
and elongation simultaneously recorded. Surgically treated limbs were
compared with nontreated contralateral limbs. Results-The CSA of the
treated ligaments was increased threefold, and treated ligaments were
1 cm longer than control ligaments. In the healed AL-DDFT, stress and
material stiffness were approximately a third of those values for cont
rols. The functional characteristics, force and elongation at failure,
reached 80% of control values. Ultrasonographic and the histomorpholo
gic examination of the scar tissue revealed high amounts of randomly o
riented collagen. Conclusion-From the ultrasonographic and histomorpho
logic findings and the material properties, it was concluded that the
scar tissue was of inferior quality. However, the functional propertie
s had been restored for the most part by increase of the CSA. The leng
th increase may lead to strain relief in the AL-DDFT after desmotomy.
Clinical Relevance-Desmotomy is recommended as treatment for chronic d
esmitis.