|Return to athletic function|
Return to athletic function
|Return to soundness|
Small fragments are always removed under arthroscopic supervision, because they are mobile and have contact with the articular surface.
Fresh large fragments may be attempted to be treated by means of screw insertion using lag technique under arthroscopic supervision.
Conservative therapy for large fragments is rarely successful and leads to additional cartilage damage. Therefore they are best removed, either by splitting the large fragment into smaller ones, followed by subsequent removal one after the other or by using a bur to grind them away.
While horses with small fragments have a good prognosis following fragment removal, horses having large fragmens removed usually have a poor prognosis to return to competitive work.
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|