Evidence map›Paper›PMID 40576056›Full record

ArticleVeterinary surgery : VS2025

Mosaic arthroplasty in equine stifle and fetlock joints: A retrospective study of 31 cases between 1998 and 2023.

Zsófia Pál, Pál Tuska, Gábor Vásárhelyi, László Hangody, Mark Hurtig, András D Kaposi, Gábor Bodó

Abstract read
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Article in Veterinary surgery : VS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zsófia PálDepartment and Clinic of Equine Medicine, University of Veterinary Medicine Budapest, Budapest, Hungary.ORCID https://orcid.org/0000-0001-8936-9637
Pál TuskaDepartment and Clinic of Equine Medicine, University of Veterinary Medicine Budapest, Budapest, Hungary.
Gábor VásárhelyiUzsoki Hospital, Semmelweis University, Budapest, Hungary.
László HangodyUzsoki Hospital, Semmelweis University, Budapest, Hungary.
Mark HurtigOntario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
András D KaposiDepartment of Biophysics and Radiation Biology, Semmelweis University, Budapest, Hungary.
Gábor BodóDepartment and Clinic of Equine Medicine, University of Veterinary Medicine Budapest, Budapest, Hungary.

Funding

National Research, Development and Innovation Fund of Hungary provided by the Ministry of Culture and Innovation, University Innovation Ecosystem programme 2019-1.2.1-EGYETEMI-ÖKO-2019-00010
6 · The paper itself

Abstract

objectiveTo evaluate the clinical application of equine mosaic arthroplasty for joint surface repair, including outcomes and complications. STUDY

designRetrospective clinical study. ANIMALS: A total of 31 horses diagnosed with subchondral bone cysts (SBCs) in the femoral condyle (22/31), distal metacarpus (7/31), or metatarsus (2/31).

methodsMedical records of horses that underwent autologous or allogeneic osteochondral graft transplantation were reviewed. Follow-up lasted at least 12 months. Success was determined in terms of improvements in lameness and post-surgical athletic performance, classified as successful, satisfactory, or unsatisfactory.

resultsIn total, 68% (21/31) of horses regained soundness and resumed athletic performance at the same or higher level than before surgery. Furthermore, 22% (7/31) and 10% (3/31) exhibited satisfactory and unsatisfactory results, respectively. Seven horses underwent follow-up arthroscopy to treat complications or residual lameness. Among horses with femoral condyle SBCs, 68% (15/22) achieved successful outcomes, compared with 67% (6/9) of those with fetlock SBCs. Age (≤3 vs. >3 years) did not appear to influence outcomes in stifle cases. Horses receiving fewer implanted grafts showed a tendency toward better recovery.

conclusionMosaic arthroplasty improved lameness in 90% of this mixed-age equine population, with 68% regaining soundness and successfully returning to athletic performance. Unlike other techniques reporting success primarily in 2- and 3-year-old horses, this method could provide an effective surgical alternative for both young and mature horses with SBCs. CLINICAL SIGNIFICANCE: Mosaic arthroplasty may serve as a viable surgical option for managing SBCs.

Indexed as

ArthroplastyBone CystsHorse DiseasesJoint DiseasesStifleAnimalsFemaleHorsesLameness, AnimalMaleRetrospective StudiesTreatment Outcome

Identifiers

PMID40576056
PMCPMC12344226

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