Page 81 - Manual of Equine Field Surgery
P. 81

Medial Patellar Desmotomy                                                77





























                                                                                                                                                ~-·



                                                                                                                                                       ,..  -

                                                                                                                                                ...
                                                                                                                                                     -           e


                                                                                                                                                l














                    Figure  12-1  A  horse  with  upward  fixation  of  the                                                                     Figure  12-3  Exaggerated  flexion  of  the  limb  after


                    patella.  Note  the  extended  stifle  and  hock  and  flexed                                                               release of tl1e patella.


                    distal limb.















                    Cartilaginous  process

                    (parapatellar


                    fibrocartilage)







                                                                           Locked         .....,,  /



                                                                    Unlocked              /
                                                                                      I\:
                                                                                     [


                                                                                                                                                          •
                                                                                                                                                           ......













                                                                                                                                                                                                                      ----:-~:t:-~_:e


                                                                                                                                                                                                            ~~"":::                    ..., ..  -  -,



                                                                                                                                                Figure 12-4  Normal Iirnb position  at the start of the


                                                                                                                                                next  stance phase.






                     Medial

                     patellar  lig.                                                                   ~--


                                   Figure 12-2                     The  locking  mechanism.













                                                                   Cartilaginous  process

                                                              (parapatellar  fibrocartilage)
















                          Patellar                                                                           l


                       ligaments:                                                                                                                     Figure  12-5  Location  of  the  skin  incision  for

                           medial  -----11                                                                                                            medial patellar  desmotomy.  .

                           middle  _----:\,....\ ~  .............
                           I ate ral __  _.,__..,,.,,....,,...,f,--.,....




                     Incision  site








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