Macroscopic comparison of open Metzenbaum and ultrasound‐guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study

Grigorios Maleas; Kristyna Hargitaiova

doi:10.1111/vsu.70102

March 26, 2026Veterinary SurgeryOpen Access

Macroscopic comparison of open Metzenbaum and ultrasound‐guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study

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Key Points

This study aims to evaluate the effectiveness of open versus ultrasound-guided fasciotomy techniques for treating hindlimb proximal suspensory ligament desmopathy in horses.
Conducted a cadaveric anatomical comparison of two surgical techniques: open Metzenbaum and ultrasound-guided fasciotomy.
Analyzed intraligamentous splitting and soft-tissue disruption during each technique.
Compared the extent of damage caused by each technique to assess safety and invasiveness.
Ultrasound-guided fasciotomy reduced the extent of intraligamentous splitting compared to open techniques.
Less associated soft-tissue disruption was observed with the ultrasound-guided technique.
Indicated potential for ultrasound-guided technique to be a safer alternative in clinical cases.

Implication

Cadaveric anatomical study compares ultrasound-guided and open techniques for treating desmopathy, indicating potential benefits of the former.

Abstract

Intraligamentous splitting appears unavoidable during plantar fasciotomy, but the FUG technique limits its extent and associated soft-tissue disruption, supporting its use as a safer, less invasive alternative in clinical cases of chronic PSL desmopathy.

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Cite This Study

Maleas et al. (2026) studied this question.

synapsesocial.com/papers/69c771b18bbfbc51511e1b93 https://doi.org/10.1111/vsu.70102

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Macroscopic comparison of open Metzenbaum and ultrasound‐guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study

Key Points

Implication

Abstract

Discussion

Cite This Study

Macroscopic comparison of open Metzenbaum and ultrasound‐guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study

Key Points

Implication

Abstract

Discussion

Cite This Study

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