Tenoscopic resection of the manica flexoria in 21 horses using a two‐portal unilateral technique

Summary Tears of the manica flexoria are a well‐known cause of lameness in horses, and endoscopic resection using a 3‐ or 4‐portal approach has a good success rate. This article describes the feasibility of a two‐portal technique to resect the manica flexoria based on cadavers and a prospective clinical study. This technique is less invasive regarding the number of portals, allows more precise instrument handling as all sharp instruments used to transect the manica flexoria are always under visualisation and has reduced ergonomic risks for the surgeon compared with the multiple portal approaches. Fifteen of the 21 (71%) operated horses returned to pre‐injury level, comparable to the results obtained with previous techniques.