Multiple Wounds Research Articles

Combined Transplantation of Mesenchymal Stem Cells and Endothelial Colony-Forming Cells Accelerates Refractory Diabetic Foot Ulcer Healing.

Background This study is aimed at investigating the effect of combined transplantation of umbilical cord mesenchymal stem cells (UCMSCs) and umbilical cord blood-derived endothelial colony-forming cells (ECFCs) on diabetic foot ulcer healing and at providing a novel therapy for chronic diabetic foot ulcer. Methods We reported the treatment of refractory diabetic foot ulcers in twelve patients. Among them, five patients had two or more wounds; thus, one wound in the same patient was treated with cell injection, and other wounds were regarded as self-controls. The remaining seven patients had only one wound; therefore, the difference between the area of wound before and after treatment was estimated. The UCMSCs and ECFCs were injected into the wound along with topically applied hyaluronic acid (HA). Results In this report, we compared the healing rate of multiple separate wounds in the same foot of the same patient: one treated with cell injection combined with topically applied HA-based hydrogel and was later covered by the hydrocolloid dressings, while the self-control wounds were only treated with conventional therapy and covered by the hydrocolloid dressings. The wound underwent cell injection showed accelerated healing in comparison to control wound within the first week after treatment. In other diabetic patients with only one refractory wound, the healing rate after cell transplantation was significantly faster than that before injection. Two large wounds healed without needing skin grafts after combination therapy of cell injection and HA. After four weeks of combination treatment, wound closure was reached in six patients, and the wounds of the other six patients were significantly reduced in size. Conclusions Our study suggests that the combination of UCMSCs, ECFCs, and HA can safely synergize the accelerated healing of refractory diabetic foot ulcers.

Suicidal Cut-throat Fatalities: A Case Report from the Kingdom of Bahrain

Using a sharp tool by an individual to cause a severe cut-throat injury is considered an unusual method for suicide. Investigating such suicidal cases is challenging, as no witness is available only the crime scene findings, the autopsy finding and the history of the victim. In this case report, we demonstrate a rare suicidal case received by the directorate of forensic science evidence in the Kingdom of Bahrain. A 39-year-old male was found with a neck laceration in his house, a small knife was found near his body, autopsy showed a cut-throat injury almost completely encircling the neck. Multiple superficial wounds were found in the proximity and parallel to the large incised wound in the front and back of the neck suggesting that they were hesitation marks. A stab wound was found directly medial to the left nipple. The final report was based on death scene investigation, autopsy findings and forensic laboratory results concluding that the death was suicidal in nature.

Wound location is independently associated with adverse outcomes following first-time revascularization for tissue loss

ObjectiveFew studies adequately evaluate the impact of wound location on patient outcomes after lower extremity revascularization. Consequently, we evaluated the relationship between lower extremity wound location and long-term outcomes. MethodsWe reviewed all patients at our institution undergoing any first-time open surgical bypass or percutaneous transluminal angioplasty with or without stenting for tissue loss between 2005 and 2014. We categorized wounds into three distinct groups: forefoot (ie, toes and metatarsal heads), midfoot (ie, dorsal, plantar, lateral, medial surfaces excluding toes, metatarsal heads, or heel), and heel. Limbs with multiple wounds were excluded from analyses. We compared rates of perioperative complications, wound healing, reintervention, limb salvage, amputation-free survival, and survival using χ2, Kaplan-Meier, and Cox regression analyses. ResultsOf 2869 infrainguinal revascularizations from 2005 to 2014, 1126 underwent a first-time revascularization for tissue loss, of which 253 patients had multiple wounds, 197 had wounds proximal to the ankle, 100 had unreliable wound information, and 576 (forefoot, n = 397; midfoot, n = 61; heel, n = 118) fit our criteria and had a single foot wound with reliable information regarding wound specifics. Patients with forefoot, midfoot, and heel wounds had similar rates of coronary artery disease, hypertension, diabetes, and smoking history (all P > .05). Conversely, there were significant differences in patient age (71 vs 69 vs 70 years), prevalence of gangrene (41% vs 5% vs 21%), and dialysis dependence (18% vs 17% vs 30%) (all P < .05). There were no statistically significant differences in perioperative mortality (1.3% vs 4.9% vs 4.2%; P = .06) or postoperative complications among the three groups. Between forefoot, midfoot, and heel wounds, there were significant differences in unadjusted 6-month rates of complete wound healing (69% vs 64% vs 53%), 3-year rates of amputation-free survival (54% vs 57% vs 35%), and survival (61% vs 72% vs 41%) (all P < .05). After adjustment, compared with forefoot wounds, heel wounds were associated with higher rates of incomplete 6-month wound healing (hazard ratio [HR], 1.6; 95% confidence interval [CI], 1.1-2.]), major amputation or mortality (HR, 1.7; 95% CI, 1.1-2.7), and all-cause mortality (HR, 1.8; 95% CI, 1.1-3.0), but not major amputation alone (HR, 2.1; 95% CI, 0.9-4.5). In open surgical bypass-first patients, heel wounds were solely associated with an increased risk of all-cause mortality (HR, 1.7; 95% CI, 1.1-2.8), whereas heel wounds in percutaneous transluminal angioplasty-first patients were associated with an increased risk of incomplete wound healing (HR, 2.2; 95% CI, 1.3-3.7), major amputation or mortality (HR, 2.3; 95% CI, 1.1-5.4), and all-cause mortality (HR, 2.8; 95% CI, 1.1-7.2). ConclusionsHeel wounds confer considerably higher short- and long-term morbidity and mortality compared with midfoot or forefoot wounds in patients undergoing any first-time lower extremity revascularization.

Surgical intervention for paediatric infusion-related extravasation injury: a systematic review

ObjectivesThis systematic review aims to assess the quality of literature supporting surgical interventions for paediatric extravasation injury and to determine whether there is sufficient evidence to support invasive techniques in...

Embolia por proyectil por arma de fuego: a propósito de un caso

Introducción. La embolia pulmonar por herida con arma de fuego es potencialmente fatal y una complicación rara que puede presentarse en los servicios de urgencias. En los últimos años, se ha presentado una mayor incidencia por la violencia social civil (85 %) que por las guerras (15 %). Los principales síntomas de los pacientes son dolor torácico, disnea y hemoptisis por la erosión vascular y el infarto pulmonar asociado.&#x0D; Caso clínico. Se presenta el caso de un paciente de 18 años de edad que ingresó por múltiples heridas por proyectiles de arma de fuego, una de ellas con un proyectil alojado en la arteria pulmonar del lóbulo inferior derecho y embolia pulmonar aguda en las ramas arteriales distales al proyectil. Se optó por un tratamiento conservador y la evolución fue adecuada.&#x0D; Discusión. La sintomatología de esta condición depende de la localización, la trombosis asociada, los fenómenos de isquemia y las complicaciones hemorrágicas. Entre las complicaciones de un proyectil de fuego alojado en una arteria pulmonar, están la isquemia, la trombosis, los pseudoaneurismas, la hemorragia, el derrame pleural, la insuficiencia vascular y la endocarditis. La mayoría de los pacientes deben someterse a una intervención quirúrgica cuando el proyectil se aloja en las arterias pulmonares principales o lobares y las compromete; cuando se localiza en las arterias segmentarias y subsegmentarias, tienden a presentar fístulas con el bronquio y vasoespasmo compensatorio, lo que permitiría el manejo conservador.

Traumatic haemothorax in a dog managed without surgery using a guidewire‐inserted chest tube and a single closed system for collection and administration of autotransfusion

SUMMARYA dog with multiple stab wounds to the chest presented with haemorrhagic shock and respiratory compromise secondary to traumatic haemothorax. A kit to rapidly evacuate the pleural space and subsequently administer autotransfusion was devised with readily available supplies. The dog was managed successfully with wire‐inserted chest tubes and autotransfusion, did not proceed to surgery and had a rapid full recovery. The kit described creates a single closed collection and administration system for autotransfusion, is simple, inexpensive, made from readily available supplies and permits large volume effusions to be evacuated rapidly with fewer staff involved.

Reporting a case of suspected dog fighting

![Graphic][1] Emma Culjat-Vukman is a second-year veterinary student at the University of Glasgow. She is interested in veterinary ethics and improving sustainability in the veterinary field. #### The dilemma A...

Treatment Strategy for an Electrical Burn Patient with Multiple Fourth-Degree Wounds

Electrical burns, especially high-voltage burns, usually cause necrosis of the subcutaneous fat, fascia, muscle, and bone. The reconstruction of electrical injuries often involves multiple surgeries. We present the case of a 56-year-old man who was injured by a high-voltage current resulting in multiple soft tissue defects on the left ankle and plantar area. The wounds on the malleolar and lateral plantar areas had burned the muscle, tendon, and bone. Because the patient had multiple wounds and unstable vessels, we took the strategy of operating in stages. The primary aim of treatment was wound healing and maintaining the support structure for mobility. Several rounds of wide debridement and negative-pressure wound therapy, followed by application of acellular dermal matrix and split-thickness skin graft were performed as part of the first stage. At the 1-year follow-up, the patient could walk independently wearing a splint to prevent foot drop. A second reconstructive surgery is possible, if necessary.

Successful Treatment of Dual Juxtahepatic Inferior Vena Cava Injuries Using Formal Atriocaval Shunt: A Case Report and Review of the Literature

Repair of penetrating retrohepatic inferior vena cava (IVC) injuries continues to challenge trauma surgeons due to difficulty in accessing the injury, hemorrhage prior to the repair, and associated high mortality rates. Complication by suprahepatic vena cava injuries portends an increased risk of an unfavorable outcome. Over time, overall survival has been relatively unchanged, and the morbidity and mortality associated with these injuries continue to be very high. First proposed by Shrock et al. in 1968, atriocaval shunt placement remains the gold standard approach for the temporary bypass of these lesions by controlling bleeding from the retrohepatic IVC to allow time for repair prior to exsanguination and death. Despite familiarity with this management strategy for decades, these injuries remain infrequent but continue to have poor survival due to their complexity. There are only rare examples of the use of this approach resulting in successful discharge from the hospital. We present a case report of survival after the successful deployment of an atriocaval shunt in a patient who sustained multiple gunshot wounds to his right thoraco-abdomen, left chest, and upper and lower extremities. He ultimately survived to discharge from the hospital. We provide a brief review of the current literature and propose future approaches to repairs of juxtahepatic IVC injuries.

Improved medical treatment could explain a decrease in homicides with a single stab wound.

Since the 1990s, there has been a reduction in the homicide rate in Denmark and other Western countries. Our hypothesis is that part of the decrease in the sharp force homicide rate can be explained by better and faster medical treatment over time, and we explore this via stab wound homicides, the largest group of homicides in Denmark. To investigate our hypothesis we undertook an epidemiological study of 428 stab wound homicides in Denmark 1992-2016 based on autopsy reports with registration of stab wounds, quantification of injury severity, treatment intensity and survival time. During 1992-2016, there was a significant reduction in the annual number of victims with a single stab wound, but no reduction in victims with multiple stab wounds. Victims with single stab wounds reached the hospital more often, survived longer and had less severe injuries (New Injury Severity Score (NISS)) than victims with multiple stab wounds. Higher NISS correlated with shorter survival time for all the stab wound victims and for the subgroup that underwent medical treatment. During the 25-year study period, the proportion of victims who underwent surgery before dying increased threefold. The victims in the first half of the study period had shorter survival times than the victims in the last half. We concluded that better and faster medical treatment could partly be responsible for the observed decrease in the number of single stab wound homicides and thereby possibly also in the total number of stab wound homicides.

Delayed peaks of acetaminophen in overdose patients with concomitant abdominal trauma

Objective To present two cases of delayed acetaminophen absorption in abdominal trauma patients with concomitant acetaminophen overdose. Cases Case 1. A 25-year-old female arrived to the emergency department with multiple stab wounds. She had ingested an unknown amount of acetaminophen and was then stabbed by her boyfriend in a suicide pact. Initial acetaminophen concentration was 211.7 mcg/mL and the patient was started on N-Acetylcysteine (NAC) therapy. She was found to have injuries and was taken for operative repair. Acetaminophen concentrations were down trending and nearly undetectable until 58 h post-presentation when concentrations began to rise again. Case 2 A 41-year-old female ingested approximately 500 tablets of acetaminophen prior to jumping from a four-story building in a suicide attempt. She was found to have multiple traumatic injuries as well as an initial acetaminophen concentration of 225 mcg/mL and was started on NAC therapy. The patient underwent multiple interventions to treat her traumatic injuries. Despite receiving no acetaminophen while inpatient, the patient’s acetaminophen concentrations peaked a second time on her third hospital day. Conclusions In this case series, two patients with abdominal trauma and coexistent massive acetaminophen ingestions were described. Both cases demonstrated a delayed rise in serum acetaminophen concentrations and required extended NAC therapy.

Maxillofacial management of dog bites injuries in an infant: a case report

Dog bites cause complex craniomaxillofacial injuries. Considering that the bite injuries are repeatedly situated on the face, dentist requires being well known with the therapy of animal bites. A three-year-old male child was attended as a victim of a Pit Bull terrier biting. The patient had multiple wounds at the level of the upper eyelid of the right eyeball, left hemisphere with the involvement of the auricular pavilion, wounds with multiple detachments on face and scalp, several abrasions and ecchymoses in the bilateral infraorbital and mouth region. The clinical intervention was completed in the first twenty-four hours after injury. The affected zones were cleaned and irrigated with saline solution, and the wounds were sutured in layers. Tetanus and anti-rabies vaccination, and antibiotic and analgesic were administered. On the fifth postoperative day, the stitches were removed, and the patient was discharged from the hospital. One week after the trauma, the child showed adequate wound curing absent of aggravation. Satisfactory aesthetic and functional results were achieved. Besides, in this case, the most relevant aspects of the management of dogs bites are presented.

Regenerative potential of allogeneic adipose tissue-derived mesenchymal cells in canine cutaneous wounds

BackgroundMesenchymal stem cells (MSCs) have generated a great amount of interest over the past decade as a novel therapeutic treatment for a variety of diseases. Emerging studies have indicated that MSCs could enhance the repair of injured skin in canine cutaneous wounds.Case presentationA healthy 2 years old Bodeguero Andaluz dog was presented with multiple skin bite wounds. Antibiotic and anti-inflammatory therapy was administered for 8 days. On day three, 107 allogeneic adipose-derived mesenchymal stem cells (ASCs) were intradermally injected approximately equidistant to the ASCs treated wounds. Control wounds underwent conventional treatment with a topical antibacterial ointment until wound healing and closure. Wounds, skin morphology and healing progress were monitored via serial photographs and histopathology of biopsies obtained at day seven after ASC treatment. Histopathology revealed absence of inflammatory infiltrates and presence of multiple hair follicles in contrast to the non-ASCs treated control wounds indicating that ASC treatment promoted epidermal and dermal regeneration. ASCs were identified by flow cytometry and RT-PCR. The immunomodulatory role of ASCs was evidenced by coculturing peripheral blood mononuclear cells with allogeneic ASCs. Phytohemagglutinin was administered to stimulate lymphocyte proliferation. Cells were harvested and stained with an anticanine CD3-FITC antibody. The ASCs inhibited proliferation of T lymphocytes, which was quantified by reduction of carboxyfluorescein succinimidyl ester intensity using flow cytometry.ConclusionsCompared with conventional treatment, wounds treated with ASCs showed a higher regenerative capacity with earlier and faster closure in this dog.

COLLATERAL DAMAGE: GUN VIOLENCE-INDUCED STEMI

Penetrating thoracic trauma associated with myocardial ischemia without coronary artery disease (CAD) is a rarely reported and under-recognized phenomenon. A 29-year-old man presented with multiple gunshot wounds to the chest, abdomen, and extremities. He had hemorrhagic shock necessitating

Ulcer metastasis? Anatomical locations of recurrence for patients in diabetic foot remission

BackgroundThe “cancer analogy” is powerful for communicating risk to and organizing care for patients with diabetic foot syndrome. One potentially underappreciated similarity between cancer and foot ulcers is that both can recur at anatomical locations distinct from the primary occurrence, albeit with different physiological mechanisms. Few studies have characterized the location of diabetic foot ulcer recurrence, and these have been limited by considering only the first recurrent wound following a recent-healed wound. We therefore characterized the anatomical locations at which diabetic foot ulcers are likely to recur considering multiple wounds during follow-up and the locations of all prior wounds documented in the participant’s history.MethodsWe completed a secondary analysis of existing data from a 129 participant multi-center study of participants in diabetic foot remission. The primary outcome was plantar foot ulceration, and each participant was followed for 34 weeks or until withdrawing consent, allowing characterization of all wounds occurring. We stratified the anatomical locations of wounds prior to the trial by the following outcome categories during the trial: no recurrence, recurrence to the same anatomical location, recurrence to a different anatomical location on the same foot, and recurrence to the contralateral foot.ResultsA large percentage (48%) of wounds recurred to the contralateral foot, and the proportion of subsequent foot ulcer to the contralateral limb was largely unaffected by the anatomical location of foot ulcer prior to the study. Only 17% of prior diabetic foot ulcers were followed by recurrence to the same anatomical location. Rates of recurrence remained high during treatment of a wound (0.41 foot ulcer/ulcer-year). Participants had documented wounds to 2.2 distinct anatomical locations on average, and more than 60% of participants had wounds to more than one plantar location by the end of the study.ConclusionsGiven the significant morbidity, mortality, and resource utilization associated with foot ulcer recidivism, quality and evidenced-based preventive care is essential. Our results better characterize the burden of recurrence and to what anatomy recurrence is most likely. These insights may benefit providers and patients alike for the provision of high-quality preventive care thereby resulting in reduced morbidity, mortality, and cost.Trial registrationThe study providing the data for this secondary analysis was registered on ClinicalTrials.gov (NCT02647346) on January 6, 2016. The study was retrospectively registered.

Management of Mid-Facial Fracture with Ophthalmic Injury

Background: Trauma affecting mid-face often leads to lesions of soft tissues, teeth and bone, damaging the integrity of the orbital skeletons, and is frequently complicated by ophthalmic injury. Careful injury assessment and its complications are important to make optimal treatment decision. The aim of this paper is to present a case of mid-facial fracture with a brief review of the risk of ophthalmic injury and its surgical management preferred by the authors. Case Report: A 19 year-old man was brought to the emergency room with swelling and multiple wounds at facial region after he was involved in a motorcycle accident 30 minutes earlier. Primary survey performed according to Advanced Trauma Live Support (ATLS) showed no live threatening condition. There was asymmetrical face with edema at left cheek and eye. We found no wound intra-orally and teeth occlusion was not possible. After careful physical examinations, we assessed his condition with the following injuries: mid-facial fracture with suspect muscle entrapment of his left eyeball. Laboratory and radiographic imaging were taken to support the diagnostic. The surgical reposition and fixation of the fracture were performed under general anesthesia by an oral maxillofacial surgeon and an ophthalmologist. Reduction using interdental wiring and fixation using plate and screw at facial buttress successfully returned the patient facial contour to its former condition and occlusion was achieved. A catheter balloon was inserted to his left maxillary sinus to obtain normal sinus volume and hold his eyeball to its position. Then the patient was followed up at 1 day, 1 week, and 1 month. Discussion: Treatment of mid-facial fracture focuses on reductions to achieve exact orbital rim alignment, preserve ophthalmic function and normal dental occlusion. Immobilization of fracture requires various combinations of interdental wiring, inter-maxillary fixation, and open reduction with internal fixation. Conclusion: Dealing with mid-facial fracture needs a sharp investigation to produce proper diagnosis. Ophthalmic injury is one of the common injuries accompanying mid-facial injury. Early surgical treatment is preferred to reduce risk of irreversible globe injury and maximizes the functional and cosmetic results.

An Emergency Case of Multiple Abdominal Wounds

An Emergency Case of Multiple Abdominal Wounds

Retrograde long bone intramedullary pinning in wing fractures of the common buzzard

Three common buzzards (Buteo buteo) were brought to the veterinary emergency hospital in Cluj-Napoca with right wing trauma, inflicted by a car accident and multiple gunshot wounds. Clinical and Rtg examination were used to diagnose one humeral and two radio-ulnar fractures in the right wing. The fractures were reduced by using the simple intramedullary retrograde pinning technique, adapted to the requirements of the pneumatic avian bones. Radiological tests were performed at 3, 7 and 21 days postoperatively. The X-rays showed callus formation and healing processes. However, because of complications (paresis, muscular atrophy and osteomyelitis), the flight capacity could not be restored in all 3 cases. This is the first case series of right wing fractures, caused by gunshot and car accident trauma, to be reported in Romania. The orthopedic technique used had proved its effectiveness in healing long bone fractures, but due to presence of osteomyelitis, excessive fracture mobility and the sectioning of the radial nerve, the main objective, i.e. regaining flight capacity, was reached in only one patient.

Ангіохірургічна допомога в Україні під час операції Об’єднаних сил на Сході України в період з 2014 по 2020 рік

SummaryAim: to analyze the mechanism, nature of injuries, including localization andconcomitant injuries, in patients with injuries of the large vessels during the Joint Forceoperation (JFO) in eastern Ukraine for the period 2014–2020.Materials and methods. We analyzed 234 cases of gunshot wounds of the largevessels during the JFO in the East of Ukraine in the period from February 2014 toFebruary 2020, who were treated at the Military Medical Clinical Centers of Ukraine atthe stages of medical evacuation.Results and conclusions: 1. The most cases of injuries of large vessels wererecorded in 2014, which is 24.8% of all identified such cases, the least – in 2020, whichis 3.5%. 2. When studying the mechanism of trauma, the greatest number of injuries ofthe large vessels was registered with shrapnel wounds, accounting for 37.6%, and withmine-explosive injury – 25.6%. 3. When studying the frequency of vascular lesions, thegreatest number of injuries of the large vessels was recorded in trauma of the vessels ofthe lower extremities, namely, the femoral-popliteal segment – in 68.4% as well asvessels of the upper extremities – in 27.8%, of which the largest proportion was forartery damage – 47% of the total structure of such injury. 4. 70.5% studied cases areassociated with damage of bones and nerves. In 38.5%, the wounds are multiple andcover wounds of other anatomical sites. 5. The success of the treatment of injuries of thelarge vessels depends on the time factor. The best results were recorded in patients withthe shortest time from injury to specialized medical care.

Metatarsophalangeal Arthrodesis through the Modified Steel Basket Technique in Foal

Background: The metacarpophalangeal and metatarsophalangeal joints are very demanded during high intensity exercises, and may be affected by osteoarthritis, fractures, luxations and rupture of the suspensory apparatus. Thus, arthrodesis may be indicated to restore joint stability and accelerate the ankylosis process. The most commonly used surgical techniques have been associated with postoperative complications, including infection and failure of the implants, so it is important to develop procedures that are less invasive procedures and promoting stable fixation. Therefore, the aim of this work is to report the use of the modified steel basket technique for metatarsophalangeal arthrodesis in a foal with hyperextension of the joint due to rupture of the digital flexor muscles. Case: A 2-day-old male foal was admitted to clinical care, presenting multiple cutaneous wounds caused by dogs bites, located in the tarsus and thigh of the hindlimb. The animal presented in standing position and had no difficulty of movement, being initially treated through daily cleaning of the cutaneous wounds and systemic antibiotic therapy. Hyperextension of the metatarsophalangeal joint was evidenced after 20 days, being approached through tenotomy and tendon shortening, followed by tenorrhaphy and immobilization for 30 days. Due to the failure of the treatment, it was opted for metatarsophalangeal arthrodesis by modified steel basket technique. The procedure involved the implantation of a steel basket of 25.0 mm in diameter x 25.0 mm long in a 24.0 mm hole created on the dorsal surface between the third metacarpal and the proximal phalanx. The basket was filled with bone extracted from drilling and fixed with two cortical screws at an angle of 25° toward proximoplantar and distoplantar direction. Immobilization of the limb was performed postoperatively with synthetic plaster cast for 45 days and, due to the persistence of lameness, maintained with Robert Jones banding and plantar splint for another 15 days. At 90 days after surgery, radiographic control showed signs of degeneration and joint fusion, and grade 2 claudication (1-5) was observed during locomotion. At six months after surgery, discrete claudication (grade 1/1-5) was evident. The aesthetic and functional result was considered satisfactory and the animal was then ridden and used for leisure. Discussion: In this report, arthrodesis was indicated due to hyperextension of the metatarsophalangeal joint caused by the rupture of the digital flexor muscles, since these structures, together with the suspensory apparatus, assist in the support of the joint. Several techniques have been descrited for arthrodesis of metacarpal/metatarsophalangeal joints in horses, being the technique described by Bramlage the most employed and successful one. However, complications related to the techniques such as infection and implant failure were evidenced in one study. The technique of the modified steel basket is characterized by the promotional of effective intervertebral arthrodesis in cases of cervical instability in horses. In this report, the technique was effective in promoting metatarsophalangeal arthrodesis, as well as easy and quick to perform. Therefore, it is suggested that the technique may be used as an alternative for metacarpal/metatarsophalangeal arthrodesis in horses with osteoarthritis or hyperextension of the joint due to suspensory apparatus failure. However, studies are needed to evaluate the effectiveness of the technique in metacarpophalangeal arthrodesis in adult horses.