Upward patellar fixation (1)

1. Complications

1.1. Gonitis

1.2. Incomplete serving of ligament

1.3. Lactated wound medially

1.4. Open joint

1.5. Haemorrhage

1.6. Cut of middle patellar ligament (mistake)

2. Forms of lamness

2.1. Persistent fixation

2.2. Intermittent fixation

2.3. Momentary fixation

3. Types

3.1. Permanent upward

3.1.1. Temporary upward

4. Patellar stringhalt

5. Signs

5.1. Foot dragging

5.2. Backing (impossible)

6. Causes

6.1. Over stretching of patellar ligament

6.1.1. Straight hind limb confirmation

6.2. Loss of tone of quadriceps femoris

6.3. Hermonal disturbance in pregnancy

6.4. Neurological pathological diseases

7. Treatment

7.1. Injection of counter irritant into middle and medial patellar ligament

7.2. Medial patellar ligament splitting

7.3. Medial patellar ligament desmotomy

7.3.1. 1_ horse is tranqulized by xylazine

7.3.2. 2_ open between medial and middle patellar ligaments and proximal to tibial tuberosity

7.3.3. 3_ cut medial patellar ligament by tenotom

7.3.4. Oozing to blood and put tincture iodine