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This Concept Map, created with IHMC CmapTools, has information related to: Draft 1.2, PALAMR DIGITAL NEURECTOMY includes Preoperative Management, Surgical Procedures Includes Medial Patellar Desmotomy, DDFT TENOTOMY (MID METACAPAL LEVEL) includes Preoperative Management, Medial Patellar Desmotomy Involves Postoperative Management, Surgical Procedures includes PERIOSTEAL TRANSECTION/ TRANSPHYSEAL SCREW PLACEMENT, Upward fixation occurs when the patellar fibrocartilage and the medial patellar ligament 'lock' over the medial trochlear ridge of the femur, fixing the patella in the proximal dorsal aspect of the trochlea Causes include 1. Upright straight hindlimb conformation 2.Poor condition 3. Debility 4. Heredity 5. Conditioned horses rested for a few days may exhibit the problem when exercise is resumed 6. Lame horses may have secondary upward fixation of the patella in the lame limb 7. Backing the horse or walking up and down hills may cause the patella to lock, Surgical Procedures ???? Splint Bone Removal, Medial Patellar Desmotomy Involes Preoperative Management, Preoperative Management includes surgical preparation, DDFT TENOTOMY (MID METACAPAL LEVEL) includes Postoperative Management, Postoperative Management and Complications, PERIOSTEAL TRANSECTION/ TRANSPHYSEAL SCREW PLACEMENT consists of Post Op, Medial Patellar Desmotomy Must Know Complications, Medial patellar desmotomy is indicated to treat upward fixation of the patella in ponies and horses however - Medial patellar desmotomy is not a benign procedure - Intermittent and momentary upward fixation of the patella should be treated initially with conditioning to improve quadriceps tone, anti-inflammatory drugs, resolution of underlying lameness, and injection of counterirritants around the patellar ligament -This procedure should only be performed for persistent upward fixation that has no responded to therapy - Momentary upward fixation of the patella rarely if ever requires surgery, INFERIOR CHECK LIGAMENT DESMOTOMY (ALDDFT) includes Postoperative Management, Pre-op has Patient prep, INFERIOR CHECK LIGAMENT DESMOTOMY (ALDDFT) must know Anatomy, Surgical Procedures ???? Pre-Requiste Knowledge, Surgical Supplies follows Surgical Procedure, Medial Patellar Desmotomy Must Know Indications