Use of rotational periosteal flaps in primary repair of sinofacial fractures in seven horses

ABSTRACT

Case history: Medical records were reviewed of horses (n?=?7) undergoing surgery for fracture of one or more facial bones extending into the paranasal sinuses that was repaired primarily within 24 hours of the time of injury using a rotational periosteal flap, between April 2009 and May 2017. A kick from another horse was the cause of the injury of three horses, and one horse was injured when it collided with a tree. The cause of the injury of three horses was unknown.

Clinical findings and treatment: Fractures were of the right maxillary bone in two horses, the left maxillary bone in two horses, the left frontal and left nasal bones in two horses, and the right frontal bones in one horse. The fracture of all but one horse was accompanied by an open wound. The fracture of all seven horses was reduced, stabilised, and covered with a rotational, periosteal flap. Surgery was carried out while standing in six horses, and while anesthetised in one horse. All horses had a deficit in the fractured facial bones after the fracture was reduced. Four horses had complications following surgery, but all horses were reported to have excellent cosmetic outcomes and had retuned to their previous level of activity, as reported by their owners.

Clinical relevance: Covering a primarily repaired sinofacial fracture of a horse with a rotational periosteal flap resulted in good cosmetic outcomes, and may be especially beneficial if the fracture is accompanied by loss of bone.     

Ultraviolet light and mating behaviour in domestic broiler breeders

1. The perception of UVA light (320 < lambda < 400 nm) by domestic fowl may be an adaptation to naturally lit habitats and may still be functional in farmed varieties, although not utilised owing to the absence of these wavelengths in commercial house lighting. One function may be the mediation of sexually related signalling or communication. 2. In experiment 1, two groups of 41 adult broiler breeders (four cockerels, 37 hens) were kept under conventional fluorescent light, with or without fluorescent UVA supplementation amounting to 16.9% of the total spectral power output of the luminaires. Each light environment was approximately iso-illuminant as perceived by the birds. The two groups were exposed to the light environments alternately for five 2-day periods in a cross-over design. Mating behaviour, production measures and time budgets were recorded on the second day of each period. 3. A UVA-enriched environment increased the number of attempted matings (1.27 vs 0.99 matings/cockerel.h) and locomotion (5.3 vs 3.7 min/bird.hour). 4. In a second experiment, 10 hens were allowed to choose between four cockerels lit under different power levels of UVA (1.6%, 14.6%, 43.5%, 57.5% of the total spectral power output of the luminaires) in a four-armed maze. Again, each light environment was approximately iso-illuminant as perceived by the birds. Each hen was allowed to make one choice per day over four days, with the position of the cockerels and the UVA levels interchanged each day. This schedule was repeated with the same hens for two other groups of four cockerels. 5. At a distance of no less than 60 cm from the cockerel, the hens spent most time inspecting whichever cockerel was lit by 1.6% or 14.6% UVA (1.33 vs 1.37 vs 1.22 vs 1.16 log seconds/hen.choice, respectively for increasing UVA level). Similarly, when allowed to approach closer to the cockerels, the hens spent most time in the arm which contained a cockerel lit by 14.6% UVA light, (1.62 vs 1.88 vs 1.69 vs 1.51 log s/hen.choice, respectively for increasing UVA level). 6. UVA is clearly implicated in the transmission of sexual signals or communication which may have implications for the welfare and production of broiler breeders.     

Effects of extracorporeal shock wave therapy on bone

Extracorporeal shock waves have been used for 30 years to fragment uroliths for nonsurgical treatment for urolithiasis in humans. Applied to bone, shock waves delivered at the appropriate energy and pulse number, can stimulate osteogenesis. In Europe, shock waves are routinely used to treat nonunions in humans despite poor understanding of the mechanism of action. Shock wave therapy has also been used clinically in horses. Preliminary experimental studies indicate that shock wave therapy does not damage soft tissue in the distal aspect of the equine limb and can stimulate osteogenesis throughout the depth of the near cortex of the metacarpus and metatarsus.     

Conservative management of minimally displaced radial fractures in three horses

Minimally displaced, spiral, radial fractures were diagnosed in three adult horses. Two horses had open fractures and in one horse the fracture was closed. A diagnosis was made on radiographs taken 24 h, 5, and 9 days after the fracture. There was minimal displacement of the fracture fragments despite the considerable time which had elapsed between fracture and diagnosis and an unfavourable prognosis with internal fixation, so conservative therapy was the preferred method of treatment. One horse developed a sequestrum and draining sinus, which was treated surgically under general anaesthesia 3 months after diagnosis of the fracture. Other complications were minimal and transient. Two horses were being used for pleasure riding 12 months after fracture and one horse was pasture sound at 8 months.     

Activation of bovine peripheral blood gammadelta T cells for cell division and IFN-gamma production

Bovine peripheral blood gammadelta T cells have been evaluated for effector function (IFN-gamma production) and clonal expansion in a variety of systems including following activation by mitogens, IL-12, and stimulation, through the T cell receptor (TCR) with anti-CD3 monoclonal antibody (mAb), a cell-bound molecule and a soluble antigenic extract. To evaluate cell division, carboxyfluorescein succinimidyl ester (CFSE) loading of cells and flow cytometric analysis were used, while IFN-gamma production was evaluated by intracytoplasmic staining. It was found that bovine gammadelta T cells produced IFN-gamma and clonally expanded when stimulated through the TCR/CD3 complex by a cell-associated autologous molecule on monocyte, by bacterial components following in vivo sensitization of gammadelta T cells with a leptospira vaccine or by anti-CD3 mAb. In addition, gammadelta T cells were activated efficiently for effector function but not clonal expansion by culturing with IL-12. In contrast, stimulation by Con A or PMA/ionomycin induced efficient replication but only low level IFN-gamma production which was not enhanced by the presence of IL-12. In several systems the amount of IFN-gamma produced per cell by gammadelta T cells was less than that produced by CD4 T cells in the same cultures.