Atypical laminitis after orthopedic surgery in eight horses

A retrospective study was carried out to investigate the prevalence and causes of laminitis affecting limbs other than the contralateral healthy\udlimb after orthopedic surgery in horses. Of 3,500 horses referred for orthopedic surgery at the Equine Clinic, Vetsuisse-Faculty, University\udof Zurich, between 1992 and 2007, eight horses that developed laminitis in one or more limbs, but not primarily the contralateral\udlimb, were identified. The reasons for referral were synovial space infection (n = 4), pastern joint arthrodesis (n = 1), fracture of the central\udtarsal bone (n = 1), bilateral stifle osteochondrosis (n = 1) and luxation of the superficial digital flexor tendon (n = 1). Postoperative\udcomplications included infection of the surgery site (n = 1), severe postoperative pain (n = 2), postoperative myopathy (n = 1), urticaria\ud(n = 1) and cecal impaction (n = 1). The administration of analgesics was discontinued eight days after surgery because of urticaria in\udone horse and one day after surgery because of cecal impaction in another horse. Seven of the eight horses were euthanized because of\udsevere laminitis. Elimination of infection and effective postoperative analgesia appear important in the prevention of laminitis. Severe postoperative\udpain should be prevented with adequate, continuous and multimodal pain management. It should also be noted that laminitis\udmay occur in response to excessive weight bearing in limbs other than the contralateral limb after orthopedic surgery