Lipogem treatment for DDFT tear - Our story

FestiveFuzz

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It recently dawned on me after receiving a couple of PMs that Lipogem treatment is still incredibly new and there's not an awful lot of anecdotal information out there for anyone considering it as a way of treating DDFT tears. So I figured something good may as well come out of mine and Pop's experience, so here's our story. I'll be updating it regularly as we continue to progress with our rehab plan.

On July 8th my beautiful 5yo mare came in from the field lame. The yard staff assumed she'd just tweaked herself whilst hooning around so we weren't too worried. Our vet was already due to be visiting for one of the other liveries, so we asked if he'd take a look at Pops at the same time. By the time he arrived, Pops had gone downhill and could barely stand...an ultrasound confirmed the worst, she had an acute tear to her LF DDFT and a suspected longitudinal split...in my vets words she had the worst possible type of injury in the worst possible place...things looked very bleak. We agreed for him to come out and rescan the following week once the swelling had gone down, but were also warned to start preparing for the worst. Pops was dosed up on strong painkillers and began her box rest.

The scans the following week gave more clarity to the situation. The longitudinal split we so feared seemed to be an artefact of what was going on below...a tiny glimmer of hope began to form. The scan confirmed there was damage present within deep digital flexor tendon in 3B region, a significant lesion on the outer surface of deep digital flexor tendon next to the superficial flexor tendon...prognosis was guarded. We continued with box rest, with a short in-hand walk each day.

After speaking with Roger at RVC our vet decided the best course of action was to treat with Lipogems and keep fingers firmly crossed for a recovery. A week later our vet returned to remove the fat cells from her hindquarters and reinject into the leg. This was a fairly straightforward treatment, although it did leave Pops the butt (excuse the pun) of many liposuction/big bum comments that week. I'll also add the holes in her hindquarters did look fairly scary looking initially (almost like she'd been hung on meat hooks) but I'm pleased to report these have barely left a scar. After a few days rest to allow the fat cells to do their job we continued with our in-hand walking.

Our latest scan was just before the bank holiday weekend, and confirmed the edges of injury are blurring and starting to fill in. Today marks 10 weeks of box rest, with gradual in-hand/horsewalker walk work. In two weeks time we will be beginning to start our ridden walk rehab and keeping absolutely everything crossed that my darling little mare stays sound.

We still have a long way to go, but so far, so good.

Here's some pics from our journey so far...
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I've just looked this up and they use the fat because it's got a lot of stem cells in it. I will be very interested in your results, please keep us updated.
 
Thank you for posting :)

It all sounds as positive as it can be, and she is lucky to have you :)

No problem at all. I was surprised there wasn't more information out there on it if I'm honest.

Pops is an awesome little mare, she totally deserves a chance and despite the setbacks I honestly wouldn't have it any other way.
 
I've just looked this up and they use the fat because it's got a lot of stem cells in it. I will be very interested in your results, please keep us updated.

From what I understood there's less chance of them dying off too as it's such a speedy process, compared to cultivating stem cells in a lab.

So far she's responded well, but either way I'll be sure to keep everyone updated.
 
I love to hear another positive story which involves Roger! He injected my mare with PRP and she's been back in work for 18m and has been better than ever!
 
I love to hear another positive story which involves Roger! He injected my mare with PRP and she's been back in work for 18m and has been better than ever!

Oh fab, that's great to hear. What was wrong with your mare if you don't mind me asking?
 
How is your mare FF?
i read your original post when she was first lame and diagnosed. I'm now in a similar situation with my own boy who was bought to replace my horse of a lifetime last year. He went lame suddenly almost 6 weeks ago, nerve blocked to the off fore and X-Rays showed some navicular changes. I decided to have an MRI done and we went to the RVC last Wednesday.
Still waiting for full report but initial images showed a tear in the DDFT complicated by granulanoma on the navicular bursa. The vet at RVC suggested a bursoscopy to remove the granulated tissue to speed up healing but was very guarded over success rate and said we are looking at around 6 months box rest.
My own vet has suggested PRP as a possible option to be discussed with them just waiting for him to come back to me with a definitive view whether it's worth a try.
 
Hi Puddleduck,

So sorry to hear about your boy, fingers crossed for a straightforward recovery.

It's been an absolute rollercoaster for us so far. Finally got the all clear to begin ridden walk work a couple of weeks ago. The tendon was filling well, although the last bit was being a bit slow but from what I can gather that's fairly standard.

Then she had a funny five on the horse walker resulting in heat in the tendon again cue regular ice vibe sessions and bandaging. Finally had one of the grooms get on her this week but she got spooked and the groom ended up hitting the deck. Groom was fortunately fine but Pops had swelling in the tendon again so we had the vet out to rescan. Unfortunately it wasn't our usual vet so won't know if she's done more damage until tomorrow when our vet is back in. She was also showing sensitivity to the hoof testers though so I'm keeping everything crossed it may just be a deep rooted abscess.

I've written a bunch of posts in the tack room about her treatment and recovery as we've gone along if you wanted to read more.
 
Oh fab, that's great to hear. What was wrong with your mare if you don't mind me asking?

She has an inflamed gastrocnemius tendon in the hock. She hit it on a XC fence doing BE then was kicked a few weeks later in the same area. It's a very deep tendon so nothing showed on the scan, no pain reaction, no swelling but 1-3 10ths lame and + on a flexion. Roger bone scanned etc, identified the hock and then key holed with and managed to scan internally. Because it's such a large tendon and usually undamaged because it's so deep he injected with PRP during surgery. Prognosis was guarded and we were unsure if she'd ever come back into work.
She was at the RVC in November, by Jan she was sound and Roger came to our vets to try to get it on a scan, which he did and there was a massive improvement. I made the decision to keep her off work until the summer. It was tempting to hurry her because of the PRP making such a difference and so quickly, but I'd heard other stories of PRP treated horses breaking down again a few months into work.
In June she started hydrotherapy and walk work, this slowly increased to trot work and by November she'd gone out and won a walk and trot test, by Christmas we'd had a little jump. Slowly increasing until Jan/Feb time this year when she started full work and has been doing Novice dressage and 85/95 showjumping all summer. Never coming home without a placing! So, there is hope! Especially with Roger's amazing help!
 
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