PSD op.. Fasciotomy, Neurectomy or both?

[Hormonal Filly]

My gelding has his PSD operation in a few days as he has a very thickened suspensory on one leg, hes having both legs operated on. I spoke to the surgeon today as the hospital hes going to only do the Neurectomy on the notes I've been given.

A friend mentioned to me the Fasciotomy is best being done with the Neurectomy so wanted to ask the surgeon as was conerned.
The surgeon said they as standard just do the neurectomy as they have good outcome and there is no real studies to show the fasciotomy makes any difference however she would be happy to do both if I wanted, it just takes a small time longer and it a little more invasive.
I've done quite a bit of online research, lots of forum posts and it seems the best outcome is with both the fasciotomy and the neurectomy.

I've asked her to do both the fasciotomy and the neurectomy, but am concerned if I've made the wrong decision.
Any opinions please?

Thank you.

 

[ihatework]

I’d get both done at once.

 

[Fanatical]

I don't see why you would only do one - they go hand in hand. one of mine has had F&N successfully.

 

[whiteflower]

From my limited understanding the neurectomy cuts the nerve to remove the pain but the fasciotomy cuts the tendon sheath to allow space for the damaged tendon fibres to reduce the compartment syndrome effect. I don't see why you would not have the fasciotomy done at the same time. Rossdales did one of mine and did both. I've heard of fasciotomy done without neurectomy for competing purposes but not the other way round. I would definitely get advice/second opinion as it's a lot to put the horse through a GA if the result is not as good as it could have been if they had done both. Good luck

 

[Hannahgb]

We just had the faciotomy as sucess rate of a neurectomy on a youn growing horse was poor. Had really good results and horse back in work.