In this Simini Equine Surgery Podcast episode, we explore two impactful studies from the August 2025 issue of Veterinary Surgery, offering data-driven refinement for both orthopedic and soft tissue equine procedures.

We cover:

✅ Ruspi et al. — A 20-year retrospective on medial condylar fractures in 150 racehorses. Despite historical concern, survival to discharge was 98.7%, long-term survival 93.3%, and 71% returned to racing. However, plating came with 7× higher complication risk (28% vs. 4%) than lag screws alone—shaping a critical discussion on fixation choice.

✅ Barnett et al. — A prospective study of laryngeal tie-forward (LTF) outcomes in 56 horses with IDDSP, assessed using post-op overground endoscopy (OGE). While 75% had resolution of displacement, 71% still had palatal instability, and owner/trainer concern post-op predicted 11× higher odds of persistent dysfunction—proving that vigilant follow-up is just as important as the surgery itself.

🎓 Journal Articles Discussed:

• Ruspi et al. — Short- and long-term survival, complications, return to
  racing, and racing performance of 150 racehorses with
  medial condylar fractures of the third metacarpal/
  metatarsal bone treated by internal fixation
• Barnett et al. — Overground endoscopic examination following laryngeal
  tie-forward in horses with dorsal displacement of the
  soft palate
  📚 From the August 2025 issue of Veterinary Surgery

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