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This Concept Map, created with IHMC CmapTools, has information related to: Medial Patellar Ligament Desmotomy, Medial Patellar Ligament Desmotomy Required Knowledge Anatomy, Medial Patellar Ligament Desmotomy Monitoring Postoperative monitoring includes: - Stall rest with gradually - increasing hand walking over a 90 day period,then conditioning for work may begin. - If successful, the locking of the patella should stop, and there should only be mild swelling and no drainage or increase in lameness., Medial Patellar Ligament Desmotomy definition Medial patellar ligament desmotomy, is a surgical procedure that is performed to correct the upward fixation of the patella., Medial Patellar Ligament Desmotomy Method - The procedure is done standing. The horse is sedated and skin at the area of the incision is anesthetized with local anesthetic. - An incision is made along the medial aspect of the medial patellar ligament. The incision is adjacent and parallel to the ligament. - The medial patellar ligament is isolated using a pair of hemostats and partially exteriorized from the incision. Once capture of all ligament fibers is confirmed, the ligament is transected along a horizontal plane. - The skin incision is sutured. - By cutting the medial patellar ligament completely, the patella no longer catches on the medial trochlear ridge of the femur, and so the stifle no longer locks., Medial Patellar Ligament Desmotomy Complications - Cutting the ligament will destabilize the stifle joint. - Arthritis and pain in the joint. - Fragmentation of the distal aspect of the patellar is a common complication of performing this procedure.