Articles Equine

16 July 2026

High-metacarpal deep digital flexor tenotomy and Steward clog shoeing for managing chronic refractory laminitis A retrospective clinical study.

Clinical evidence update from Veterinary surgery : VS

Clinical Context

Peer-reviewed veterinary literature continues to shape everyday decision-making for production animal practice, especially when new evidence clarifies diagnosis, treatment selection, monitoring, or clinical outcomes.

What the Study Evaluated

A study published in Veterinary surgery : VS in 2026 evaluated high-metacarpal deep digital flexor tenotomy and Steward clog shoeing for managing chronic refractory laminitis: A retrospective clinical study..

Key Findings

To describe outcomes following high-metacarpal deep digital flexor tenotomy (DDFT) combined with Steward clog application in horses and ponies with refractory chronic laminitis. Retrospective observational study. Client-owned horses and ponies (7 horses, 8 ponies) with severe refractory laminitis. Medical records (2018-2019) were reviewed. All underwent standing high-metacarpal DDFT tenotomy proximal to the accessory ligament (AL-DDFT) junction, followed by customized Steward clogs application. Preoperative assessment included radiography and venography. Postoperative management involved nonsteroidal anti-inflammatory drugs (NSAIDs),...

Why It Matters for Veterinary Professionals

For veterinary professionals, the practical value of this work lies in how the findings may support more structured clinical assessment, clearer monitoring, and more informed decisions for production animal practice.

Practical Interpretation

The results should be interpreted in the context of the study design, population, inclusion criteria, and clinical setting. Application in practice should consider patient-specific risk factors, available diagnostics, local standards of care, and clinician judgment.

Clinical Takeaway

Overall, the study adds useful evidence for clinicians seeking to align daily practice with current veterinary research while maintaining a balanced, case-by-case approach.

Read the full article here.

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High-metacarpal deep digital flexor tenotomy and Steward clog shoeing for managing chronic refractory laminitis A retrospective clinical study.

Clinical evidence update from Veterinary surgery : VS

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