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Equestrian Life June 2019

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Ellie the Exmoor Feature on her treatment with Lead Lipogems Equine Veterinary Surgeon Dr Tim Watson from Waterlane Equine Vets

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Equestrian Life June 2019

  1. 1. 26 June 2019 EquestrianLife www.equestrianlifemagazine.co.uk 27 healthandveterinary L ipogems® is a new innovative application of regenerative technology, it is unlike any other regenerative therapy available for treating your horse or pony.​Unlike many other veterinary treatments Lipogems®  has come from the human medical world to the veterinary world. HOW IS LIPOGEMS® DIFFERENT?​​​ The Lipogems® system is a sterile single-use medical device intended for the closed-loop processing and transferring of autologous adipose tissue in a single surgical step. Lipogems® is a non-expanded and micro- fragmented adipose tissue graft that is injected into damaged areas of the body in order to provide a cushion and structural support while promoting a healing environment. The Lipogems® process preserves the natural healing properties of adipose tissue by maintaining the fat’s Vascular Stromal Niches.  The micro- fragmentation of the tissue is key to the treatment process as it triggers the body's own damage response mechanism. Lipogems® has been directly translated from human application to veterinary application, with • No lab culturing • No cell isolations • Lipogems® is a complete tissue structure graft There are no other comparative treatments that trigger the body's own damage response mechanism in a single step non-enzymatic, no-centrifuge procedure that is completed on-site, under an hour either in surgery for small animals or under standing sedation for equines. For more information, visit http:// www.lipogemsequine.com CASE STUDY ELLIE, 13-YEAR- OLD EXMOOR PONY Ellie is a 13-year-old Exmoor pony who lives in the United Kingdom. Ellie had a history of re-occurring lameness in the stifle. The stifle is the largest, most complex joint in the horse and anatomically this joint is the equivalent to the knee joint in humans. It has similar bones, ligaments and soft tissues, including a patella, menisci and cruciate ligaments. The location and anatomical structure of this joint makes it the weakest joint of the horse. Injury to the stifle joint is common and the cause difficult to diagnose due to the complexity of the bone and soft tissue structures. TIME TO CALL THE VET Ellie’s owner called their veterinarian, Dr. Tim Watson from Waterlane Equine Veterinary Services to come out to their farm to try to help find out what was causing Ellie’s lameness. He performed a lameness exam on the pony, who presented with a left hind limb lameness (4/10). Using diagnostic analgesia, the lameness was localised to the stifle. Dr. Watson took radiographs of Ellie’s left stifle, which revealed no abnormalities. Next, he performed an ultrasound, which revealed the presence of a soft tissue injury to the cruciate ligament. TREATMENT #1: CORTICOSTEROID INJECTIONS Dr. Watson initially treated Ellie with intra-articular corticosteroid injections and box rest. However, the treatment was unsuccessful-- -Ellie was still lame. Being the Lead Lipogems® Veterinarian, Dr. Watson was aware of an alternative form of treatment that he had previous success within his patients, by using Lipogems®. He recommended Lipogems® treatment for Ellie, and her owner agreed for him to use it on Ellie. TREATMENT #2: LIPOGEMS® On 12 July 2016, Dr. Watson performed the Lipogems Equine® procedure on Ellie. First, he sedated the pony, then selected and prepared with sterile drapes and surgical scrub solutions a site near her tail head for harvesting some adipose tissue (fat cells) using a liposuction technique before processing the collected fat in the Lipogems® device and then injecting the lipoaspirate into the stifle. Following the treatment, Ellie was on box rest for five weeks (which is the typical length of Lipogems® A new generation of regeneration for your horse​​​​ box rest needed for all Lipogems Equine® procedures). Upon completion of Ellie’s rest period, Dr. Watson came back out to the farm to perform a recheck on Ellie. He performed a lameness exam and found that there was no lameness detected when Ellie was trotted in straight line and on the lunge on the right rein, however, there was a slight residual lameness on the left rein. Dr. Watson recommended that Ellie begin rehabilitation, consisting of controlled walk out sessions for the next four weeks, at which time he’d come back out to recheck her progress. At Ellie’s 9 week progress exam, Dr. Watson performed another lameness exam, and found that Ellie was completely sound with no evidence of lameness, and could resume her normal work. ELLIE’S CURRENT STATUS Less than a year later Ellie won Overall Supreme Champion at her first show ring outing and has since remained sound. ...Ellie was completely sound with no evidence of lameness, and could resume her normal work.

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