The arthroscope is introduced through a medial approach.
After thorough evaluation of the joint, the best location for the instrumental portal is chosen. Stab incisions are placed appropriately.
The fragment is loosened with a periosteal elevator. Care is taken to keep some attachments of the fragment to the parent bone. The fragment is subsequently grabbed and removed with a Ferry-Smith rongeur.
A bandage is applied for two weeks. The bandage should be changed every 5 days.
Sutures have to be removed after 10 days.
The horse is kept in a stall for 4 weeks. Hand-walking exercises are indicated for another 4 weeks before the horse can be put back into training. Follow-up radiographs are taken 8 weeks after surgery to evaluate fracture healing.