Vet Med - Czech, 2007, 52(2):79-82 | DOI: 10.17221/2052-VETMED
Sagittal fracture of the proximal phalanx in a horse complicated during induction of anesthesia by complete fragmentation of the bone: a case report
- University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic
The case of a sagittal fracture P1 in the pelvic limb that was complicated during the flexion of the limb by lying down at the beginning of anesthesia, by complete fragmentation of bone is presented. Fragments were not seriously dislocated, but there was no stabile strut between the metatarsophalangeal and proximal interphalangeal joints. The immediate fixation with lag screws and cast application resulted in complete primary healing and a successful return to training for flat racing. The real danger of complete fragmentation during the induction of anesthesia is documented in this case. For the prevention of such a complication it is recommended to put the horse into recumbence with the affected limb casted. The successful treatment of the comminuted P1 fracture by application of lag screws in the absence of a strut between both joints is described.
Keywords: horse; fracture; P1; anesthesia; complication
Published: February 28, 2007 Show citation
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References
- Kraus B.M., Richardson D.W., Nunamaker D.M., Ross M.W. (2004): Management of comminuted fractures of the proximal phalanx in horses: 64 cases (1983- 2001). Journal of American Veterinary Medical Association, 224, 254-263.
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Go to PubMed...
- Markel M.D., Richardson D.W. (1985): Noncomminuted fractures of the proximal phalanx in 69 horses. Journal of American Veterinary Medical Association, 186, 573-579.
Go to original source...
- Markel M.D., Richardson D.W., Nunamaker D.M. (1985): Comminuted first phalanx fracture in 30 horses: surgical vs. nonsurgical treatments. Veterinary Surgery, 14, 135-140.
Go to original source...
- McClure S.R., Watkins J.P., Hogan H.A. (1996): In vitro evaluation of four method of attaching transfixation pins into a fibreglass cast for use in horses. American Journal of Veterinary Research, 57, 1098-1101.
Go to original source...
- Nunamaker D.M., Richardson D.W., Betterweck D.M. et. al. (1986): A new external skeletal fixation device that allows immediate full weightbearing; application in the horse. Veterinary Surgery, 15, 345-355.
Go to original source...
- Richardson D.W. (1995): Fractures of the proximal phalanx. In: Nixon A.J. (ed.): Equine Fracture Repair. W.B. Saunders, Philadelphia. 117-128.
- Tetens J., Ross M.W., Lloyd J.W. (1997): Comparison of racing performance before and after treatment of incomplete, midsagittal fractures of the proximal phalanx in Standardbreds: 49 cases (1989-1992). Journal of American Veterinary Medical Association, 210, 82-84.
Go to original source...
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