Management of comminuted fractures of the proximal phalanx in horses: 64 cases (1983–2001)

Abstract

Moderately comminuted fractures of the proximal phalanx can be successfully repaired; however, fractures that are too severe to permit accurate reconstruction of the fragments remain difficult to treat and horses have only a fair prognosis for survival.

Evaluation of transfixation casting for treatment of third metacarpal, third metatarsal, and phalangeal fractures in horses: 37 cases (1994–2004)

“…1,2 External skeletal fixation is commonly used in humans and small animals to achieve fracture stabilization without invading the fracture site. 5,6 In horses, the bones Evaluation of transfixation casting for treatment of third metacarpal, third metatarsal, and phalangeal fractures in horses: 37 cases (1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004) distal to the carpus or tarsus have little soft tissue coverage, compared with bones proximal to the carpus or tarsus. It also decreases the potential for bacterial contamination at the fracture site and subsequent colonization of orthopedic implants.…”

“…It also decreases the potential for bacterial contamination at the fracture site and subsequent colonization of orthopedic implants. 5,7 External skeletal fixation is indicated in horses for treatment of fractures distal to the carpus or tarsus that are not amenable to internal fixation, particularly comminuted or open fractures and fractures associated with considerable soft tissue trauma. 5,6 In horses, the bones Evaluation of transfixation casting for treatment of third metacarpal, third metatarsal, and phalangeal fractures in horses: 37 cases (1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004) distal to the carpus or tarsus have little soft tissue coverage, compared with bones proximal to the carpus or tarsus.…”

Sagittal fracture of the proximal phalanx in a horse complicated during induction of anesthesia by complete fragmentation of the bone: a case report

“…Control X-rays 3 weeks after removal of implants incisions from the lateral side of the digit without opening the fracture line and doing an arthroscopic check of the fragment reposition. Good and quick planning determined by the X-ray allowed us to stabilise all fragments as described recently (Kraus et al, 2004).…”

“…Most professional literature concerning the comminuted P1 fracture does not recommend internal fixation in the absence of a stabile interarticular strut between metacarpo-/metatarsophalangeal and proximal interphalangeal joints (Richardson, 1995). Only recently was treatment with lag screws recommended in the case of comminution with a reduced (two to three) number of fragments (Kraus et al 2004). …”

Le traitement chirurgical des fractures du doigt chez le cheval, assisté par le scanner

“…Habituellement, ces informations sont données par la radiographie. Lorsqu'elles sont insuffisantes, on doit avoir recours à de larges ouvertures de la peau ou des articulations (Kraus et al 2004), impossibles à envisager pour les fractures du pied, du fait de la présence du sabot. L'absence de muscles dans la région du paturon augmente aussi les risques de complications septiques par contamination du site de la fracture à partir de la peau.…”