Single screw transphyseal bridging of the distal metacarpus and metatarsus for correction of angular limb deformity in the foal

Kay, A. T.; Hunt, Robert J.

doi:10.2746/095777309x479247

Cited by 8 publications

(14 citation statements)

References 3 publications

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“…Metallic implants are commonly used and it has been reported that because lameness often remains, the implants need to be removed . This means two surgical procedures, both of which incorporate expense, surgical risk, postoperative management and potential complications during screw removal, such as difficulties in locating the screw, stripping of the screw head and breakage of the screw, as reported by Kay and Hunt . The aforementioned complications and second surgery can be avoided by using bioabsorbable implants .…”

Section: Discussionmentioning

confidence: 99%

“…This means two surgical procedures, both of which incorporate expense, surgical risk, postoperative management and potential complications during screw removal, such as difficulties in locating the screw, stripping of the screw head and breakage of the screw, as reported by Kay and Hunt . The aforementioned complications and second surgery can be avoided by using bioabsorbable implants . Moreover, the bioabsorbable implants are radiolucent (Figure ), which further enables use of diagnostic imaging techniques with less image degradation than with metallic implants, particularly with magnetic resonance imaging and computed tomography.…”

Section: Discussionmentioning

confidence: 99%

“…18 The aforementioned complications and second surgery can be avoided by using bioabsorbable implants. 18 Moreover, the bioabsorbable implants are radiolucent (Figure 2), which further enables use of diagnostic imaging techniques with less image degradation than with metallic implants, particularly with magnetic resonance imaging and computed tomography. The bioabsorbable screw technique therefore facilitates future diagnostic imaging evaluation, particularly of the surrounding soft tissues.…”

Section: Discussionmentioning

confidence: 99%

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Internal fixation of proximal fractures of the 2nd and 4th metacarpal and metatarsal bones using bioabsorbable screws

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Internal fixation of proximal fractures of the 2nd and 4th metacarpal and metatarsal bones using bioabsorbable screws

et al. 2018

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“…A persistent periosteal reaction remained in one horse and a second surgery to remove the blemish was performed prior to sale at the age of 14 months. A change in technique has been described (Kay and Hunt ), which reduces this periosteal reaction.…”

Section: Discussionmentioning

confidence: 99%

“…Single transphyseal screws were placed under general anaesthetic using the same technique as described by Kay and Hunt (). Hooves were balanced, and extensions placed as necessary.…”

Section: Methodsmentioning

confidence: 99%

Single transphyseal screws for the correction of moderate to severe angular limb deformities in 28 Thoroughbred foals

Gray

Randleff-Rasmussen

Lepage

2017

Equine Veterinary Education

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Summary This study reports on the effective use of a single transphyseal screw for the treatment of moderate to severe angular limb deformities (ALDs) of the fetlocks and carpi of 28 young Thoroughbred foals. The objective was to evaluate the surgical management of foals with moderate to severe ALDs treated with single transphyseal screws. Evaluation of medical records of 28 Thoroughbred foals treated with single transphyseal screws placed across the distal radial, metacarpal and metatarsal physes was undertaken. The angle of joint deviation was measured prior to implantation and at removal of the implants, and the degree of improvement was calculated. A total of 39 screws were placed: 24 in the distal metacarpus or metatarsus and 15 in the distal radial physis. Varus or valgus deformities in the fetlock improved by 4–5° over a period of 15–30 days. Varus or valgus deformities in the carpi improved by 8–11° in 11–56 days. One case failed to improve adequately due to implant infection. Single transphyseal screws were effective in treating moderate to severe varus and valgus ALD of the fetlocks and carpi in young Thoroughbred foals. Further investigation into their use in the distal radius in young foals is needed. While single transphyseal screws are almost exclusively used by some clinics in the distal metatarsal and metacarpal physes, many clinicians do not use them in the distal radial physis of young foals due to fear of over‐correction, physitis and metaphyseal collapse. This was not observed in any of our cases.

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Complications of Surgical Correction of Angular Limb Deformities

Hunt

Buck

2021

Complications in Equine Surgery

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Single screw transphyseal bridging of the distal metacarpus and metatarsus for correction of angular limb deformity in the foal

Cited by 8 publications

References 3 publications

Internal fixation of proximal fractures of the 2nd and 4th metacarpal and metatarsal bones using bioabsorbable screws

Internal fixation of proximal fractures of the 2nd and 4th metacarpal and metatarsal bones using bioabsorbable screws

Single transphyseal screws for the correction of moderate to severe angular limb deformities in 28 Thoroughbred foals

Complications of Surgical Correction of Angular Limb Deformities

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