2010
DOI: 10.2746/042516406778400664
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Standing surgical repair of propagating metacarpal and metatarsal condylar fractures in racehorses

Abstract: Summary Reasons for performing study: Repair of spiral and long diaphyseal metacarpal and metatarsal fractures under anaesthesia can be problematic and associated with a high incidence of complications, including fracture propagation necessitating euthanasia. Objective: To report on a practical repair technique for which general anaesthesia is not required. Methods: Thirteen racehorses with a spiral/propagating condylar fracture had the fracture repaired using local anaesthesia and sedation, without the nee… Show more

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Cited by 43 publications
(80 citation statements)
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“…12 As noted earlier we discontinued draping the eye region and head after 2 horses had exaggerated head movements because of the drapes. Transitory facial nerve paralysis in 1 horse was likely because of diffusion of local anesthetic solution from the surgical site to branches of the facial nerve.…”
Section: Discussionmentioning
confidence: 96%
“…12 As noted earlier we discontinued draping the eye region and head after 2 horses had exaggerated head movements because of the drapes. Transitory facial nerve paralysis in 1 horse was likely because of diffusion of local anesthetic solution from the surgical site to branches of the facial nerve.…”
Section: Discussionmentioning
confidence: 96%
“…This method prevents the risk of fracture displacement associated with recovery from anaesthesia. Nevertheless, one of the four repairs reported by Russell and Maclean (2006) failed in the postoperative period. The standing technique necessitates a degree of compromise in internal fixation because of its practical limitations (screws tend to be placed only distally) and its advantages are clearly not gained unconditionally.…”
Section: Discussionmentioning
confidence: 99%
“…Limitations associated with standing surgery are largely based around patient selection as the success of the procedure is dependent on the patient's compliance and willingness to remain still for the duration of the surgery. Adequate sedation and peri‐neural analgesia are essential to ensure minimal movement of the patient (Russell and Maclean ). Other considerations included the use of thick rubber matting placed over the floor of the stocks to minimise transmission of vibrations from the drill to the horse (O'Brien and Hunt ).…”
Section: Discussionmentioning
confidence: 99%