| Autor: |
Galuppo, Larry D., Simpson, Edwin L., Greenman, Sylvia L., Dowd, Joseph P., Ferraro, Gregory L., Meagher, Dennis M. |
| Předmět: |
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| Zdroj: |
Veterinary Surgery; Jul2006, Vol. 35 Issue 5, p423-430, 8p, 4 Black and White Photographs, 1 Diagram |
| Abstrakt: |
Objective To report clinical evaluation of headless compression screws for repair of metacarpal/metatarsal (MC/MT3) condylar fractures in horses. Study Design Retrospective case study. Sample Population Racing Thoroughbreds (n=16) with nondisplaced lateral condylar fractures of MC/MT 3. Methods Medical records (1999–2004) of horses with nondisplaced longitudinal fractures of the lateral condyle of MC/MT3 were reviewed. Pre-operative variables retrieved were: patient age, gender, limb involvement, injury occurrence, fracture length, and width, evidence of palmar comminution and degenerative joint disease, number of pre-injury starts, and pre-injury earnings. Post-operative variables retrieved were: surgical complications, surgical time, number of race starts, and post-operative earnings. Results MC3 (n=11) and MT3 (5) nondisplaced longitudinal fractures of the lateral condyle were repaired with Acutrak® Equine (AE) screws. Left front limb fractures were most common (8) followed by left hind (5) and right front (3). Nine fractures occurred during training and 7 during racing; 4 fractures had palmar comminution. No surgical complications occurred. Of 15 horses that returned to training, 11 (73%) raced 306±67 days after injury and had greater mean (±SD) post-injury earnings/start ($5290.00±$8124.00) than pre-injury ($4971.00±$2842.00). Screw removal was not required in any horse. Conclusion The AE screw is a viable option for repair of nondisplaced lateral condylar MC/MT3 fractures in Thoroughbred racehorses. Clinical Relevance Adequate stability of nondisplaced lateral condylar fractures can be achieved with a headless tapered compression screw while avoiding impingement on the collateral ligaments and joint capsule of the fetlock joint. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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