Equis ISSN 2398-2977

Femur: physeal fracture - repair

Contributor(s): Chris Whitton, David G Wilson, Jarred Williams

Introduction

  • Movement at physeal fracture site results in rapid crushing and eburnation of fracture ends and potential avascular necrosis of the femoral head, so stabilization and approximation of fracture is important.

Uses

Advantages

  • Fracture fixation, return to function, and minimize formation of lasting lameness.

Disadvantages

  • Difficult to access and reduce precisely.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Proximal physeal or femoral capital physeal fractures - prognosis is guarded, with younger and lighter animals having a better prognosis.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Rötting A K, Worster A A & Lillich J D (2005) Femoral capital physeal fracture repair in a donkey. Equine Vet Educ 17 (2), 97-100 VetMedResource.
  • Wilson D G et al (1991) Fixation of femoral capital physeal fractures with 7.0 mm cannulated screws in five bulls. Vet Surg 20 (4), 240-244 PubMed.
  • Hunt D A et al (1990) Evaluation of an interfragmentary compression system for the repair of equine femoral capital physeal fractures. Vet Surg 19 (2), 107-116 PubMed.
  • Hunt D A, Snyder J R, Morgan J P et al (1990) Femoral capital physeal fractures in 25 foals. Vet Surg 19 (1), 41-9 PubMed.

Other sources of information

  • Richardson D W (2012) Femur and Pelvis. In: Equine Surgery. Ed: Auer J A. Elsevier, USA. pp 1442-1452.


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