ISSN 2398-2977      

Radius: fracture repair

pequis

Introduction

  • Successful management of radial fractures can be achieved through a number of different modalities depending upon the owner's wishes and financial status, fracture configuration, size of animal and extent of soft tissue injuries.
  • The most common surgical technique is plating via internal fixation.

Uses

  • Repair of simple mid-diaphyseal or metaphyseal radial fractures, usually in foals, yearlings or small adults   Radius: fracture    Radius: fracture 01 - diaphysis - radiograph    Radius: fracture repair 01 - LM radiograph  .

Advantages

  • Treatment of choice for mid-diaphyseal simple fractures in foals or small adults (up to 300 kg bodyweight) with relatively good prognosis for future soundness.
  • An intact caudal cortex improves prognosis.

Disadvantages

  • Expensive.
  • Technically challenging.
  • Significantly poorer results in distal metaphyseal/epiphyseal or comminuted fractures and especially where articular surfaces involved.
  • Poor results in adults (>400 kg).

Requirements

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Prognosis

  • <300 kg:
    • Short oblique/transverse mid-diaphyseal fractures: good for soundness.
    • Fractures of metaphysis: guarded to fair.
    • Fractures of physis/joint surface: guarded to poor.
  • >400 kg: guarded to poor for soundness.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Rodgerson D H, Wilson D A & Kramer J (2001) Fracture repair of the distal portion of the radius by use of a condylar screw implant in an adult horse. JAVMA 218 (12), 1966-1969 PubMed.
  • Zamos D T et al (1994) Repair of fractures of the distal aspect of the radius in two horses. Vet Surg 23 (3), 172-176 PubMed.
  • Baxter G M et al (1991) Repair of an open radial fracture in an adult horse. Equine Vet J 199 (3), 364-367 PubMed.
  • Németh F et al (1991) The use of the walking cast to repair fractures in horses and ponies. Equine Vet J 23 (1), 32-36 PubMed.

Other sources of information

  • J A Auer (1996) Fractures of the radius. In: Equine Fracture Repair. Ed: A J Nixon. W B Saunders, USA. ISBN 0-7216-6754-6.

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!

 
 
 
 

To show you are not a Bot please can you enter the number showing adjacent to this field

 Security code