Equis ISSN 2398-2977

Tarsus: distal tarsal fixation

Contributor(s): Stephen Adams, Bud G E Fackelman, Chris Whitton

Introduction

  • Stabilization of slab and sagittal fractures of the central or third tarsal bones with bone screws to prevent development of degenerative joint disease   Musculoskeletal: osteoarthritis (joint disease)  and partial ankylosis of the distal tarsal joints.

Uses

Advantages

  • Improves likelihood of return to athletic activity.

Disadvantages

  • Comminuted fractures may be difficult to stabilise.

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

  • Good - for early surgical repair - many will return to athletic activity.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Murfy E D et al (1996) Non-surgical management of 20 horses with slab fractures of the central or third tarsal bone - 1976-1993. Proceed AAEP 42, 282-283.
  • Martin F & Herthel D J (1992) Central tarsal bone fractures in 6 horses - report on the use of a cannulated compression bone screw. Equine Pract 14 (10), 23-27 VetMedResource.
  • Wright I M (1992) Fractures of the lateral malleolus of the tibia in 16 horses. Equine Vet J 24 (6), 424-429 PubMed.
  • Kettunen J et al (1992) Fracture of the lateral talus process- a case report. Acta Orthopedica Scandinavica 63 (3), 356-357 PubMed.
  • Stickle R L & Stick J A (1987) Non-displaced slab fracture of the central tarsal bone. JAVMA 191, 579-580.
  • Sack W O & Ferraglio S (1978) Clinically important structures of the equine hock. JAVMA 172 (3), 277-280 PubMed.
  • Moll H D et al (1987) Traumatic tarsal luxation repaired without internal fixation in three horses and three ponies. JAVMA 190 (3), 297-300 PubMed.
  • Tulamo R M et al (1983) Fractures of the central and third tarsal bones in horses. JAVMA 182 (11), 1234-1238 PubMed.

Other sources of information

  • Nixon A J (1996) Ed.Equine Fracture Repair.W B Saunders, Philadelphia.


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