Salter-Harris type II metacarpal and metatarsal fracture in three foals. Treatment by minimally-invasive lag screw osteosynthesis combined with external coaptation.
Journal article

Salter-Harris type II metacarpal and metatarsal fracture in three foals. Treatment by minimally-invasive lag screw osteosynthesis combined with external coaptation.

  • Klopfenstein Bregger MD Micaël D. Klopfenstein Bregger, DVM, Diplomate ECVS, Swiss Institute for Equine Medicine, Vetsuisse-Faculty, University of Bern, Länggassstrasse 124, 3001 Bern, Switzerland, Phone: +41 31 631 22 68, Fax: +41 31 631 26 20, E-mail: micael.klopfenstein@vetsuisse.unibe.ch.
  • Fürst AE
  • Kircher PR
  • Kluge K
  • Kummer M
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  • 2016-03-12
Published in:
  • Veterinary and comparative orthopaedics and traumatology : V.C.O.T. - 2016
English OBJECTIVES
To describe minimally-invasive lag screw osteosynthesis combined with external coaptation for the treatment of Salter-Harris type II third metacarpal and third metatarsal bone fractures.


METHODS
Three foals aged two weeks to four months with a Salter-Harris type II third metacarpal or third metatarsal fracture. Surgery was carried out under general anaesthesia in lateral recumbency. After fracture reduction, the metaphyseal fragment was stabilized with two cortical screws placed in lag fashion under fluoroscopic control. A cast was applied for at least two weeks.


RESULTS
All foals had a good outcome with complete fracture healing and return to complete soundness without any angular limb deformity. All foals had moderate transient digital hyperextension after cast removal.


CLINICAL SIGNIFICANCE
Internal fixation of Salter-Harris type II third metacarpal or third metatarsal fractures with two cortical screws in lag fashion, combined with external coaptation provided good stabilization and preserved the longitudinal growth potential of the injured physis.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/156809
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