Vet Comp Orthop Traumatol 1989; 02(03): 125-128
DOI: 10.1055/s-0038-1633209
Short Communication
Schattauer GmbH

Secondary Fractures Following Internal Fixation in Two Horses

E. M. Gaughan
1   From the Large Animal Clinic, New York State College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
,
N. G. Duchar
1   From the Large Animal Clinic, New York State College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
09. Februar 2018 (online)

Summary

Implant associated fractures have not been reported in horses. Two horses were evaluated for fractures in the fore limbs, occurring subsequent to previous fracture repair. Previously, the horses had sustained fractures of unusual configurations which were repaired using internal fixation. Following repair and healing of the fractures, secondary fractures occurred in the same bone, but in a different (more common) configuration. The first horse was evaluated ten months following lag screw fixation of a longitudinal fracture of the proximal phalanx in a frontal plane. This horse presented with a more typical comminuted fracture in the sagittal plane with the screws from the first fixation lying in the fracture line. This fracture was successfully treated with a cast. The second horse was examined eightteen months after repair of a medial sagittal slab fracture of the third carpal bone. The horse presented with a more typical dorsal slab fracture of the third carpal bone with the previously placed lag screw lying in the fracture line. The screw was removed and a lag screw was placed perpendicular to the new fracture plane through the dorsal surface of the third carpal bone to repair the fracture.

 
  • REFERENCES

  • 1 Hayes W C. Fracture Treatment and Healing. Philadelphia: W B Saunders Co.; 1980: 124-72.
  • 2 Ellis D R, Simpson D J, Greenwood R E S, Crowhurst J S. Observations and management of fractures of the proximal phalanx in young Thoroughbreds. Eq Vet J 1987; 19 (01) 43-4.
  • 3 Palmer S E. Prevalence of carpal fractures in Thoroughbred and Standardbred racehorses. J Am Vet Med Assoc 1986; 188 (10) 1171-3.
  • 4 Bramlage L R. Surgical Diseases of the Carpus. In: Vet Clin N Amer Lg An Pract 1983; 5 (02) 261-74.
  • 5 Stephens P R, Richardson D W, Spencer P A. Slab fractures of the third carpal bone in Standardbreds and Thoroughbreds: 155 Cases (1977-1984). J Am Vet Med Assoc 1988; 193 (03) 353-8.
  • 6 Markel M D, Richardson D W. Noncomminuted fractures of the proximal phalanx in 69 horses. J Am Vet Med Assoc 1985; 186 (06) 573-9.
  • 7 Markel M D, Richardson D W, Nunamaker D M. Comminuted First Phalanx Fractures in 30 Horses, Surgical vs Nonsurgical Treatments. Vet Surg 1985; 14 (02) 135-40.
  • 8 Bukoweicki C F, Bramlage L R, Gabel A A. Palmar/Plantar Process Fractures of the Proximal Phalanx in 15 Horses. Vet Surg 1986; 15 (02) 383-8.
  • 9 Markel M D, Martin B B, Richardson D W. Dorsal Frontal Fractures of the First Phalanx in the Horse. Vet Surg 1985; 14 (01) 36-40.
  • 10 Martin G S, Haynes P F, McClure J R. Effect of third carpal slab fracture and repair on racing performance in Thoroughbred horses: 31 cases (1977-1984). J Am Vet Med Assoc 1988; 193 (01) 107-10.
  • 11 Fisher A T, Stover S M. Sagittal fractures of the third carpal bone in horses: 12 cases (1977-1985). J Am Vet Med Assoc 1988; 193 (01) 106-8.
  • 12 Palmer S E. Lag Screw Fixation of a Sagittal Fracture of the Third Carpal Bone in a Horse. Vet Surg 1983; 12 (01) 54-7.
  • 13 Gersten K E, Dawson H A. Sagittal Fracture of the Third Carpal Bone in a Horse. J Am Vet Med Assoc 1976; 169 (06) 633-4.
  • 14 Dubs B, Nemeth F. Therapy and prognosis of the first phalanx fractures. Schweiz Arch Tierheilk 1975; 117: 299-309.
  • 15 Fackelman G E, Nunamaker D M. Basic principles of fracture treatment. In: Manual of internal fixation in the horse. New York: Springer-Verlag; 1982: 3-8.
  • 16 Muller M E, Allgower M, Schneider R, Willenegger H. Preoperative, operative, and postoperative guidelines. In: Manual of Internal Fixation. 2nd. New York: Springer-Verlag; 1979: 134-58.
  • 17 Burnstein A H, Currey J, Frankel U H, Herple K G, Lunseth P, Vessely J C. Bone strength: The effects of screw holes. J Bone and Joint Surg 1972; 54A: 1143-56.
  • 18 Brooks D B, Burnstein A H, Frankel U H. The biomechanics of torsional fracture: the stress concentration of drill holes. J Bone and Joint Surg 1970; 58A: 507-14.
  • 19 Rick M C, O’Brian T R, Pool R R, Meagher D. Condylar fractures of the third metacarpal bone and third metatarsal bone in 75 horses: Radiographic features, treatments, and outcome. J Am Vet Med Assoc 1983; 183: 287-96.