Comparison of Two Bandage Splint Constructs in an Ex Vivo Equine Metacarpal Fracture Model.
Abstract: The aim of this study was to compare the deflection distance, deflection angle and pre-loading sub-bandage pressure of a transverse, mid-metacarpal fracture in an equine cadaver limb when loaded in bending while stabilized with either a Robert Jones Bandage (RJB) or a single-stack bandage (SS), each containing two orthogonal splints. Methods: In an ex vivo experimental study, forelimb pairs from eight horses were collected, and one forelimb from each pair was assigned to either the SS or RJB groups. A transverse osteotomy was performed at the midpoint of the metacarpus. After bandaging, the limbs were loaded in bending. Pre-loading sub-bandage pressure, pre- and post-loading radiographs and post-loading deflection distance measurements were taken. Dorsopalmar radiographs were used to measure the loaded deflection angle. Results: There was no significant difference between RJB and SS constructs in change in deflection angle (10.7 ± 3.0 degrees vs. 9.8 ± 2.6 degrees; = 0.5) or deflection distance (13.1 ± 2.6 cm vs. 11.4 ± 3.1 cm; = 0.2). Sub-bandage pressures were significantly greater for the SS than the RJB both dorsally and laterally. Conclusions: The SS splint construct resists bending forces similarly to the RJB splint construct in an transverse, metacarpal fracture model. The SS splint construct may be a useful alternative to the RJB splint construct in field situations for metacarpal fracture stabilization.
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Publication Date: 2022-12-28 PubMed ID: 36577447DOI: 10.1055/s-0042-1759867Google Scholar: Lookup
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- Journal Article
Summary
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The research study is about comparing the Robert Jones Bandage (RJB) and the Single-Stack bandage (SS) in terms of their ability to stabilize a simulated fracture in a horse limb. It was found that the two bandages are comparably effective but the Single-Stack bandage applies more pressure on the limb.
Research Methods
- The researchers conduct an ex vivo study, meaning the experiment is undertaken outside a living organism. In this case, they used forelimbs collected from eight horses.
- Each horse provided a pair of forelimbs, one of which was assigned to receive the Robert Jones Bandage (RJB) while the other received the Single-Stack bandage (SS).
- An artificial transverse fracture, or a fracture going sideways across the bone, was created at the midpoint of the metacarpus, the long, front bone in the horse’s foot.
- The limbs were then put under load in a bend, simulating the sorts of forces they’d face in the real world. Before loading, measurements were taken under the bandage.
- Measurements of the deflection distance, or how much the bone moves under the weight, and deflection angle were made before and after loading. These were done using radiographic imaging.
Results
- The researchers found that both the Robert Jones Bandage and the Single-Stack bandages have similar performance in preventing deflection under load. This implies that they both have comparable efficacy in stabilizing the fracture.
- However, there was a significant difference in the pressures each bandage exerted on the limb. The Single-Stack bandage resulted in higher pressure under the bandage, both on the dorsal (backside) and lateral (sideways) aspects of the limb.
Conclusions
- The study concludes that despite the pressure differences, the Single-Stack bandage can be a useful alternative to the Robert Jones Bandage in the field, given its similar performance in fracture stabilization.
- The benefits of the Single-Stack bandage are inferred, but not expressly stated. These might include easier application or less cost, although this is not clarified in the study.
Cite This Article
APA
Granello ME, Weatherall KM, Lutter JD, Beard WL.
(2022).
Comparison of Two Bandage Splint Constructs in an Ex Vivo Equine Metacarpal Fracture Model.
Vet Comp Orthop Traumatol, 36(2), 82-86.
https://doi.org/10.1055/s-0042-1759867 Publication
Researcher Affiliations
- Department of Clinical Sciences, Kansas State University, Manhattan, Kansas, United States.
- Department of Clinical Sciences, Kansas State University, Manhattan, Kansas, United States.
- Department of Clinical Sciences, Kansas State University, Manhattan, Kansas, United States.
- Department of Clinical Sciences, Kansas State University, Manhattan, Kansas, United States.
MeSH Terms
- Animals
- Bandages / standards
- Bandages / veterinary
- Biomechanical Phenomena
- Forelimb / injuries
- Fractures, Bone / therapy
- Fractures, Bone / veterinary
- Horses / injuries
- Metacarpal Bones / injuries
- Splints / standards
- Splints / veterinary
Conflict of Interest Statement
None declared.
Citations
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