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Home / Equine Research Bank / Equine Vet J / Outcome and racing performance following standing fracture r...
Equine veterinary journal2023; doi: 10.1111/evj.14016

Outcome and racing performance following standing fracture repair in 245 horses.

Abstract: Repair of sagittal proximal phalanx (P1) and parasagittal metacarpal/metatarsal III (MC/MTIII) fractures has evolved over recent decades from a procedure carried out solely under general anaesthesia, to one commonly performed under standing sedation. To date, standing fracture repair has not been evaluated for large cohorts. Objective: To determine short-term (survival to discharge) and long-term (return to racing) outcomes of horses undergoing standing repair of MC/MTIII and P1 fractures, and to compare pre-surgical and post-surgical racing performance. Methods: Single-centre retrospective cohort study. Methods: Retrospective clinical record review of 245 cases undergoing standing repair of MC/MTIII or P1 fractures, 1 January 2007-30 June 2021. Data on signalment, fracture configuration and complications were collected and full race records were retrieved from the Racing Post Database (wwww.racingpost.com). Chi-squared and Mann-Whitney U tests were used to determine any difference in variables between horses that raced after surgery compared to those that did not. McNemar change and Wilcoxon signed-rank tests were used to compare pre- and post-surgical racing performance, p ≤ 0.05. Results: Ninety-eight percent [95% confidence interval (CI): 96.2%-99.7%] of horses survived hospital discharge, and 75.1% (95% CI: 68.9%-81.4%) raced after surgery, a median of 241 days later. Horses that raced post-surgery were significantly less likely to have suffered from complications during hospitalisation than those that did not race again [17.3% (95% CI: 11%-24%) vs. 36.5% (95% CI: 23%-50%), p = 0.005]. Comparing pre- and post-operative racing performance, there was no significant difference in earnings per start [median £628.00, interquartile range (IQR) 115.90-1934.80 vs. £653.20, 51.00-1886.40, p = 0.7] or proportion of horses winning [51% (95% CI: 41%-61%) vs. 54% (95% CI: 44%-64%), p = 0.8] or being placed first-third [77% (95% CI: 68%-85%) vs. 71% (95% CI: 62%-80%, p = 0.5] in at least one race. Conclusions: Retrospective nature of study with reliance on clinical records and public databases, limiting data available for analysis. Conclusions: Standing fracture repair is a viable treatment option for MC/MTIII or P1 fractures that returns horses to the racetrack within an acceptable time frame and is capable of restoring pre-surgical athletic ability.
© 2023 EVJ Ltd.
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Publication Date: 2023-10-06 PubMed ID: 37803880DOI: 10.1111/evj.14016Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research evaluates the short-term and long-term performance of horses that have undergone a fracture repair procedure known as standing repair of MC/MTIII and P1 fractures. The study finds that the procedure is a viable treatment option, capable of returning racehorses to their pre-surgical athletic abilities.

Methodology and Scope of the Study

  • The research conducted a single-centre retrospective cohort study, involving a review of the clinical records of 245 cases.
  • The cases studied were horses that had undergone standing repair of MC/MTIII or P1 fractures within the timeframe of 1 January 2007 to 30 June 2021.
  • Data on signalment, fracture configuration and complications were collected and analyzed.
  • The researchers also retrieved full race records of the horses from the Racing Post Database for comparison of pre-surgical and post-surgical racing performance.

Key Findings from the Study

  • 98% of the horses successfully survived hospital discharge after the surgery. This indicates that the surgery has a high short-term survival rate.
  • Long-term outcome or a return to racing was seen in 75.1% of the cases, implying a good recovery rate in the long term.
  • The median duration of a horse returning to racing after surgery was found to be 241 days, which according to the conclusion is an ‘acceptable time frame’.
  • Horses that returned to racing were significantly less likely to have suffered complications during hospitalisation.
  • Before and after comparison of racing performance showed no significant difference in earnings or the proportion of horses winning or being placed first-third in at least one race. This suggests that the standing fracture repair could restore pre-surgical athletic ability.

Conclusions Drawn and Limitations

  • The conclusions of the study are based on the retrospective nature of the research and reliance on clinical records and public databases, which limit the data available for analysis.
  • The study concludes that standing fracture repair is an effective and viable treatment option for MC/MTIII or P1 fractures in horses, and is successful in returning horses to the racetrack while preserving their athletic abilities.

Cite This Article

APA
Colgate VA, Robinson N, Barnett TP, Bathe AP, Coleridge MOD, Smith LCR, Payne RJ. (2023). Outcome and racing performance following standing fracture repair in 245 horses. Equine Vet J. https://doi.org/10.1111/evj.14016

Publication

Equine veterinary journal
ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English

Researcher Affiliations

Colgate, Victoria A
  • Rossdales Equine Hospital, Suffolk, UK.
Robinson, Natalie
  • VetPartners Ltd, York, UK.
Barnett, Timothy P
  • Rossdales Equine Hospital, Suffolk, UK.
Bathe, Andrew P
  • Rossdales Equine Hospital, Suffolk, UK.
Coleridge, Matthew O D
  • Rossdales Equine Hospital, Suffolk, UK.
Smith, Lewis C R
  • Rossdales Equine Hospital, Suffolk, UK.
Payne, Richard J
  • Rossdales Equine Hospital, Suffolk, UK.

Grant Funding

  • Margaret Giffen Charitable Trust

References

This article includes 22 references
  1. Riggs CM. Aetiopathogenesis of parasagittal fractures of the distal condyles of the third metacarpal and third metatarsal bones-review of the literature.. Equine Vet J 1999;31(2):116-120.
    doi: 10.1111/j.2042-3306.1999.tb03803.xgoogle scholar: lookup
  2. Cillaẚn-Garcia E, Reardon RJM, Schiavo S, Fordham T, Elce YA. Standing repair of a proximal, incomplete, articular fracture of the third metatarsal bone.. Equine Vet Educ 2020;32(5):250-254.
    doi: 10.1111/eve.12939google scholar: lookup
  3. Jacklin BD, Wright IM. Frequency distributions of 174 fractures of the distal condyles of the third metacarpal and metatarsal bones in 167 Thoroughbred racehorses (1999-2009).. Equine Vet J 2012;44(6):707-713.
    doi: 10.1111/j.2042-3306.2012.00558.xgoogle scholar: lookup
  4. Modesto RB, Rodgerson DH, Masciarelli AE, Spirito M. Standing placement of transphyseal screw in the distal radius in 8 Thoroughbred yearlings.. Can Vet J 2015;56(6):605-609.
  5. Heaton K, Farnsworth KD, Souza CRS, Jones ARE. A standing percutaneous technique for proximal interphalangeal joint arthrodesis in twelve horses (2014-2017).. Vet Comp Orthopaed 2019;32(2):165-170.
    doi: 10.1055/s-0039-1677747google scholar: lookup
  6. Compston PC, Payne RJ. Standing fracture repair-a new chapter.. Equine Vet Educ 2013;25(8):386-388.
    doi: 10.1111/eve.12032google scholar: lookup
  7. Perez-Olmos JF, Schofield WL, McGovern F, Dillon H, Sadlier M. Standing surgical treatment of spiral longitudinal metacarpal and metatarsal condylar fractures in 4 horses.. Equine Vet Educ 2006;18(6):309-313.
    doi: 10.1111/j.2042-3292.2006.tb00467.xgoogle scholar: lookup
  8. Russell TM, Maclean AA. Standing surgical repair of propagating metacarpal and metatarsal condylar fractures in racehorses.. Equine Vet J 2006;38(5):423-427.
    doi: 10.2746/042516406778400664google scholar: lookup
  9. O'Brien T, Hunt RJ. Recent advances in standing equine orthopedic surgery.. Vet Clin N Am Equine Pract 2014;30(1):221-237.
    doi: 10.1016/j.cveq.2013.11.006google scholar: lookup
  10. Payne RJ, Compston PC. Short- and long-term results following standing fracture repair in 34 horses.. Equine Vet J 2012;44(6):721-725.
    doi: 10.1111/j.2042-3306.2012.00569.xgoogle scholar: lookup
  11. Findley JA, O'Neill HD, Bladon BM. Outcome following repair of 63 sagittal fractures of the proximal phalanx in UK Thoroughbreds using either a triangular or linear screw configuration.. Equine Vet J 2021;53(3):524-529.
    doi: 10.1111/evj.13304google scholar: lookup
  12. Barakzai SZ, Dixon PM. Conservative treatment for Thoroughbred racehorses with intermittent dorsal displacement of the soft palate.. Vet Rec 2005;157(12):337-340.
    doi: 10.1136/vr.157.12.337google scholar: lookup
  13. Barakzai SZ, Boden LA, Hillyer MH, Marlin DJ, Dixon PM. Efficacy of thermal cautery for intermittent dorsal displacement of the soft palate as compared to conservatively treated horses: results from 78 treadmill diagnosed horses.. Equine Vet J 2009;41(1):65-69.
    doi: 10.2746/042516408x330383google scholar: lookup
  14. Payne RJ, Compston PC. Outcome after standing fracture repair in twenty seven racing Thoroughbreds.. In: Proceedings of the British Equine Veterinary Association. 2011.
  15. Bathe AP. Standing fracture repair.. In: Proceedings of European Society of Veterinary Orthopaedics and Traumatology. 2008.
  16. Colgate VA, Newton JR, Barnett TP, Bathe AP, Boys Smith S, Smith LCR. Outcome and racing performance of 194 horses undergoing standing fracture repair (2007-2018).. In: Proceedings of ECVS Congress. 2021.
    doi: 10.1111/vsu.13672google scholar: lookup
  17. Martens A, Declercq J. Fracture fixation in the standing horse: for surgeons who dare.. Equine Vet Educ 2006;18(6):314-315.
    doi: 10.1111/j.2042-3292.2006.tb00468.xgoogle scholar: lookup
  18. Wylie CE, Newton JR. A systematic literature search to identify performance measure outcomes used in clinical studies of racehorses.. Equine Vet J 2018;50(3):304-311.
    doi: 10.1111/evj.12757google scholar: lookup
  19. Barakzai SZ, Boden LA, Dixon PM. Race performance after laryngoplasty and ventriculocordectomy in national hunt racehorses.. Vet Surg 2009;38(8):941-945.
    doi: 10.1111/j.1532-950x.2009.00600.xgoogle scholar: lookup
  20. Reardon RJM, Fraser BSL, Heller J, Lischer C, Parkin T, Bladon BM. The use of race winnings, ratings and a performance index to assess the effect of thermocautery of the soft palate for treatment of horses with suspected intermittent dorsal displacement. A case-control study in 110 racing Thoroughbreds.. Equine Vet J 2008;40(5):508-513.
    doi: 10.2746/042516408x320898google scholar: lookup
  21. Stick JA, Peloso JG, Morehead JP, Lloyd J, Eberhart S, Padungtod P. Endoscopic assessment of airway function as a predictor of racing performance in Thoroughbred yearlings: 427 cases (1997-2000).. J Am Vet Med Assoc 2001;219(7):962-967.
    doi: 10.2460/javma.2001.219.962google scholar: lookup
  22. McIlwraith CW, Turner S. Assessing success of surgery.. Equine Vet J 1986;18(3):165-166.
    doi: 10.1111/j.2042-3306.1986.tb03583.xgoogle scholar: lookup

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