Short- and long-term results following standing fracture repair in 34 horses.
Abstract: Standing fracture repair in the horse is a recently described surgical procedure and currently there are few follow-up data. This case series contains 2 novel aspects in the standing horse: repair of incomplete sagittal fractures of the proximal phalanx and medial condylar repair from a lateral aspect. Objective: To describe outcome in a case series of horses that had lower limb fractures repaired under standing sedation at Rossdales Equine Hospital. Methods: Case records for all horses that had a fracture surgically repaired, by one surgeon at Rossdales Equine Hospital, under standing sedation and local anaesthesia up until June 2011, were retrieved. Hospital records, owner/trainer telephone questionnaire and the Racing Post website were used to evaluate follow-up. Results: Thirty-four horses satisfied the inclusion criteria. Fracture sites included the proximal phalanx (incomplete sagittal fracture, n = 14); the third metacarpal bone (lateral condyle, n = 12, and medial condyle, n = 7); and the third metatarsal bone (lateral condyle, n = 1). One horse required euthanasia due to caecal rupture 10 days post operatively. Twenty horses (66.7% of those with available follow-up) have returned to racing. Where available, mean time from operation to return to racing was 226 days (range 143-433 days). Conclusions: Standing fracture repair produced similar results to fracture repair under general anaesthesia in terms of both the number of horses that returned to racing and the time between surgery and race. Conclusions: Repair of lower limb fracture in the horse under standing sedation is a procedure that has the potential for tangible benefits, including avoidance of the inherent risks of general anaesthesia. The preliminary findings in this series of horses are encouraging and informative when discussing options available prior to fracture repair.
© 2012 EVJ Ltd.
Publication Date: 2012-04-17 PubMed ID: 22506811DOI: 10.1111/j.2042-3306.2012.00569.xGoogle Scholar: Lookup
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- Clinical Trial
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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The research article explores the outcomes of standing fracture repair in horses. The study followed a case series of 34 horses that underwent this procedure at Rossdales Equine Hospital, and it revealed that a substantial percentage of the treated horses were able to return to racing.
Research Objective and Methodology
The goal of the paper was to evaluate the results of a lower limb fracture surgical procedure performed in a standing position on horses, under sedation. This methodology was relatively new and had thus far not been explored in-depth. The researchers aimed to provide valuable insights that could guide future discussions on fracture repair options in horses.
- The study’s methods involved the analysis of case records for all horses that had a fracture surgically repaired, under standing sedation and local anaesthesia, by a specific surgeon at Rossdales Equine Hospital, up until June 2011.
- Additional information was obtained through hospital records, owner/trainer telephone interviews, and the data available on the Racing Post website.
Findings and Results
The key findings of the research included data on the specific types of fractures treated, the results of surgery, and recovery timelines.
- Out of the thirty-four horses included in the study, the majority of fracture instances involved either the proximal phalanx or the third metacarpal bone.
- One horse had to be euthanized due to complications arising from caecal rupture 10 days post-surgery.
- Twenty out of the thirty-four horses, which equals to around 66.7% of those for which follow-up data was available, were able to return to racing post the surgery.
- The average time from the operation to the return to racing was calculated to be 226 days, with a wide range of recovery times ranging from 143 to 433 days.
Conclusions
The results of the study demonstrated that standing fracture repair in horses can have positive results, comparable to those of fracture repair under general anaesthesia.
- Notably, the standing sedation method offers the advantage of avoiding the inherent risks of general anaesthesia.
- The researchers conclude that this innovative procedure holds great potential and the preliminary findings from this study should be considered when discussing the options for fracture repair in horses.
Cite This Article
APA
Payne RJ, Compston PC.
(2012).
Short- and long-term results following standing fracture repair in 34 horses.
Equine Vet J, 44(6), 721-725.
https://doi.org/10.1111/j.2042-3306.2012.00569.x Publication
Researcher Affiliations
- Rossdales Equine Hospital, Exning, Newmarket, UK.
MeSH Terms
- Animals
- Bone Screws / veterinary
- Fracture Fixation / methods
- Fracture Fixation / veterinary
- Fractures, Bone / surgery
- Fractures, Bone / veterinary
- Horse Diseases / surgery
- Horses / injuries
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