equine fracture management Flashcards
how would you stablise a horse that has a fracture?
cast/splint the leg
give sedation, fluids if in shock, analgesia
what are the desision critera relating to the patient for fracture management in horse?
Patient:
Weight?
Age?
Future potential?
what are the desision critera relating to the fracture for fracture management in horse?
Intact strut of bone? (for internal fixation)
Location? (weight bearing?)
Classification (severity)?
what are the desision critera relating to the owner for fracture management in horse?
Preference
£££
what are the 6 ways to clasfify fractures?
what are your thoughts about this kick to proximal lateral hind canon
comminute complete froacture of the fibula
open fracture (wound associated with it)
non-weight bearing
non-articular
can stabalise it with a cast provide antibiotica because open and allow a callus to from
what are your thoughts on this racehorse with sudden onset of lameness during exercise - effusion of the fetlock joint
a simple non-displaced, colsed, articular fracture of weight-bearing bone
the articular factor means that the bone will move will healign and will cause poor healing and future arthritis
needs surgery - would apply lag screw to provide compression
what are your thoughts about this TB racehorse. 2/5LF lame at trot. Pain when pressure applied to dorsal cannon.
Incomplete, closed fracture of weight-bearing long bone
is stable as incomplete
stress fracture
conservative fracture so box rest and analgesia
what are your thoughts regarding this Show jumper lame after competition. Swelling and pain to pressure on lateral cannon (metacurpus ).
complete comminuted, displaced transverse fracture of non-weight bearing
treatment - could box rest and callus will form. or surgery to remove the shards of bone
what are your thoughts on this 15yo cob who put foot down rabbit hole?
concers over horse weight
comminued, complete, displaced closed fracture or weight bearing bone
euthanasia best treatment, no intact strut of bone to attach internal fixator
what are you thoughts on this horse who fell during cross country. Pain & swelling around elbow
complete simple, closed, displaced, non-weight bearing, articulate fracture
olecranon has triceps attached that is displacing the bone
treatment - surgery to apply a plate as under tension from muscle (plate will act as a tension band to replace the action of the olecranon while it heals
what are your thoughts on this 5yo TB racehorse. Sudden severe lameness with middle carpal joint effusion and pain to carpal flexion?
simple, complete, bi-articular fracture of weight bearing bone
treatment - surgery lag screw to apply compression
what do you think about this 24yo broodmare. Violent recovery from general anaesthesia.
complete comminute, displaced fracture of weight-bearing tibia
old - osteoperosis so poor healing, additionally bad recovery from surgery so woun’t do again
treatment - euthanasia
what are your thoughts about this 1 week old foal. Trod on by mare.
complete, simple fracture of weight-bearing long bone (metatarsus)
light foal so surgery of a locking plate to transfer weight from top of bone to botton so force not going through the fracture
what are your thoughts about this horse that pulled up serverly lame after a race?
comminuted, colsed, intra-articular, displaced fracture of weight-bearing bone
with some proximal bone fragments
treatment - euthanasia, however you could do arthrodesis to imobilise the joint, will be painfree after healing but will hobble for life, risk of athritis in contralateral limb
