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Results of plate fixation of type 5 olecranon fractures in 20 horses
Author(s) -
SWOR T. M.,
WATKINS J. P.,
BAHR A.,
EPSTEIN K. L.,
HONNAS C. M.
Publication year - 2006
Publication title -
equine veterinary journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 87
eISSN - 2042-3306
pISSN - 0425-1644
DOI - 10.2746/042516406775374261
Subject(s) - olecranon , medicine , internal fixation , tension band wiring , surgery , conservative treatment , fixation (population genetics) , radiography , elbow , population , environmental health
Summary Reasons for performing study : Previous olecranon fracture reports contain a small proportion of type 5 fractures, mostly treated with conservative therapy. Objectives : To evaluate the clinical details and outcome of type 5 olecranon fractures in a large group of horses treated by tension band plate fixation and to compare results with other treatment methods. Methods : Medical records of 97 cases, including 32 (33%) classified as type 5 , were reviewed. Subject details, history, radiographic findings, treatment and follow‐up results (2–146 months post operatively) were recorded. Results : Treatment included open reduction and internal fixation using a narrow or broad dynamic compression plate (n = 20), conservative therapy (n = 7) and euthanasia (n = 5). Long‐term follow‐up was available in 15 cases treated surgically, of which 2 were sound and in training, 11 sound and performing athletically and 2 unsound. Distal semilunar notch involvement, comminution or open status did not appear to affect prognosis. Conclusions : Internal plate fixation provides an excellent prognosis for an animal to be capable of athletic performance. Potential relevance : Describing tension band plate fixation and results offers a method of fracture repair that should improve treatment and prognosis for type 5 olecranon fractures.