We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Clinical Evaluation of a Titanium, Headless Variable-Pitched Tapered Cannulated Compression Screw for Repair of Frontal Plane Slab Fractures of the Third Carpal Bone in Thoroughbred Racehorses.
- Authors
HIRSCH, JONATHAN E.; GALUPPO, LARRY D.; GRAHAM, LINDSAY E.; SIMPSON, EDWIN L.; FERRARO, GREGORY L.
- Abstract
Objective To report clinical evaluation of third carpal bone (C3) frontal plane slab fracture repair with the Acutrak® screw system. Study Design Prospective case series. Sample Population Racing Thoroughbreds (n=17) with frontal C3 slab fractures. Methods C3 slab fractures in Thoroughbred racehorses (1999–2004) were repaired by use of the Acutrak® screw system. Data collected were (1) preoperative variables—gender, age at injury, limb involved, injury occurrence, fracture thickness, complexity, and displacement, race starts and earnings and (2) postoperative variables were: surgical complications, days to first start, race starts, and earnings. A Wilcoxon signed-rank test was used to compare pre- and postoperative starts and earnings; significance was set at P<.05. Results Seventeen Thoroughbred racehorses (12 females, 3 males, 2 geldings) were enrolled. Mean (±SD) age at injury was 3.3±1.0 years. Right carpi (10) were affected more than left (7). Ten injuries occurred during training, 7 during racing. Twelve of 15 horses that raced before injury returned to racing. Average days to first start was 349.3±153.9 days. Horses that returned to racing had more starts after repair (median, 6.5 versus 3.5; P=.04) and did not have decreased earnings per start (median, $2452 versus $3061; P=.30). Conclusion The Acutrak® screw system is a useful repair technique for frontal C3 slab fractures in Thoroughbred racehorses. Clinical Relevance Adequate reduction and stability of C3 slab fractures can be achieved with the Acutrak® screw system, decreasing the likelihood of fragment splitting and screw head impingement on carpal soft tissues.
- Publication
Veterinary Surgery, 2007, Vol 36, Issue 2, p178
- ISSN
0161-3499
- Publication type
Article
- DOI
10.1111/j.1532-950X.2007.00251.x