More distal screw positioning compared with the conventionally recommended screw position for internal fixation of type III distal phalangeal fractures allows placement of a longer screw and renders a more rigid fracture fixation. The novel screw position, however, carries a higher risk of SCP.
Obwegeser cerclage technique for the treatment of jaw fractures in horses: a retrospective study on 46 cases Skull fractures, particularly mandibular fractures, are the second most common fractures in horses after limb fractures. The majority of mandibular fractures involves its most rostral part, i.e. the pars incisiva. Like other head fractures, those of the jaws are commonly caused by a blunt external trauma such as a kick from another horse, a fall or a collision with a solid object. Rostral fractures can also occur when horses get caught between vertical metal bars in the stall: the horse bites the bar with its head tilted towards a slightly horizontal position and then suddenly pulls back its head together with a vertical movement of the head, while the teeth remain lodged between the metal bars. In rare cases jaw fractures occur iatrogenically following dental treatment or due to pathological alteration of the bone in case of neoplasia or chronic osteomyelitis. In the majority of cases jaw fractures are open toward the oral cavity and may be severely contaminated. Unstable, bilateral or dislocated fractures which lead to impaired occlusion need surgical intervention. Intraoral wiring is one of the fixation techniques used, depending on the fracture configuration. The Obwegeser multiple-loop intraoral wiring method is particularly suited for fixation of avulsion fractures of the incisors because teeth can be fixed individually, the tension can be distributed evenly among different teeth and the fixation can be extended across a wide area. This method is very suitable for fixation of rostral jaw fractures. It can also be used in combination with other fixation techniques, e.g. plate osteosynthesis, to provide additional stability on the tension side of a fractured mandible and incisor bone. This retrospective study examined 46 patients with jaw fractures that were fixed using the Obwegeser wiring method alone (n=31) or in conjunction with another fixation method (n=15). Medical records, repeated radiological examinations and telephone interviews with the owners were used to gather information about clinical signs on presentation, type of fracture fixation, the healing process, short and long term complications, time of removal of the wires and owner satisfaction with the surgical outcome. The following clinical signs were found with the initial examination: oral haemorrhage (n=28), dysphagia (n=24) and local swelling (n=21). 23 horses suffered from malocclusion and in 5 of 46 patients crepitation was obvious. In 20 cases (43%) the fracture was older than 24 hours at the time of presentation to the hospital. Forty (87%) of the fractures were open. Cases that were fixed using the Obwegeser wiring method alone had a lower complication rate (11/31, 35%) than cases in which wiring was used in conjunction with another fixation method (12/15, 80%). In most cases the fracture could be repaired in the standing horse using sedation and local anaesthesia. An orthopaedic stainless steel wire with a diameter of 1.25 mm...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.