Alternative approach for fracture fixation following implant infection in a Salter-Harris type-II fracture of the proximal phalanx in a Warmblood foal.
Abstract:A two-day-old female Warmblood foal (70 kg) presented with a closed,
displaced Salter-Harris type-II fracture of the proximal physis of the
left hind first phalanx. For fracture repair four 4.5 mm cortical screws
and wire in a figure-of-8 pattern were applied on the lateral and medial
aspect of the phalanx, respectively. A 4.5 mm cortical screw was
additionally inserted in lag-fashion to engage the lateral metaphyseal
spike. Three days postoperatively, medial axis deviation and implant
infection were noted and… Show more
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