A retrospective study comparing conservative and surgical treatments of open comminuted fractures of the fourth metatarsal bone in horses |
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| Authors: | C. E. Sherlock R. M. Archer |
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| Affiliation: | 1. Department of Veterinary Clinical Sciences, The Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK.;2. The Department of Large Animal Medicine, The University of Georgia, Athens, Georgia 30602–7385, USA;3. Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand. |
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| Abstract: | The proximal third of metatarsal IV is predisposed to open comminuted fractures due to its superficial and prominent position and controversy exists regarding the most appropriate management for this type of fracture. Fifty‐three horses treated for open comminuted fractures of the proximal third of metatarsal IV were selected for study from 6 equine hospitals across England. Comparisons were made between the 21 horses treated conservatively and the 32 horses treated surgically. Horses treated conservatively at referral centres had comparable rates of survival, rates of return to full work and convalescent periods but a significantly lower cost than those treated surgically. The results of this study suggest that aggressive conservative therapy may be indicated in open comminuted fractures of the proximal third of metatarsal IV. |
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| Keywords: | horse splint bone fourth metatarsal bone fracture |
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