title: A lateral approach for screw repair in lag fashion of spiral third metacarpal and metatarsal medial condylar fractures in horses.
abstract: OBJECTIVE
  To describe a lateral approach for screw fixation in lag fashion of simple spiral medial condylar fractures of the third metacarpus/metatarsus (MC3/MT3).
  
  
  METHODS
  Case series.
  
  
  METHODS
  Thoroughbred racehorses (n=9).
  
  
  METHODS
  Nondisplaced medial MC3/MT3 condylar fractures (3 thoracic, 6 pelvic limbs), with mean length 126 mm (range, 91-151 mm) were repaired by internal fixation, under general anesthesia, using multiple 4.5 mm cortical screws inserted in lag fashion from the lateral aspect of the limb, using radiographic or fluoroscopic guidance. Horses were recovered from anesthesia in half-limb casts; 7 unassisted and 2 using a rope-recovery system. Horses had 2 months box rest, 1 month in-hand walking, and follow-up radiographic examination at 3 months.
  
  
  RESULTS
  Horses recovered uneventfully from anesthesia. Five horses raced; 1 returned to training, was persistently lame, and was retired to stud; 2 were retired directly to stud; and 1 horse was lost to follow-up.
  
  
  CONCLUSIONS
  MC3/MT3 medial condylar fractures were successfully repaired by screws inserted n lag fashion form the lateral aspect.
  
  
  CONCLUSIONS
  Use of a lateral approach to medial condylar MC3/MT3 fractures allows screw insertion perpendicular to the fracture plane without interference with palmar/plantar soft tissue structures or from the splint bones. Although repair was performed under general anesthesia, the technique should be adaptable to application in standing horses.
authors.affiliation: Rossdales Equine Hospital, Newmarket, Suffolk CB8 7NN, UK. Lewis.Smith@rossdales.com
authors.forename: Lewis C R
authors.initials: LC
authors.lastname: Smith
authors.forename: Timothy R C
authors.initials: TR
authors.lastname: Greet
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Bathe
mesh_terms: D000818:Animals; D001863:Bone Screws / Q000662:veterinary*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods / Q000662:veterinary*; D050723:Fractures, Bone / Q000601:surgery / Q000662:veterinary*; D006736:Horses / Q000293:injuries* / Q000601:surgery; D007794:Lameness, Animal / Q000209:etiology / Q000601:surgery; D008297:Male; D050279:Metacarpal Bones / Q000293:injuries* / Q000601:surgery; D008682:Metatarsal Bones / Q000293:injuries* / Q000601:surgery; D010805:Physical Conditioning, Animal