Authors of section

Authors

Anton Fürst, Wayne McIlwraith, Dean Richardson

Executive Editor

Jörg Auer

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Resection

1. Approach

Incision

This procedure is performed with the patient standing or in lateral recumbency.

A longitudinal incision is performed over the distal fragment of the splint bone.

Further information on approaches to the split bone can be found here.

Distal splint bone fracture - resection

Transection of ligament

The ligament at the distal end of the splint bone is transected.

Distal splint bone fracture - resection

2. Removal of the distal fragment

Fragment removal

The distal fragment including its periosteum is removed.

Distal splint bone fracture - resection

The distal end of the splint bone is shown (arrow) here with the bed where the distal fragment was located.

Distal splint bone fracture - resection

Any small fragments or periosteal new bone formation (in older cases) remaining at the surgery site are removed with a curette.

Distal splint bone fracture - resection

Closure

The incision is closed in layers applying routine technique.

Distal splint bone fracture - resection

Radiographic confirmation

The postoperative radiograph confirms successful surgical removal of the distal fragment.

Distal splint bone fracture - resection

3. Aftertreatment

A bandage is applied for two weeks. Sutures are removed after 10 days.

The horse is kept in a stall for 3 weeks followed by daily hand-walking for 3-4 weeks, and then return to its intended work.

Involvement of the suspensory ligament prolongs the stall rest period to 2 or 3 months followed by a carefully monitored exercise program.

Follow-up x-rays are taken at 4 weeks after surgery.

nonsurgical treatment