Incomplete proximal metaphyseal fractures are best treated surgically to achieve rapid fracture healing. Usually cortex screws are inserted in lag fashion. In association with full limb cast during recovery of anesthesia. However, in a chronic case, where the animal uses the limb well or if there are financial constraints, non-surgical management is an option.
Chronic cases can be treated with stall rest with or without a bandage. This depends on the amount of weight the animals bears on the limb. Dependent upon the configuration of the fracture and its age it may be necessary to initially prevent the animal from laying down. This can be achieved by tying the horse on a over-head lead line in the box stall or placing it in a sling.
Controlled exercises such as hand-walking- or grazing is encouraged after three weeks.
Animals showing a severe lameness are best treated with a full-limb cast. This can be achieved in a heavily sedated horse in the standing position or under anesthesia.
Follow up radiographs are taken at 2 months and dependent upon the progress achieved in fracture healing light exercises can be implemented.