Authors of section


Anton Fürst, Christoph Lischer

Executive Editor

Jörg Auer

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1. Preparation and approach

This procedure is performed with the patient placed in lateral recumbency and through the approach to the sustentaculum tali.


2. Débridement

All foreign bodies, devitalized and necrotic tissues as well as all loose fragments are removed.
Thorough flushing with mild antiseptic solution and cautious curetting of the surrounding tissue is performed.
If the tendon sheath and/or the talocrural joint is/are affected also (see picture), they must be irrigated generously and, if necessary, also drained.
Flushing has to be repeated 2-3 times within 3 days.

Fracture of the sustentaculum tali

The picture shows a wound after completed débridement.

The wound is left open and placed under a sterile bandage.

Fracture of the sustentaculum tali
Fracture of the sustentaculum tali

3. Aftertreatment

During the postoperative period the wound has to be protected by sterile dressings, cleaned as well as disinfected at intervals of 2-3 days. It is equally important to administer systemic antibiotics and NSAID. To prevent fibrillation of the tendon, it is necessary to hand walk the horses up to the complete healing of the wound.

The horse cannot be ridden prior to 3-4 month after a successful surgical intervention.