Abstract
Objective-To report clinical evaluation of third carpal bone (C3) frontal plane slab fracture repair with the Acutrak® screw system. Study Design-Prospective case series. Sample Population-Racing Thoroughbreds (n = 17) with frontal C3 slab fractures. Methods-C3 slab fractures in Thoroughbred racehorses (1999-2004) were repaired by use of the Acutrak® screw system. Data collected were (1) preoperative variables - gender, age at injury, limb involved, injury occurrence, fracture thickness, complexity, and displacement, race starts and earnings and (2) postoperative variables were: surgical complications, days to first start, race starts, and earnings. A Wilcoxon signed-rank test was used to compare pre- and postoperative starts and earnings; significance was set at P<.05. Results-Seventeen Thoroughbred racehorses (12 females, 3 males, 2 geldings) were enrolled. Mean (± SD) age at injury was 3.3 ± 1.0 years. Right carpi (10) were affected more than left (7). Ten injuries occurred during training, 7 during racing. Twelve of 15 horses that raced before injury returned to racing. Average days to first start was 349.3±153.9 days. Horses that returned to racing had more starts after repair (median, 6.5 versus 3.5; P=.04) and did not have decreased earnings per start (median, $2452 versus $3061; P=.30). Conclusion-The Acutrak® screw system is a useful repair technique for frontal C3 slab fractures in Thoroughbred racehorses. Clinical Relevance-Adequate reduction and stability of C3 slab fractures can be achieved with the Acutrak® screw system, decreasing the likelihood of fragment splitting and screw head impingement on carpal soft tissues.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 178-184 |
| Number of pages | 7 |
| Journal | Veterinary Surgery |
| Volume | 36 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2007 |
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ASJC Scopus subject areas
- veterinary(all)
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Clinical evaluation of a titanium, headless variable-pitched tapered cannulated compression screw for repair of frontal plane slab fractures of the third carpal bone in thoroughbred racehorses. / Hirsch, Jonathan E.; Galuppo, Larry D; Graham, Lindsay E.; Simpson, Edwin L.; Ferraro, Gregory L.
In: Veterinary Surgery, Vol. 36, No. 2, 02.2007, p. 178-184.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical evaluation of a titanium, headless variable-pitched tapered cannulated compression screw for repair of frontal plane slab fractures of the third carpal bone in thoroughbred racehorses
AU - Hirsch, Jonathan E.
AU - Galuppo, Larry D
AU - Graham, Lindsay E.
AU - Simpson, Edwin L.
AU - Ferraro, Gregory L.
PY - 2007/2
Y1 - 2007/2
N2 - Objective-To report clinical evaluation of third carpal bone (C3) frontal plane slab fracture repair with the Acutrak® screw system. Study Design-Prospective case series. Sample Population-Racing Thoroughbreds (n = 17) with frontal C3 slab fractures. Methods-C3 slab fractures in Thoroughbred racehorses (1999-2004) were repaired by use of the Acutrak® screw system. Data collected were (1) preoperative variables - gender, age at injury, limb involved, injury occurrence, fracture thickness, complexity, and displacement, race starts and earnings and (2) postoperative variables were: surgical complications, days to first start, race starts, and earnings. A Wilcoxon signed-rank test was used to compare pre- and postoperative starts and earnings; significance was set at P<.05. Results-Seventeen Thoroughbred racehorses (12 females, 3 males, 2 geldings) were enrolled. Mean (± SD) age at injury was 3.3 ± 1.0 years. Right carpi (10) were affected more than left (7). Ten injuries occurred during training, 7 during racing. Twelve of 15 horses that raced before injury returned to racing. Average days to first start was 349.3±153.9 days. Horses that returned to racing had more starts after repair (median, 6.5 versus 3.5; P=.04) and did not have decreased earnings per start (median, $2452 versus $3061; P=.30). Conclusion-The Acutrak® screw system is a useful repair technique for frontal C3 slab fractures in Thoroughbred racehorses. Clinical Relevance-Adequate reduction and stability of C3 slab fractures can be achieved with the Acutrak® screw system, decreasing the likelihood of fragment splitting and screw head impingement on carpal soft tissues.
AB - Objective-To report clinical evaluation of third carpal bone (C3) frontal plane slab fracture repair with the Acutrak® screw system. Study Design-Prospective case series. Sample Population-Racing Thoroughbreds (n = 17) with frontal C3 slab fractures. Methods-C3 slab fractures in Thoroughbred racehorses (1999-2004) were repaired by use of the Acutrak® screw system. Data collected were (1) preoperative variables - gender, age at injury, limb involved, injury occurrence, fracture thickness, complexity, and displacement, race starts and earnings and (2) postoperative variables were: surgical complications, days to first start, race starts, and earnings. A Wilcoxon signed-rank test was used to compare pre- and postoperative starts and earnings; significance was set at P<.05. Results-Seventeen Thoroughbred racehorses (12 females, 3 males, 2 geldings) were enrolled. Mean (± SD) age at injury was 3.3 ± 1.0 years. Right carpi (10) were affected more than left (7). Ten injuries occurred during training, 7 during racing. Twelve of 15 horses that raced before injury returned to racing. Average days to first start was 349.3±153.9 days. Horses that returned to racing had more starts after repair (median, 6.5 versus 3.5; P=.04) and did not have decreased earnings per start (median, $2452 versus $3061; P=.30). Conclusion-The Acutrak® screw system is a useful repair technique for frontal C3 slab fractures in Thoroughbred racehorses. Clinical Relevance-Adequate reduction and stability of C3 slab fractures can be achieved with the Acutrak® screw system, decreasing the likelihood of fragment splitting and screw head impingement on carpal soft tissues.
UR - http://www.scopus.com/inward/record.url?scp=33847310870&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33847310870&partnerID=8YFLogxK
U2 - 10.1111/j.1532-950X.2007.00251.x
DO - 10.1111/j.1532-950X.2007.00251.x
M3 - Article
C2 - 17335426
AN - SCOPUS:33847310870
VL - 36
SP - 178
EP - 184
JO - Veterinary Surgery
JF - Veterinary Surgery
SN - 0161-3499
IS - 2
ER -