Use of locking compression plates in ulnar fractures of 18 horses
Carrie C Jacobs1, David G Levine1, Dean W Richardson1
1Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.
Objectives:
To describe the outcome, clinical findings, and complications associated with the use of the locking compression plate (LCP) for various types of ulnar fractures in horses.
Study Design:
Retrospective case series.
Sample Population:
Client owned horses (n = 18).
Methods:
Medical records, radiographs, and follow-up for horses having an ulnar fracture repaired using at least 1 LCP were reviewed. Fifteen of 18 horses had fractures of the ulna only, and 3 horses had fractures of the ulna and proximal radius.
Results:
All 18 horses were discharged from the hospital. Complications occurred in 5 horses; incisional infection (n = 4, 22%), implant-associated infection (n = 2, 11%), and colic (n = 1, 6%). Follow-up was available for all horses at a range of 13-120 months and 15 horses (83%) were sound for their intended purpose and 3 horses (17%) were euthanatized. One horse was euthanatized for complications associated with original injury and surgery.
Conclusions:
The LCP is a viable method of internal fixation for various types of ulnar fractures, with most horses in this series returning to soundness.
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