Executive Editor: Amy Kapatkin General Editor: Noel Moens

Authors: Bruno Peirone

Femoral shaft 32-A2

back to skeleton

Glossary

Lag screw and neutralization plate
Main indication Skill Equipment
Simple oblique fracture in large active dogs Some specialized surgical experience Simple surgical and imaging resources


The preferred treatment for 32-A2 fractures is internal fixation with lag screws and/or cerclage wires across the fracture line, combined with a neutralization plate. The screws/wires applied across the fracture generate friction between the fragments and counteract shearing forces, while the plate protects the fixation from collapsing.

Intramedullary pin fixation with cerclage wires
Main indication Skill Equipment
Simple oblique fractures in young patients Basic surgical experience, no specialized skills Basic equipment only


Intramedullary pin fixation with cerclage wires is an option for young or small breed dogs with long oblique or spiral simple fractures in which at least 3 cerclage wires can be applied. The fracture must be completely reconstructible and the bone must share the axial load. It is not recommended for older patients or for those dogs that cannot be adequately confined postoperatively. Failure to choose the correct fracture type and patient for this repair will likely lead to loss of reduction of the fracture.

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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