|Screw fixation and resection|
|Regain use of the limb|
Multifragment fractures have generally a guarded to poor prognosis, especially if the fragmentation involves the articular surface. These cases are either euthanatized immediately or treated conservatively.
In cases where the articular fracture line is located in the sagittal plane availability of intraoperative radiography is adequate for the repair.
If the intraarticular fracture line is located abaxially, same technique as described for abaxial fractures is applied.
Occasionally small extensor process fractures are diagnosed as well. These fragments are removed under arthroscopic supervision.
Selected cases (single articular fracture line) can be treated by means of internal fixation. Availability of intraoperative CT-imaging or fluoroscopy greatly improves precision of screw implantation and ultimately treatment success.
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|