|Return to athletic function|
Emergency coaptation is an important component of management in the interim between diagnosis and definitive surgical repair and affects the outcome significantly.
Surgical repair is indicated to preserve life and provide a reasonable opportunity for the horse to return to its intended athletic function.
Double plate fixation and pastern arthrodesis provide the most reliable technique for achieving these objectives.
Other indications for this technique include comminuted middle phalangeal fractures (left) and complete disruption of the palmar/plantar soft-tissue support structures, resulting in significant palmar/plantar instability (right).
|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|