Davos Courses

Executive Editor: Jörg Auer

Authors: Jeffrey Watkins

Phalanges Middle phalanx, Biaxial eminence

back to skeleton

Glossary

Double-plate fixation
Main indication Skill Equipment
Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources


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).

*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

v1.3 2013-11-20