Phalanges

Lateral approach (prox. phalanx)

The standard lateral approach can be used for sagittal fractures of the proximal phalanx. The incision starts at the level of the fetlock joint and extends as far distally as necessary for insertion of the appropriate number of screws.

Curved approach (prox. phalanx)

This approach can be used for open reduction and internal fixation of comminuted fractures with a medial intact strut of bone or for transverse body fractures repaired with double-plating.

Dorsal approach (prox. phalange)

The dorsal approach is used for fractures of the distal proximal phalanx and the proximal middle phalanx, infections and pastern arthrodesis.
It exposes the proximal interphalangeal joint surfaces and the dorsal proximal aspect of the middle phalanx and the distal dorsal surface of the proximal phalanx.

Approach to the fetlock joint

Since the fetlock joint will not fully open in any position, the collateral ligament is detached using an iatrogenic condylar fracture, which is created with a bone saw.

Note: An alternate technique involves the transection of the lateral collateral - and the metacarposesamoidean ligament, instead of the iatrogenic condylar fracture.