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.
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.