Executive Editor: Jörg Auer

Authors: Jörg Auer

Phalanges Distal phalanx, Solar margin

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Glossary

1 Preparation top

Solar margin fracture of the distal phalanx - fragment removal enlarge

Local anesthesia

A  medial and lateral palmar/plantar nerve block is applied at the level of the proximal sesamoid bone.


Solar margin fracture of the distal phalanx - fragment removal enlarge

Hoof preparation

The involved foot is picked up and thoroughly cleaned.

With the appropriate preparation and draping of the surgical site, this procedure is performed with the patient placed in lateral recumbency

2 Fragment removal top

Solar margin fracture of the distal phalanx - fragment removal enlarge

The solar margin in the fracture region or around the draining tract if there is one is thinned with a “clean” hoof knife layer for layer until the fragment is encountered.


Solar margin fracture of the distal phalanx - fragment removal enlarge

The fragment is identified, isolated, and removed.


Solar margin fracture of the distal phalanx - fragment removal enlarge

The fracture bed and surrounding bone is carefully curetted. All undermined sole, if present, is removed down to healthy sole/bone.


Solar margin fracture of the distal phalanx - fragment removal enlarge

A postoperative radiograph is taken to assure complete removal of the/all fragment(s).

If possible follow-up pictures are taken.

v1.3 2013-11-20