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4Closure of the hoof wall

Abaxial articular fracture of the distal phalanx - screw fixation

The rest of the hole is filled with antibiotic-impregnated polymethylmethacrylate (PMMA). The edges are sealed with cyanoacrylate glue. If desired a Kevlar® strip can be glued over the top followed by non-adhesive tape covered.