Executive Editor: Jörg Auer

Authors: Lawrence Bramlage, Alan Ruggles, Jörg Auer, Jeffrey Watkins, Patricia Hogan

Phalanges

back to skeleton

Glossary

Lateral recumbency

The horse is placed in lateral recumbency with the affected limb uppermost.

Surgical preparation for ALD

The animal is anesthetized and positioned in lateral recumbency on the surgery table with the surgical site up (in a varus deformity the affected limb is up, in a valgus deformity it is down).
If the deformity is bilateral, the animal is best positioned in dorsal recumbency on the surgery table, which allows performance of both surgical interventions without turning the patient over.
The affected region(s) is/are clipped and prepared for aseptic surgery. The entire animal is covered with a drape and a window is cut in the drape over the surgical site(s).

Preparation for osteotomies

The patient is positioned in lateral recumbency. Placement of the limb up or down is determined by the configuration of the osteotomy needed. This is determined from the preoperative planning.

Surgical preparation for P2

Preparation for surgery of middle phalangeal fractures and injuries

Surgical preparation for P3

Preparation for surgery of distal phalangeal fractures and injuries and fractures of the distal sesamoid bone

Preparation proximal sesamoids

Preparation for surgery of fractures of the proximal sesamoid bones

Preparation for arthrodesis

The horse is placed in lateral recumbency with the effected limb up.
For the traumatic indications of a fetlock arthrodesis, a tourniquet should never be used because of the vascular damage caused.

v1.3 2013-11-20