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.

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