Principles of Equine Osteosynthesis

by Fackelman, G. E.; Auer, J. A.; Nunamaker, David M.; Bramlage, L. R.; Markel, M. D.

• ISBN13: 9780865778269
• ISBN10: 0865778264
• Edition: CD
• Format: Hardcover
• Copyright: 1999-08-01
• Publisher: Thieme Medical Pub

Summary

The book contains all the latest and best information on large animal osteosynthesis.The CD-ROM gives you easy access to the full AO ASIF Knowledge Base. With simple mouseclicks you can switch from text to figures to animation and to the AO ASIF teaching videos. This is ideal for preoperative planning, allowing you to develop a surgical strategy by working with standardized bones and instruments presented on the screen.The World Wide Web can be accessed via mouseclick, allowing you to scan all current literature. Updates on specific issues are presented on dedicated internet homepage a www.aopublishing.com.

Table of Contents

Foreword	1	(5)
H. Rosen
Basic principles of fracture treatment	5	(6)
D.M. Nunamaker
Introduction	5	(1)
Surgical approaches	5	(1)
Precise anatomic reconstruction	6	(1)
Stable fixation	6	(1)
Soft tissue considerations	7	(1)
Functional rehabilitation	8	(1)
References	9	(2)
Online references	9	(2)
General techniques and biomechanics	11	(16)
D.M. Nunamaker
Screw fixation	11	(1)
Drilling and tapping holes in bone	11	(1)
Screw types	12	(4)
Cortex screws	12	(3)
Cancellous bone screws	15	(1)
Screw position	16	(1)
Plate fixation	17	(2)
Plate application	17	(1)
Self-compressing DCP	17	(2)
Tension device with DCP	19	(1)
Mechanics of plate fixation	19	(4)
Contouring and prebending	20	(2)
Plate luting	22	(1)
Cancellous bone grafting	23	(1)
Cerclage wire	24	(1)
References	24	(3)
Online references	24	(3)
Pre- and postoperative considerations	27	(8)
G. E. Fackelman
The day before surgery	27	(2)
The day of surgery	29	(2)
The day after surgery	31	(1)
Summary---Checklist	31	(1)
References	32	(3)
Online references	33	(2)
Mandible, maxilla and skull	35	(22)
J.A. Auer
Mandible and maxilla fractures	35	(15)
Etiology	35	(1)
Diagnosis	36	(1)
Preoperative management	36	(1)
Management options	37	(1)
Surgical procedures	37	(1)
Intraoral fixation techniques	37	(9)
Extraoral fixation techniques	46	(3)
Postoperative management	49	(1)
Complications	49	(1)
Prognosis	49	(1)
Skull fractures	50	(4)
Etiology	50	(1)
Diagnosis	50	(1)
Preoperative management	50	(1)
Surgical procedures	51	(3)
Postoperative management	54	(1)
Complications	54	(1)
References	54	(3)
Online references	55	(2)
Carpus	57	(8)
D.W. Richardson
Description	57	(1)
Surgical procedure	57	(5)
Postoperative treatment	62	(1)
Complications	62	(1)
Results	63	(1)
References	63	(2)
Online references	63	(2)
Metacarpals (-tarsals) two and four	65	(10)
G.E. Fackelman
Description	65	(1)
Surgical anatomy	66	(1)
Surgical procedure	67	(3)
Postoperative considerations	70	(1)
Complications	70	(1)
Results	71	(2)
References	73	(2)
Online references	73	(2)
Metacarpal(-tarsal) condyles	75	(10)
G.E. Fackelman
Description	75	(2)
Preoperative considerations	77	(1)
Surgical anatomy	77	(2)
Surgical procedure	79	(2)
Postoperative care	81	(1)
Results	81	(1)
References	82	(3)
Online references	82	(3)
Proximal sesamoids: screw fixation	85	(8)
D.W. Richardson
Description	85	(1)
Surgical anatomy	85	(1)
Surgical procedure---proximal to distal lag screw	86	(2)
Surgical procedure---distal to proximal lag screw	88	(2)
References	90	(3)
Online references	90	(3)
Proximal sesamoids: tension band wiring	93	(8)
D.W. Richardson
Description	93	(1)
Surgical procedure	93	(3)
Postoperative care	96	(1)
Complications	96	(1)
Results	96	(2)
References	98	(3)
Online references	98	(3)
Proximal phalanx: simple	101	(6)
L.R. Bramlage
Description	101	(1)
Preoperative considerations	102	(1)
Surgical anatomy	102	(1)
Surgical procedure	103	(2)
Postoperative treatment	105	(1)
Complications	105	(1)
Results	105	(1)
References	105	(2)
Online references	105	(2)
Proximal phalanx: comminuted	107	(8)
D.W. Richardson
Description	107	(1)
Preoperative considerations	107	(1)
Surgical anatomy	108	(1)
Surgical procedure	108	(4)
Postoperative considerations	112	(1)
Prognosis	112	(1)
References	113	(2)
Online references	113	(2)
Distal phalanx	115	(12)
G.E. Fackelman
Axial fractures	115	(6)
Description	115	(1)
Surgical anatomy	115	(2)
Surgical procedure	117	(2)
Postoperative treatment	119	(1)
Results	120	(1)
Complications	120	(1)
Abaxial fractures	121	(3)
Description	121	(1)
Surgical anatomy	122	(1)
Surgical procedure	122	(1)
Postoperative treatment	122	(1)
Results	122	(2)
Complications	124	(1)
References	124	(3)
Online references	124	(3)
Humerus	127	(32)
M.D. markel
Introduction	127	(1)
Fractures of the proximal humerus	128	(2)
Description	128	(1)
Preoperative consideration	128	(1)
Surgical anatomy	129	(1)
Surgical procedure	129	(1)
Postoperative treatment	129	(1)
Complications	129	(1)
Results	130	(1)
Mid-diaphyseal fractures of the humerus	130	(5)
Description	130	(1)
Preoperative considerations	130	(1)
Surgical anatomy	131	(1)
Surgical procedure	132	(1)
Postoperative treatment	133	(1)
Complications	133	(2)
Results	135	(1)
Distal metaphyseal condylar fractures of the humerus	135	(1)
Description	135	(1)
Preoperative considerations	135	(1)
Surgical anatomy	135	(1)
Surgical procedure	135	(1)
Postoperative treatment	136	(1)
Complications	136	(1)
Results	136	(1)
References	136	(3)
Online references	137	(2)
Radius
J.A. Auer
G.E. Fackelman
Description	139	(1)
Surgical anatomy	140	(2)
Surgical procedure	142	(11)
Adult horse	142	(9)
Foals	151	(2)
Postoperative treatment	153	(1)
Complications	154	(1)
Results	155	(1)
References	156	(3)
Online references	157	(2)
Ulna (olecranon): plate fixation	159	(12)
G.E. Fackelman
Description	159	(2)
Preoperative considerations	161	(1)
Surgical anatomy	161	(1)
Surgical procedure	162	(2)
Salter II fracture of the proximal ulna	162	(1)
Articular fractures involving the shaft	163	(1)
Postoperative treatment	164	(3)
Results	167	(1)
Complications	167	(1)
References	168	(3)
Online references	169	(2)
Ulna (olecranon): tension band wiring	171	(8)
D.W. Richardson
Fracture description	171	(1)
Preoperative considerations	171	(2)
Surgical anatomy	173	(1)
Surgical procedure	173	(3)
Wire alone (for fractures at or below the humeroradial joint level)	173	(1)
Pins and wire (for fractures proximal to the humeroradial joint)	174	(2)
Postoperative treatment	176	(1)
Prognosis	176	(1)
Complications	176	(1)
References	177	(2)
Online references	177	(2)
Metacarpal (-tarsal) shaft	179	(18)
J.A. Auer
Description	179	(1)
Conservative treatment	180	(1)
Surgical treatment	181	(1)
Surgical anatomy	181	(1)
Surgical procedure	182	(9)
Adult horses	182	(6)
Foals	188	(3)
Postoperative treatment	191	(1)
Complications	191	(3)
Results	194	(1)
References	194	(3)
Online references	195	(2)
Femur	197	(12)
L.R. Bramlage
G.E. Fackelman
Proximal femoral physeal fracture	197	(3)
Description	197	(1)
Preoperative considerations	197	(1)
Surgical anatomy	197	(1)
Surgical procedure	197	(2)
Postoperative treatment	199	(1)
Complications	199	(1)
Results	200	(1)
Diaphyseal and distal metaphyseal fractures	200	(7)
Description	200	(1)
Preoperative considerations	200	(1)
Surgical procedure	201	(3)
Postoperative treatment	204	(1)
Complications	204	(1)
Results	205	(2)
References	207	(2)
Online references	207	(2)
Tibia	209	(12)
L.R. Bramlage
G.E. Fackelman
Proximal physeal fracture	209	(3)
Preoperative considerations	209	(1)
Surgical anatomy	210	(1)
Surgical procedure	210	(1)
Reduction	210	(1)
Postoperative treatment	211	(1)
Complications	211	(1)
Results	212	(1)
Diaphyseal fractures	212	(7)
Preoperative considerations	212	(3)
Surgical procedure	215	(2)
Postoperative treatment	217	(1)
Results	218	(1)
References	219	(2)
Online references	219	(2)
Proximal interphalangeal arthrodesis: screw fixation	221	(12)
J.A. Auer
Description	221	(1)
Surgical anatomy	221	(1)
Surgical procedure	222	(7)
Postoperative treatment	229	(1)
Complications	229	(1)
Results	230	(1)
References	230	(3)
Online references	231	(2)
Proximal interphalangeal arthrodesis: plate fixation	233	(8)
G.E. Fackelman
Description	233	(1)
Preoperative considerations	233	(1)
Surgical anatomy	234	(1)
Surgical procedure	234	(2)
Postoperative treatment	236	(1)
Complications	236	(1)
Results	237	(1)
References	237	(4)
Online references	239	(2)
Metacarpophalangeal arthrodesis	241	(16)
J.A. Auer
G.E. Fackelman
Description	241	(1)
Preoperative considerations	242	(1)
Surgical procedure-DCP	242	(4)
Surgical procedure-DHS	246	(2)
Postoperative care	248	(2)
Complications	249	(1)
Results	250	(4)
References	254	(3)
Online references	255	(2)
Carpal arthrodesis	257	(12)
J.A. Auer
Description	257	(1)
Surgical anatomy	258	(1)
Surgical procedure-pancarpal arthrodesis	258	(4)
Surgical procedure-partial carpal arthrodesis	262	(2)
Postoperative treatment	264	(1)
Complications	265	(1)
Prognosis	265	(1)
References	266	(3)
Online references	266	(3)
Small tarsal joint arthrodesis	269	(12)
B. von Salis
J.A. Auer
G.E. Fackelman
Introduction	269	(2)
Preoperative considerations	271	(1)
Surgical anatomy	271	(1)
Surgical procedure	272	(5)
Postoperative treatment	277	(1)
Results	278	(1)
Complications	278	(1)
References	279	(2)
Online references	279	(2)
Carpal and tarsal deviations	281	(22)
J.A. Auer
G.E. Fackelman
Introduction	281	(1)
History and diagnosis	282	(2)
Surgical treatment-Radius	284	(12)
Description	284	(1)
Surgical anatomy	284	(1)
Surgical procedure	285	(6)
Postoperative treatment	291	(4)
Complications	295	(1)
Prognosis	296	(1)
Tarsal deviations	296	(4)
Description	296	(1)
Surgical anatomy	296	(1)
Surgical procedure	296	(3)
Postoperative treatment	299	(1)
Complications	299	(1)
Prognosis	299	(1)
References	300	(3)
Online references	300	(3)
Metacarpophalangeal/metatarsophalangeal deviations	303	(20)
J.A. Auer
G.E. Fackelman
General description	303	(5)
Surgical anatomy	304	(1)
Surgical procedure	305	(1)
Postoperative care	306	(1)
Complications	306	(1)
Prognosis	307	(1)
Metacarpophalangeal/metatarsophalangeal deviations	308	(5)
Description	308	(1)
Surgical anatomy	308	(1)
Surgical procedure	309	(3)
Postoperative treatment	312	(1)
Complications	312	(1)
Prognosis	312	(1)
Corrective osteotomies	313	(1)
Closing wedge ostectomy	313	(1)
Dome osteotomy	313	(1)
Step ostectomy/osteotomy	314	(6)
Description	314	(1)
Surgical anatomy	315	(1)
Surgical technique	316	(2)
Postoperative treatment	318	(1)
Complications	319	(1)
Prognosis	320	(1)
References	320	(3)
Online references	321	(2)
Bone graft biology and autogenous grafting	323	(10)
G.E. Fackelman
J.A. Auer
Basic biology	323	(2)
Autogenous bone grafts	325	(1)
Tuber coxae	326	(1)
Surgical procedure	326	(1)
Sternum	327	(2)
Surgical procedure	327	(2)
Proximal tibia	329	(1)
Surgical procedure	329	(1)
Postoperative treatment	329	(1)
Complications	329	(1)
Results	330	(1)
References	330	(3)
Online references	331	(2)
Allogeneic grafts and bone substitutes	333	(18)
J.A. Auer
G.E. Fackelman
Description	333	(1)
Surgical procedure	333	(3)
Complications	336	(1)
Results	336	(1)
Bone substitutes	336	(11)
Hydroxyapatite (HA)	338	(1)
Tricalcium phosphate (TCP)	339	(7)
Inorganic bovine bone	346	(1)
General considerations	347	(1)
Complications	347	(1)
Granules	347	(1)
Blocks	347	(1)
References	347	(4)
Online references	349	(2)
Fracture documentation	351	(32)
G.E. Fackelman
J.A. Auer
J.C. Norris
AO EqFx 4.0 user guide	351	(5)
Installation	351	(1)
Starting the application	351	(1)
Setting preferences	351	(1)
EqFx ``pages''	352	(1)
Navigating among EqFx pages	352	(1)
Page 2: The fracture classification page	353	(1)
Follow-up records	353	(1)
Adding and deleting cases	354	(1)
Navigating among cases	354	(1)
Organizing EqFx cases	355	(1)
Reporting EqFx data	355	(1)
Exporting and importing EqFx cases	355	(1)
Appendix A: Keyboard shortcuts	356	(1)
Appendix B: Exercise induced fracture codes	357	(8)
Appendix C: Long bone fracture codes	365	(16)
Online references	381	(2)
Index	383	(5)
List of authors	388	(2)
How to use the electronic book	390