Читать книгу Fractures in the Horse - Группа авторов - Страница 148

Complete, non‐displaced fractures can also heal with conservative management. This involves secondary bone healing, but the time to pain relief, radiographic healing and return to work are often unpredictable. Complete, non‐displaced fractures are often best treated surgically to better assure quality and timing of healing. Interfragmentary compression can result in reduced pain, enhanced stability and direct bone healing, producing a more predictable outcome. Delayed surgical repair is sometimes undertaken if an initial conservative approach proves unsuccessful. In this situation, the presence of fibrous, fibrocartilaginous, cartilaginous tissue or even woven bone in and/or around the fracture gap usually makes complete compression impossible. Some form of gap healing must occur, but increased stability provided by internal fixation stimulates and enhances the process.