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Table of contents

Foreword —H. Rosen

Basic principles of fracture treatment —D.M. Nunamaker

1.1 Introduction

1.2 Surgical approaches

1.3 Precise anatomic reconstruction

1.4 Stable fixation

1.5 Soft tissue considerations

1.6 Functional rehabilitation

1.7 References

1.7.1 Online references

General techniques and biomechanics —D.M. Nunamaker

2.1 Screw fixation

2.1.1 Drilling and tapping holes in bone

2.2 Screw types

2.2.1 Cortex screws

2.2.2 Cancellous bone screws

2.3 Screw position

2.4 Plate fixation

2.4.1 Plate application

2.4.2 Self-compressing DCP

2.4.3 Tension device with DCP

2.5 Mechanics of plate fixation

2.5.1 Contouring and prebending

2.5.2 Plate luting

2.6 Cancellous bone grafting

2.7 Cerclage wire

2.8 References

2.8.1 Online references

Pre- and postoperative considerations —G.E. Fackelman

3.1 The day before surgery

3.2 The day of surgery

3.3 The day after surgery

3.4 Summary—Checklist

3.5 References

3.5.1 Online references

Mandible, maxilla and skull —J.A. Auer

4.1 Mandible and maxilla fractures

4.1.1 Etiology

4.1.2 Diagnosis

4.1.3 Preoperative management

4.1.4 Management options

4.1.5 Surgical procedures

4.1.5.1 Intraoral fixation techniques

4.1.5.2 Extraoral fixation techniques

4.1.6 Postoperative management

4.1.7 Complications

4.1.8 Prognosis

4.2 Skull fractures

4.2.1 Etiology

4.2.2 Diagnosis

4.2.3 Preoperative management

4.2.4 Surgical procedures

4.2.5 Postoperative management

4.2.6 Complications

4.3 References

4.3.1 Online references

Carpus —D.W. Richardson

5.1 Description

5.2 Surgical procedure

5.3 Postoperative treatment

5.4 Complications

5.5 Results

5.6 References

5.6.1 Online references

Metacarpals (-tarsals) two and four —G.E. Fackelman

6.1 Description

6.2 Surgical anatomy

6.3 Surgical procedure

6.4 Postoperative considerations

6.4.1 Complications

6.5 Results

6.6 References

6.6.1 Online references

Metacarpal(-tarsal) condyles —G.E. Fackelman

7.1 Description

7.2 Preoperative considerations

7.3 Surgical anatomy

7.4 Surgical procedure

7.5 Postoperative care

7.6 Results

7.7 References

7.7.1 Online references

Proximal sesamoids: screw fixation —D.W. Richardson

8.1 Description

8.2 Surgical anatomy

8.3 Surgical procedure—proximal to distal lag screw

8.4 Surgical procedure—distal to proximal lag screw

8.5 References

8.5.1 Online references

Proximal sesamoids: tension band wiring —D.W. Richardson

9.1 Description

9.2 Surgical procedure

9.3 Postoperative care

9.4 Complications

9.5 Results

9.6 References

9.6.1 Online references

Proximal phalanx: simple —L.R. Bramlage

10.1 Description

10.2 Preoperative considerations

10.3 Surgical anatomy

10.4 Surgical procedure

10.5 Postoperative treatment

10.6 Complications

10.7 Results

10.8 References

10.8.1 Online references

Proximal phalanx: comminuted —D.W. Richardson

11.1 Description

11.2 Preoperative considerations

11.3 Surgical anatomy

11.4 Surgical procedure

11.5 Postoperative considerations

11.6 Prognosis

11.7 References

11.7.1 Online references

Distal phalanx —G.E. Fackelman

12.1 Axial fractures

12.1.1 Description

12.1.2 Surgical anatomy

12.1.3 Surgical procedure

12.1.4 Postoperative treatment

12.1.5 Results

12.1.6 Complications

12.2 Abaxial fractures

12.2.1 Description

12.2.2 Surgical anatomy

12.2.3 Surgical procedure

12.2.4 Postoperative treatment

12.2.5 Results

12.2.6 Complications

12.3 References

12.3.1 Online references

Humerus —M.D. Markel

13.1 Introduction

13.2 Fractures of the proximal humerus

13.2.1 Description

13.2.2 Preoperative consideration

13.2.3 Surgical anatomy

13.2.4 Surgical procedure

13.2.5 Postoperative treatment

13.2.6 Complications

13.2.7 Results

13.3 Mid-diaphyseal fractures of the humerus

13.3.1 Description

13.3.2 Preoperative considerations

13.3.3 Surgical anatomy

13.3.4 Surgical procedure

13.3.5 Postoperative treatment

13.3.6 Complications

13.3.7 Results

13.4 Distal metaphyseal condylar fractures of the humerus

13.4.1 Description

13.4.2 Preoperative considerations

13.4.3 Surgical anatomy

13.4.4 Surgical procedure

13.4.5 Postoperative treatment

13.4.6 Complications

13.4.7 Results

13.5 References

13.5.1 Online references

Radius —J.A. Auer & G.E. Fackelman

14.1 Description

14.2 Surgical anatomy

14.3 Surgical procedure

14.3.1 Adult horse

14.3.2 Foals

14.4 Postoperative treatment

14.5 Complications

14.6 Results

14.7 References

14.7.1 Online references

Ulna (olecranon): plate fixation —G.E. Fackelman

15.1 Description

15.2 Preoperative considerations

15.3 Surgical anatomy

15.4 Surgical procedure

15.4.1 Salter II fracture of the proximal ulna

15.4.2 Articular fractures involving the shaft

15.5 Postoperative treatment

15.6 Results

15.7 Complications

15.8 References

15.8.1 Online references

Ulna (olecranon): tension band wiring —D.W. Richardson

16.1 Fracture description

16.2 Preoperative considerations

16.3 Surgical anatomy

16.4 Surgical procedure

16.4.1 Wire alone (for fractures at or below the humeroradial joint level)

16.4.2 Pins and wire (for fractures proximal to the humeroradial joint)

16.5 Postoperative treatment

16.6 Prognosis

16.7 Complications

16.8 References

16.8.1 Online references

Metacarpal (-tarsal) shaft —J.A. Auer

17.1 Description

17.2 Conservative treatment

17.3 Surgical treatment

17.3.1 Surgical anatomy

17.4 Surgical procedure

17.4.1 Adult horses

17.4.2 Foals

17.5 Postoperative treatment

17.6 Complications

17.7 Results

17.8 References

17.8.1 Online references

Femur —L.R. Bramlage & G.E. Fackelman

18.1 Proximal femoral physeal fracture

18.1.1 Description

18.1.2 Preoperative considerations

18.1.3 Surgical anatomy

18.1.4 Surgical procedure

18.1.5 Postoperative treatment

18.1.6 Complications

18.1.7 Results

18.2 Diaphyseal and distal metaphyseal fractures

18.2.1 Description

18.2.2 Preoperative considerations

18.2.3 Surgical procedure

18.2.4 Postoperative treatment

18.2.5 Complications

18.2.6 Results

18.3 References

18.3.1 Online references

Tibia —L.R. Bramlage & G.E. Fackelman

19.1 Proximal physeal fracture

19.1.1 Preoperative considerations

19.1.2 Surgical anatomy

19.1.3 Surgical procedure

19.1.4 Reduction

19.1.5 Postoperative treatment

19.1.6 Complications

19.1.7 Results

19.2 Diaphyseal fractures

19.2.1 Preoperative considerations

19.2.2 Surgical procedure

19.2.3 Postoperative treatment

19.2.4 Results

19.3 References

19.3.1 Online references

Proximal interphalangeal arthrodesis: screw fixation —J.A. Auer

20.1 Description

20.2 Surgical anatomy

20.3 Surgical procedure

20.4 Postoperative treatment

20.5 Complications

20.6 Results

20.7 References

20.7.1 Online references

Proximal interphalangeal arthrodesis: plate fixation —G.E. Fackelman

21.1 Description

21.2 Preoperative considerations

21.3 Surgical anatomy

21.4 Surgical procedure

21.5 Postoperative treatment

21.6 Complications

21.7 Results

21.8 References

21.8.1 Online references

Metacarpophalangeal arthrodesis —J.A. Auer & G.E. Fackelman

22.1 Description

22.2 Preoperative considerations

22.3 Surgical procedure—DCP

22.4 Surgical procedure—DHS

22.5 Postoperative care

22.5.1 Complications

22.6 Results

22.7 References

22.7.1 Online references

Carpal arthrodesis —J.A. Auer

23.1 Description

23.2 Surgical anatomy

23.3 Surgical procedure—pancarpal arthrodesis

23.4 Surgical procedure—partial carpal arthrodesis

23.5 Postoperative treatment

23.5.1 Complications

23.6 Prognosis

23.7 References

23.7.1 Online references

Small tarsal joint arthrodesis —B. von Salis, J.A. Auer & G.E. Fackelman

24.1 Introduction

24.2 Preoperative considerations

24.3 Surgical anatomy

24.4 Surgical procedure

24.5 Postoperative treatment

24.6 Results

24.7 Complications

24.8 References

24.8.1 Online references

Carpal and tarsal deviations —J.A. Auer & G.E. Fackelman

25.1 Introduction

25.2 History and diagnosis

25.3 Surgical treatment—Radius

25.3.1 Description

25.3.2 Surgical anatomy

25.3.3 Surgical procedure

25.3.4 Postoperative treatment

25.3.5 Complications

25.3.6 Prognosis

25.4 Tarsal deviations

25.4.1 Description

25.4.2 Surgical anatomy

25.4.3 Surgical procedure

25.4.4 Postoperative treatment

25.4.5 Complications

25.4.6 Prognosis

25.5 References

25.5.1 Online references

Metacarpophalangeal/metatarsophalangeal deviations —J.A. Auer & G.E. Fackelman

26.1 General description

26.1.1 Surgical anatomy

26.1.2 Surgical procedure

26.1.3 Postoperative care

26.1.4 Complications

26.1.5 Prognosis

26.2 Metacarpophalangeal/metatarsophalangeal deviations

26.2.1 Description

26.2.2 Surgical anatomy

26.2.3 Surgical procedure

26.2.4 Postoperative treatment

26.2.5 Complications

26.2.6 Prognosis

26.3 Corrective osteotomies

26.3.1 Closing wedge ostectomy

26.3.2 Dome osteotomy

26.4 Step ostectomy/osteotomy

26.4.1 Description

26.4.2 Surgical anatomy

26.4.3 Surgical technique

26.4.4 Postoperative treatment

26.4.5 Complications

26.4.6 Prognosis

26.5 References

26.5.1 Online references

Bone graft biology and autogenous grafting —G.E. Fackelman & J.A. Auer

27.1 Basic biology

27.2 Autogenous bone grafts

27.3 Tuber coxae

27.3.1 Surgical procedure

27.4 Sternum

27.4.1 Surgical procedure

27.5 Proximal tibia

27.5.1 Surgical procedure

27.6 Postoperative treatment

27.7 Complications

27.8 Results

27.9 References

27.9.1 Online references

Allogeneic grafts and bone substitutes —J.A. Auer & G.E. Fackelman

28.1 Description

28.2 Surgical procedure

28.3 Complications

28.4 Results

28.5 Bone substitutes

28.5.1 Hydroxyapatite (HA)

28.5.2 Tricalcium phosphate (TCP)

28.5.3 Inorganic bovine bone

28.6 General considerations

28.7 Complications

28.7.1 Granules

28.7.2 Blocks

28.8 References

28.8.1 Online references

Fracture documentation —G.E. Fackelman, J.A. Auer & J.C. Norris

29.1 AO EqFx 4.0 user guide

29.1.1 Installation

29.1.2 Starting the application

29.1.3 Setting preferences

29.1.4 EqFx “pages”

29.1.5 Navigating among EqFx pages

29.1.6 Page 2: The fracture classification page

29.1.7 Follow-up records

29.1.8 Adding and deleting cases

29.1.9 Navigating among cases

29.1.10 Organizing EqFx cases

29.1.11 Reporting EqFx data

29.1.12 Exporting and importing EqFx cases

29.2 Appendix A: Keyboard shortcuts

29.3 Appendix B: Exercise induced fracture codes

29.4 Appendix C: Long bone fracture codes

29.5 Online references

Index

List of authors

How to use the electronic book

Principles of Equine Osteosynthesis: Book & CD-ROM

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