Page 33 - Manual of Equine Field Surgery
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Emergency  Management  of the  Fracture  Patient                                                              29







                            ture  configuration,  and  the  availability  of a well-                                                                   splint  (Figure  4-11).  The  splint  provides  a  quick


                            equipped  surgical facility.  The  goal of initial sta-                                                                    and  easily  applied  support;  however,  it  may


                           bilization  is  to  ensure  that  the  horse  reaches  the                                                                  provide  less  rigid  support  than  a  tightly  placed


                           referral  center  in  the  best  possible  condition,                                                                       splint-cast  combination.P


                           while minimizing  additional  injuries  to soft tissue




                           and  fractured  bones  during  transportation.1•2•8
                                                                                                                                                       COMMENTS






                           ALTERNATIVE  PROCEDURES                                                                                                     Ioint luxations  present similar  to tra11matic  unsta-



                                                                                                                                                      ble fractures  and warrant  immediate  stabilization


                           A  commercially  available  manufactured  metal                                                                            following the same  described  principles.



                           splint,  «Kimzey  Leg  Saver"  (Kimzey  Welding


                           Works, Woodland,  Calif.), provides  adequate  sta-


                           bilization  for section  1  fractures  in both  forelimbs                                                                  REFERENCES


                           and  hind  limbs.  Care  should  be  taken  to  ade-


                           quately  cushion  the  most  proximal  aspect  of the                                                                       1.  Bramlage LR:  Current  concepts  of emergency  first


                                                                                                                                                             aid treatment and transportation of equine fracture


                                                                                                                                                            patients,  Comp  Cont Educ  5:S564,  1983.


                                                                                                                                                      2.  Bramlage  LR:  First  aid  and  transportation  of frac-


                                                                                                                                                             ture  patients.  I11  Nixon  AJ,  editor:  Equine  fracture


                                                                                                                                                             repair, Philadelphia,  1996, WB Saunders.

                                                                                                                                                       3.  Young DR, Kobluk CN:  Diseases of bone. In Kobluk


                                                                                                                                                             CN, Ames TR, Gear  RJ,  editors:  The  horse:  diseases


                                                                                                                                                             and  clinical  management,  Philadelphia,  1995,  WB


                                                                                                                                                             Saunders.


                                                                                                                                                       4.  Auer  JA,  Bramlage  LR:  Emergency  care  and  trans-

                                                                                                                                                             portation  of the  fracture  patient.  In  Calahan  PT,


                                                                                                                                                             Mayhew IG, Merritt AM, Moore JN, editors:  Equine


                                                                                                                                                             medicine  and  surgery,  ed 5, St Louis, 1999, Mosby.


                                                                                                                                                       5.  Bramlage  LR:  Emergency  first  aid  treatment


                                                                                                                                                             and  transportation  of equine  fracture  patients.  In


                                                                                                                                                             Auer  JA,  Stick  JA,  editors:  Equine  surgery,  ed  2,

                                                                                                                                                             Philadelphia,  1999, WB Saunders.


                                                                                                                                                       6.  Mcllwraith  CW, Orsini JA:  Musculoskeletal system.


                                                                                                                                                             In  Orsini  JA,  Divers  TJ,  editors:  Manual  of  equine


                                                                                                                                                             emergencies:  treatment  and  procedures,  ed  2,  Phil-


                                                                                                                                                             adelphia,  2003, WB Saunders.
                                                    '··"··"  ..  .

                           Figure  4-11  An alternative way to stabilize section  1                                                                    7.  Walmsley J: Emergency management  of fractures in

                           fractures  and  luxations  is  by  use  of  a  commercially                                                                       horses, In Practice  21:122,  1999.


                           available manufactured  metal splint, the "Leg Saver" by                                                                    8.  Whitton  RC:  Temporary  splinting  of fractures.  In


                           Kimzey. ( Courtesy  Kimzey Welding Works, Woodland,                                                                               Rose  RJ,  Hodgson  DR,  editors:  Manual  of  equine


                           Calif.)                                                                                                                          practice,  ed 2, Philadelphia,  2000, WB Saunders.
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