The treatment of distal metacarpus fracture with locking compression plate in calves

In this study, we aimed to evaluate the effect of locking compression plates for the treatment of distal metacarpal fractures in calves. The metacarpus was stabilized using a stainless steel locking compression plate with fully threaded locking head screws. The calves started weight-bearing partially after the first postoperative day and resumed complete weight-bearing after day 10. Callus formation was obtained at the end of the 3rd week and completed at the end of the 8th week, and complete healing was seen at the 12th week in radiographs. The limbs were in good alignment, the calves were fully weight-bearing, and client satisfaction was very high. The metacarpal length, diameter of cortex, and diameter of medulla were measured in fractured and nonfractured metacarpi at the 1st, 45th, 120th, and 365th postoperative days. In conclusion, as the characteristics of juvenile bones do not provide sufficient physical strength for implants, we decided that locking compression plates are associated with good prognosis for surgical repair of distal metacarpal fractures in newborn calves.

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1. Tulleners EP. Metacarpal and metatarsal fractures in dairy cattle: 33 cases (1979-1985). J Am Vet Med Assoc 1986; 189: 463468.
2. Ferguson JG. Management and repair of bovine fractures. Comp Con Edu Pract Vet 1982; 4: 128136.
3. Köstlin RG, Nuss K, Elma E. Metacarpal and metatarsal fractures in cattle: treatment and results. Tierarztl Prax 1990; 18: 131144.
4. Görgül OS, Seyrek-İntaş D, Çelimli N, Çeçen G, Salcı H, Akın İ. Buzağılarda kırık olgularının değerlendirilmesi: 31 olgu (1996-2003). Vet Cer Derg 2004; 10: 1620 (in Turkish).
5. Firet O. Kliniğimize getirilen buzağılarda karşılaştığımız kırık olguları ve sağaltım olanakları. MSc, Adnan Menderes University, Aydın, Turkey, 2008 (in Turkish).
6. Elma E. Frakturen beim rind. Behandlung und Ergebnisse in den Jahren 19701987. Dissertation, Veterinärmedizinische Universität, Munich, Germany, 1988 (in German).
7. Aithal HP, Amarpal P, Pawde AM, Singh GR, Hoque M. Management of fractures near the carpal joint of two calves by trans articular fixation with a circular external fixator. Vet Rec 2007; 161: 193198.
8. Turner AS. Large animal orthopedics. In: Jennings PB, editor. Practice of Large Animal Surgery. 1st ed. Philadelphia, PA, USA: Saunders; 1984. pp. 816825.
9. Vachon A, De Bowes R. Internal fixation of a proximal metatarsal fracture in a calf. J Am Vet Med Assoc 1987; 191: 14651467.
10. Martens A, Steenhaut M, Gasthuys F, De Cupere C, De Moor A, Verschooten F. Conservative and surgical treatment of tibial fractures in cattle. Vet Rec 1998; 143: 1216.
11. Prabhakar V, Raghunath M, Singh SS, Mohindroo J, Singh T, Verma P. Clinical management of metacarpal and metatarsal fractures in two buffalo-calves. Intas Polivet 2012; 13: 395398.
12. Arıcan M, Esin E, Erol H. Evaluation of calves with fracture and result of intramedullary pinning: 72 cases. In: Proceedings of the 25th World Buiatrics Congress. Budapest, Hungary: WBC; 2008. pp. 255256.
13. Aksoy Ö, Özaydın İ,Kılıç E Öztürk S, Güngör E, Kurt B, Oral H. Evaluation of fractures in calves due to forced extraction during dystocia: 27 cases (2003-2008). Kafkas Üniv Vet Fak Derg 2009;15: 339344.
14. Steiner A. Management of metacarpal, metatarsal, radial and tibial fractures in calves. In: Proceedings of the 9th Annual European Society of Veterinary Orthopaedics and Traumatology Congress. Munich, Germany: ESVOT; 1998. pp. 9596.
15. Auer JA, Watkins JP. Treatment of radial fractures in adult horses: an analysis of 15 clinical cases. Equine Vet J 1987; 19: 103110.
16. Bramlage LR, Fackelman GE. Tibia. In: Fackelman GE, Auer JA, Nunamaker DM, editors. AO Principles of Equine Osteosynthesis. New York, NY, USA: Thieme; 2000. pp. 209219.
17. Rakestraw PC, Nixon AJ, Kaderly RE, Ducharme NG. Cranial approach to the humerus for repair of fractures in horses and cattle. Vet Surg 1991; 20: 18.
18. Trostle SS, Wilson DG, Hanson PD, Brown C. Management of a radial fracture in an adult bull. J Am Vet Med Assoc 1995; 206: 19171919.
19. Vijaykumar DS, Nigam JM, Singh AP, Chawla SK. Experimental studies on fracture repair of the tibia in the bovine. J Vet Orthop 1983; 3: 612.
20. Steiner A, Iselin U, Auer JA, Lischer C. Physeal fractures of the metacarpus and metatarsus in cattle. Vet Comp Orthop Traumatol 1993; 6: 131137.
21. Steiner A, Iselin U, Auer JA, Lischer C. Shaft fractures of metacarpus and metatarsus in cattle. Vet Comp Orthop Traumatol 1993; 6: 138145.
22. Patel TP, Mistry JN, Patel PB, Panchal KN, Gami MS. Clinical and radiographic evaluation of tibia fracture management using intramedullary pinning - a study in three calves. Intas Polivet 2012; 13: 435439.
23. Tyagi RPS, Gill BS. A study on the fracture repair and management of long bones in large animals by internal fixation. Ind Vet J 1972; 49: 592598.
24. Denny HR, Sridhar B, Weaver BM, Waterman A. The management of bovine fractures: a review of 59 cases. Vet Rec 1988; 123: 289295.
25. Uhthoff HK, Poitras P, Backman DS. Internal plate fixation of fracture: short history and recent developments. J Orthop Sci 2006; 11: 118126.
26. Faleiros Resende R, De Marval Alexandre C, Alves Silveira G, Carvalho Tadeu Carvalho W, Rodrigues Brito L, Leal Boock B, Las Casas Barbosa E. Humeral osteosynthesis in calves using a polymeric interlocking nail. In: Proceedings of the 27th World Buiatrics Congress. Lisbon, Portugal: WBC; 2012. p. 79.
27. Getty R, Sisson S, Daniels Grossman J. Sisson and Grossmans The Anatomy of the Domestic Animals. 5th ed. Philadelphia, PA, USA: Saunders; 1975.
28. Akeson WH, Woo SL, Rutherford L, Coutts RD, Gonsalves M, Amiel D. The effects of rigidity of internal fixation plates on long bone remodeling. A biomechanical and quantitative histological study. Acta Orthop Scand 1976; 47: 241249.
29. Janes GC, Collopy DM, Price R, Sikorski JM. Bone density after rigid plate fixation of tibial fractures: a dual- energy x-ray absorptiometry study. J Bone Joint Surg Br 1993; 75: 914917.
30. Steiner A, Hirsbrunner G, Geissbühler U. Management of malunion of metacarpus III/IV in two calves. Zentralbl Veterinarmed A 1996; 9: 561571.