Fixation of a scapular body fracture in a 5 month old foal using three 4.5/5.0 mm locking compression plates.
Authors: Miyakoshi Daisuke, Higuchi Tohru, Ikeda Hiroki, Sato Masato, Yoshimura Seiji
Journal: Veterinary surgery : VS
Summary
Scapular body fractures in foals present significant surgical challenges due to the complexity of the shoulder joint and the difficulty of achieving stable fixation in young animals. This case report documents the management of a 5-month-old Thoroughbred colt with a displaced, comminuted transverse scapular fracture using three 4.5/5.0 mm locking compression plates (LCPs) combined with multiple screw types (6.5 mm cancellous, 4.5 mm cortex, and 5.0 mm locking head) to achieve rigid fixation; implants were removed after just 2 months, suggesting rapid bony union. Although a surgical site infection developed 3 days post-operatively and required 15 days of daily lavage to resolve, the colt achieved sound movement by 3 months and was subsequently turned out to pasture, returning successfully to training as a flat racehorse within 12 months. For farriers, veterinarians and physiotherapists working with young performance horses, this case demonstrates that aggressive multi-plate fixation techniques can facilitate early return to function even in complex scapular injuries, though practitioners should remain vigilant for post-operative infection and coordinate closely with the surgical team regarding rehabilitation protocols. The LCP approach merits consideration as a viable option for managing scapular body fractures in foals and small equines where conservative management might otherwise result in permanent lameness or unsoundness.
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Practical Takeaways
- •Locking compression plates offer a viable surgical option for scapular body fractures in young horses, with potential for return to athletic function
- •Monitor closely for surgical site infection in the immediate post-operative period; daily lavage can effectively resolve infection without compromising fracture repair
- •Early aggressive fixation of comminuted scapular fractures may enable faster return to weight-bearing and training than conservative management
Key Findings
- •Three 4.5/5.0 mm locking compression plates successfully repaired an unstable comminuted transverse scapular body fracture in a 5-month-old foal
- •Post-operative surgical site infection resolved with daily lavage within 15 days of surgery
- •Foal achieved soundness by 3 months post-operatively and returned to racing training by 1 year