Diagnosis and standing repair of a proximal metatarsal fracture in a racing Thoroughbred.

Keywords: horse; fracture; scintigraphy; standing surgery; racehorse EN horse fracture scintigraphy standing surgery racehorse 255 257 3 04/06/20 20200501 NES 200501 The case report by Cillán-García and colleagues published in this issue (Cillán-García I et al i . Conversely, the identification of a fracture on repeat radiography may have necessitated travelling the horse for surgical treatment at this later date, at which stage catastrophic fracture progression would be more likely. Treatment of the reported fracture by internal fixation is optimal to provide rigid stabilisation, interfragmentary compression and to minimise the risk of fracture propagation and secondary tarsometatarsal osteoarthritis. Fracture configuration, temperament of the animal, a surgeon experienced in fracture repair and a competent surgical team are all vital components of successful standing fracture repair. [Extracted from the article]