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Short-and Long-Term Outcomes of Pelvic Fractures in 136 Thoroughbreds (2000-2010)
S.T. Peters, A.J. Ruggles, L.R...
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Pelvic fractures in Thoroughbreds have a good prognosis. Acetabular involvement, comminution, and articular involvement negatively affect the short-term outcome, but those discharged from the hospital could go on to be successful. Authors’ addresses: High Plains Veterinary Clinic, 996 10th Avenue SE, Sidney, MT 59270 (Peters); and Rood and Riddle Equine Hospital, PO Box 12070, Lexington, KY 40580-2070 (Ruggles, Bramlage, Hopper, Embertson, Woodie); e-mail: petersvmd@ gmail.com.
1. Introduction
Pelvic fractures are a cause of poor performance in horses. Our objectives are to describe the current epidemiology of pelvic fractures in a Thoroughbred population and determine the short-and long-term outcomes.
2. Materials and Methods
The records of Thoroughbreds diagnosed with a pelvic fracture during the period 2000–2010 were reviewed. The short-term outcome (discharged from hospital) and long-term success (racing or live offspring) were evaluated with respect to different factors.
3. Results
There were 136 horses included, of which 72 (62%) raced after their fracture and 42 (36%) were subsequently able to have at least one foal. Acetabular involvement (p < 0.001), articular involvement (p = 0.008), and comminution (p < 0.001) were significantly associated with a negative short-term outcome. Of horses with acetabular involvement, 60% had a good short-term outcome, 75% of which were successful long-term. Racehorses with fractures only involving the ileum (p 0.014), as well as young horses and racehorses (p = 0.0002) were more successful. Overall, 86% of horses had a good shortterm outcome, 77% of which were successful long-term.
4. Discussion
This study found a better short-term prognosis for pelvic fractures than previously reported. While acetabular involvement was significantly associated with a negative short-term outcome, over half of them were still successful long-term. Comminution and articular involvement were significantly associated with a negative short-term outcome but did not impact the long-term success.
Acknowledgments
Conflict of Interest
The Authors declare no conflicts of interest.
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About
Affiliation of the authors at the time of publication
High Plains Veterinary Clinic, 996 10th Avenue SE, Sidney, MT 59270 (Peters); and Rood and Riddle Equine Hospital, PO Box 12070, Lexington, KY 40580-2070 (Ruggles, Bramlage, Hopper, Embertson, Woodie)
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