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Current Best Management of Splint Bone Fractures: To Cut or Not to Cut?
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The second and fourth metacarpal or metatarsal bones, the ‘splint’ bones, are an integral part of the carpometacarpal and tarsometatarsal articulation. There are extensive soft tissue attachments to the proximal part of the bone, including the palmar metacarpal and plantar metatarsal fascia. Fractures of the mid portion of the splint bones are often open and comminuted. Open fractures have been shown to be 3.5 times less likely to heal successfully than closed fractures [1]. Generally surgery to resect the fracture fragments and possibly the distal end of the proximal part of the splint bone is recommended, either with [2] or without [3] resection of the distal portion of the bone ...
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Donnington Grove Veterinary Surgery, Oxford Road, Newbury, Berkshire, RG14 2JB, UK
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