Fracture Repair in Reptiles

Fractures in captive reptiles are common, usually being secondary to primary nutritional deficiencies. Specifically, pathological fractures frequently occur as a result of Nutritional Secondary Hyperparathyroidism (NSHP), which is a general lack of dietary calcium, excessive phosphorus or deficiency in exposure to ultraviolet light/vitamin D3. Even traumatic fractures, which under normal conditions with healthy bones would not occur, are more likely due the generalized osteopenia associated with NSHP. Extremity fractures are rarely compound or comminuted. As a result, most fractures are readily treated with external coaptation. In addition, since most fractures are often associated with demineralization and softening of the bones, internal fixation is usually not indicated. In the unlikely event of a traumatic fracture involving normal bone, internal fixation can be utilized. Regardless of the etiology, nutrition and diet should be thoroughly evaluated in all fracture cases. Before attempting any repair calcium homeostasis should be established. The medical management in these cases is equally as important as the surgical attention ...