The use of cerclage wire for surgical repair of unilateral rostral mandibular fracture in horses

Document Type : Short paper

Authors

1 Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Dakahlia, 35516, Egypt

2 Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Aswan University, Aswan, Egypt

Abstract

Fractures of the rostral mandible in horses are the most common type of jaw fractures. The present study was performed for stabilization of rostral mandibular fracture with cerclage wire. In a retrospective case series, six client-owned horses with unilateral mandibular fractures were admitted to our clinic and suffered from a major gingival wound at rostral part of mandible. Rostral mandibular fracture was diagnosed through clinical examination and radiography. Fractured region was repaired by cerclage wire under the effect of general anesthesia and wires were maintained for 6-12 weeks. The repair of mandibular fracture by cerclage wiring exhibited good fracture reduction and fixation in five horses and fair results in one horse. After twelve weeks, the fracture healing was excellent practically and cosmetically. Furthermore, the horses appeared normal without any evidence of teeth-related mastication problems, obstinate fracture-site fistula, or extreme callus formation. Radiographically, cerclage wire achieved good fracture fixation and fracture gap closure. Moreover, the formation of uniting callus was noticed at 6-12 weeks post-operatively. It was concluded that, unilateral mandibular fracture in horses can successfully be repaired by interdental wiring (IDW). All horses were returned to their usual activities without any fracture healing-related masticatory problems at the time of follow-up.

Keywords


Ahmed, FA (2011). Mandibular fracture in single-humped camels. Vet. Surg., 40: 903-907.
Auer, JA (2000). Mandible, maxilla and skull. In: Fackelman, GE; Auer, JA and Nunamaker, DM (Eds.), AO principles of equine osteosynthesis. (1st Edn.), Stuttgart: Georg Thieme Verlag. PP: 35-50.
Auer, JA (2011). Craniomaxillofacial disorders. In: Auer, JA and Stick, JA (Eds.), Equine surgery. (4th Edn.), St. Louis, MO, Saunders. PP: 1456-1482.
Beard, W (2009). Fracture repair techniques for the equine mandible and maxilla. Equine Vet. Educ., 21: 352-357.
Belsito, KA and Fischer, AT (2001). External skeletal fixation in the management of equine mandibular fractures. Equine Vet. J., 33: 176-183.
Çetinkaya, M and Demirutku, A (2012). Interfragmental fixation of rostral mandibular fracture with cerclage wire in a thoroughbred English horse. Turk. J. Vet. Anim. Sci., 36: 67-71.
De Bowes, RM (1996). Fractures of the mandible and maxilla. In: Nixon, AJ (Ed.), Equine fracture repair. (1st Edn.), Philadelphia, PA, Saunders. PP: 323-335.
Gahlot, TK; Choudhary, RJ; Chouhan, DS; Chawla, S and Krishnamurthy, D (1989). Clinical evaluation of inter-dental wiring technique for mandibular fracture repair in camels. Indian Vet. J., 66: 251-254.
Gopinathan, A; Singh, K and Saxena, AC (2013). Successful surgical repair of rostral mandible and maxilla fracture with cross pinning and cerclage wire in a horse. Vet. Scan., 7: 68-72.
Henninger, RW and Beard, W (1997). Rostral mandibular and maxillary fractures: repair by interdental wiring. AAEP PROCEEDINGS. 43: 136-137.
Henninger, RW; Beard, WL; Schneider, RK; Bramlage, LG and Burghardt, HA (1999). Fractures of the rostral
portion of the mandible and maxilla in horses. J. Am. Vet. Med. Assoc., 214: 1648-1652.
Jansson, N (2016). Conservative management of unilateral fractures of the mandibular Rami in horses. Vet. Surg., 48: 1063-1065.
Karrouf, G; Rizk, A; El-Shafaey, E; Abouelnasr, K and Abou-Alsaud, M (2017). Management of bilateral mandibular fractures using intraoral unilateral application of bone plates in the dromedary camel. ARC. J. Anim. Vet. Sci., 3: 8-12.
Martens, A; Steenhaute, M and Boel, A (1999). Conservitave and surgical treatment of mandibular fractures in 54 horses. Vlaams. Diergen. Tijds., 86: 16.
Murch, KM (1980). Repair of bovine and equine mandibular fractures. Can. Vet. J., 21: 69-73.
Naddaf, H; Sabiza, S and Kavosi, N (2015). Surgical treatment and a unique management of rostral mandibular fracture with cerclage wire in a horse. Vet. Res. Forum., 6: 181-183.
Peavey, CL; Edwards, RB; Escarcega, AJ; Vanderby, RJ and Markel, MD (2003). Fixation technique influences the monotonic properties of equine mandibular fracture constructs. Vet. Surg., 32: 350-358.
Ramadan, RO (1994). Fractures. In: Ramadan, RO (Ed.), Surgery and radiology of the dromedary camel. (1st Edn.), Kingdom of Saudi Arabia, KingFaisalUniversity. PP: 226-250.
Ramzan, PHL (2008). Management of rostral mandibular fractures in the young horse. Equine Vet. Educ., 20: 107-112.
Schneider, RK (1990). Mandibular fractures. In: White, NA and Moore, JN (Eds.), Current practice of equine surgery. (1st Edn.), Philadelphia: Lippincott. PP: 589-595.
Siddiqui, MI; Telfah, MN; Rashid, J and Taleb, SA (2012). Modified interdental wiring technique for mandibular fractures in camels: a clinical study. J. Vet. Anim. Sci., 2: 57-60.