Proximal segmental ostectomy under standing sedation for treatment of open comminuted axially displaced fractures of the fourth metatarsal bone in two horses

Two cases with open, comminuted, axially displaced fractures of the proximal third fourth metatarsal bone were referred to University Equine Hospital Vienna. Due concerns regarding risk injury suspensory ligament and implant infection an open configuration, surgical treatment ostectomy fractured was performed in both cases. Based on telephone follow-up, Case 1 reported be sound no significant reaction at site 22 months following procedure 2 exhibited intermittent lameness, radiographically evident irregular new formation some residual ultrasonographic changes 17 after procedure. results this report, a facilitated by standing sedation regional anaesthesia is valid option bone, minimising perioperative complications but not excluding long-term postoperative complications.