Outcome and racing performance after internal fixation of third and central tarsal bone slab fractures in horses - A review of 20 cases

Twenty horses with central and third tarsal bone slab fractures, were treated by internal fixation. Eighteen of the 20 cases were Standardbred trotters, one was a Thoroughbred racehorse and one a Swedish Warmblood. The central tarsal bone (CT) was involved in 12 cases and the third tarsal bone (T3) in 8 cases. The fractures were treated by lag screw fixation with one (18 cases) or two (2 cases) 3.5 or 4.5 mm cortical screws. Horses were confined to stall rest for one month and then put on a gradually increasing exercise programme. Convalescence time was 3-8 months until the fracture had healed and training could be resumed. Fifteen of the horses regained athletic soundness. Thirteen of the horses (72%) raced after surgery ( 12 Standardbreds and 1 Thoroughbred). Nine (69%) of these 13 horses won races after surgery.