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Lameness of the Horse - Veterinary Practitioners' Series, No. 1 by John Victor Lacroix
page 102 of 341 (29%)
Prognosis.--In adult animals, radial fracture constitutes a grave
condition; generally speaking, prognosis, in such cases, is unfavorable.
Because of the leverage afforded by the extremity, immobilization of the
radius is difficult. Any sort of mechanical appliance, which will
immobilize these parts, is likely to produce pressure-necrosis of the
soft structures so contacted. There is occasioned thereby much pain and
the subject becomes restive, unmanageable and sometimes the splints are
completely deranged because of the animal's struggles, and much
additional injury to the leg is done. Occasionally, an otherwise
favorable case is thus rendered hopelessly impossible to handle, and the
subject must be destroyed several days after treatment has been
instituted.

Consequently, unless all conditions are good, and the affected animal a
favorable subject, young, of good disposition, and the fracture a simple
transverse one, complete recovery is not likely to result from any
practical means of handling.

Treatment.--Mature subjects ought to be put in slings and kept so
restrained throughout the entire time of treatment. Immobilization of
the broken parts of the bone is the object sought. This is attempted by
practitioners who employ various methods, and each method has its
advocates.

Casts are used by some and serve very well in many cases; but because of
their bulk and unyielding and rigid nature, they are not well adapted to
use on fractures of bones proximal to the carpus and tarsus. This is in
reference to plaster-of-paris casts or those of any similar material.

Appliances which depend on glue or other adhesive substances combined
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