be maintained. Aside
from slings, mechanical appliances that are helpful in the treatment of
these cases are not yet in use.
A regimen that is nutritive and at the same time laxative is essential
and in some cases cathartics and enemata are necessary. Also, during the
first few days, if there is retention of urine, catheterization is
imperative. In a word, the handling of such cases consists largely in
keeping the subject inactive, as comfortable as possible, and giving
attention to suitable diet.
Simple fracture of the external iliac angle needs no particular
attention, except that the subject is kept quiet until lameness
subsides. In all cases where much of the bone is broken, the animal is
blemished, but interference with function does not follow. If infection
results because of a compound fracture, loose pieces of bone must be
removed surgically and drainage provided for.
In fracture of the ischial tuberosity, infection is more apt to result
than in like injury of the ilium, and greater displacement of bone
occurs. This displacement, due to contraction of the attached muscles,
is in some instances a contributing cause to the infection which often
follows in these cases. In females where the body of the ischium is
fractured, lacerations of the vagina may be present, and this
constitutes a serious complication which usually terminates fatally.
After-care in fracture of the pelvic girdle consists principally in
allowing a protracted period of rest before subjects are put to work.
Fractures of the Femur.
Etiology and Occurrence.--This is a comparatively rare injury in the
horse because of the protection afforded the femur by the heavy
musculature. Fragilitas of the bone probably exists in many cases when
fracture of its diaphysis occurs. It is generally conceded that the neck
of the femur is rarely broken because of a lack of constriction in this
part, but fracture of the trochanters has been recorded rather
frequently. However, Lienaux and Zwanenpoete[38] state that fracture of
the neck of the femur is of frequent occurrence in Belgian colts.
Tapley[39] reports in the Veterinary Journal (English) fracture of the
head and internal trochanter of the femur and patellar luxation
occurring simultaneously affecting a mule. In this case the mule was
found decumbent on a concrete floor. After three weeks, the subject was
destroyed and autopsy revealed rupture of the left pubiofemoral
ligament, tearing with it a
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