ber ordinarily, although during the excitement occasioned
by runaways, horses are sometimes seen to support weight with a broken
leg even when the protruding bone is sunk into the ground in so doing.
Prognosis.--Generally speaking, fractures other than the
simple-transverse in young animals, are considered unfavorable cases.
With the metacarpus, however, there are instances where compound
fracture occurs in colts that justify treatment. But in all cases of
compound fracture, the element of infection in addition to the increased
difficulty in maintaining immobility of the broken bone, creates almost
insuperable difficulties in the average instance. And unless the
practitioner distinctly explains to his client the various reasons which
make treatment an economic impracticability, dissatisfaction is likely
to follow if treatment is instituted without such an understanding.
Treatment.--Perfect apposition of the broken ends of bone is easily
effected and less difficulty is encountered in maintaining such
relations in metacarpal fractures than in fractures of the radius.
However, reduction and immobilization of this as in all fractures, must
be done without delay. In simple fracture, the metacarpus is covered
with enough cotton to pad the parts, and this is retained in position by
bandages. Splints of heavy leather or of thin pieces of tough flexible
wood are placed on each side of the leg and firmly held in position with
bandages. Bandages may be put on in layers and a coating of glue applied
over each layer if this is thought necessary. The advantage gained in
using glue or other adhesive materials is that the cast thus formed is
more rigid than where such material is not employed. On the other hand,
all elasticity is lost as soon as the cast adapts itself to the contour
of the extremity, and because of this rigidity, it is doubtful if
anything is gained by the incorporation of glue, except in the way of
added strength of the cast. Since the animal does not walk upon the
broken leg, it is possible to employ splints of suitable materials which
are retained in position without glue and frequent readjustment of a
part of the immobilizing apparatus is possible. This is impossible with
casts.
In compound fractures, provision ought to be made for dressing the wound
of the soft structures. This entails adjusting the splints in such
manner that one splint may be retained and others removed for dressing
the wound and readjusted
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