Aluminium Splint Incorporated Fibreglass Cast Preserves Limb Function in Bovines with Olecranon Fracture

Abstract

Objective Olecranon process fractures are rare in bovines. The aim of the study was to put on record satisfactory limb usage in cattle and buffaloes suffering from olecranon fractures and treated conservatively, primarily for carpal contracture or to prevent it, using aluminum splints incorporated within a fiberglass cast along with stall confinement.

Study Design This one year study included 19 olecranon fractures in bovines (15 buffaloes and 4 cattle). Out of 19, 12 bovines (9 buffaloes and 3 cattle) were treated primarily to manage the associated carpal contracture, using external coaptation of aluminium splints incorporated within a fiberglass cast for 6 to 8 weeks. The owners of the remaining 7 bovines (6 buffaloes and 1 bullock) were only advised to keep their animal in stall-confinement, due to various reasons.

Results Slipping and falling on hard surfaces was the primary aetiology of olecranon fractures (17/19). Most of the fractures (14/19) were presented more than 10 days after a traumatic event, with a mean duration of 24.0 ± 26.6 days. On follow up, all the treated bovines showed satisfactory limb usage whereas all stall-confined buffaloes showed no improvement.

Conclusion Slipping and falling on hard surfaces is a common cause of olecranon fracture in bovines. Olecranon fractures associated carpal contracture can be successfully treated/prevented by applying full limb cast (if possible including elbow) along with aluminum splints leading to satisfactory limb usage in bovines. Further it is concluded that stall confinement alone is insufficient to prevent limb contracture (which usually develops with olecranon fracture in bovines) leading to permanent non-weight bearing disability.

Keywords

buffalo - cattle - cast - olecranon fracture - splint

Authors' Contributions

All authors contributed to conception of study, study design, acquisition of data and data analysis and interpretation. All authors drafted, revised and approved the submitted manuscript. V.S. formulated the synopsis and treated the bovine. G.P.Y. treated the bovine and compiled the data. A.K. helped in formulating the synopsis and scrutinized the manuscript.

Publication History

Received: 29 April 2019

Accepted: 09 March 2020

Article published online:
13 July 2020

• References

• 1 Gangl M, Grulke S, Serteyn D, Touati K. Retrospective study of 99 cases of bone fractures in cattle treated by external coaptation or confinement. Vet Rec 2006; 158 (08) 264-268
• 2 Swor TM, Watkins JP, Bahr A, Honnas CM. Results of plate fixation of type 1b olecranon fractures in 24 horses. Equine Vet J 2003; 35 (07) 670-675
• 3 Swor TM, Watkins JR, Bahr A, Epstein KL, Honnas CM. Results of plate fixation of type 5 olecranon fractures in 20 horses. Equine Vet J 2006; 38 (01) 30-34
• 4 Jackson M, Kummer M, Auer J, Hagen R, Fuerst A. Treatment of type 2 and 4 olecranon fractures with locking compression plate osteosynthesis in horses: a prospective study (2002-2008). Vet Comp Orthop Traumatol 2011; 24 (01) 57-61
• 5 Watkins JP. The radius and ulna. In: Auer JA, Stick JA. , eds. Equine surgery. 2nd ed. Philadelphia: WB Saunders Co; 2006: 1267-1279
• 6 Turner AS. Fractures of the olecranon. Vet Clin North Am Large Anim Pract 1983; 5 (02) 275-283
• 7 Donecker JM, Bramlage LR, Gabel AA. Retrospective analysis of 29 fractures of the olecranon process of the equine ulna. J Am Vet Med Assoc 1984; 185 (02) 183-189
• 8 Wilson DG, Riedesel E. Nonsurgical management of ulnar fractures in the horse: a retrospective study of 43 cases. Vet Surg 1985; 14: 283-286
• 9 Mulon P. Management of long bone fractures in cattle. In Pract 2013; 35: 265-271
• 10 El-Shafaey EA, Aoki T, Ishii M, Yamada K. Conservative management with external coaptation technique for treatment of a severely comminuted fracture of the proximal phalanx in a Holstein-Friesian cow. Majallah-i Tahqiqat-i Dampizishki-i Iran 2014; 15 (03) 300-303
• 11 St Jean G, Anderson DE. Decision analysis for fracture management in cattle. Vet Clin North Am Food Anim Pract 2014; 30 (01) 1-10
• 12 Hague BA, Watkins JP, Hooper RN, Taylor TS, Roussel AJ. Tension band plating of an olecranon fracture in a bull. J Am Vet Med Assoc 1997; 211 (06) 757-758
• 13 Yadav GP, Sangwan V, Kumar A. Comparative occurrence pattern of fractures in cattle and buffaloes. Vet World 2019; 12 (07) 1154-1159
• 14 Yadav GP, Sangwan V, Kumar A, Mahajan SK, Gupta A. Prognostic factors associated with successful outcome of metacarpal and metatarsal fractures repaired using external coaptation in bovines. Indian J Anim Res 2019; DOI: 10.18805/ijar.B-3828.
• 15 Köstlin RG, Nuss K, Elma E. Metacarpal and metatarsal fractures in cattle. Treatment and results [article in German]. Tierarztl Prax 1990; 18 (02) 131-144
• 16 Arican M, Erol H, Esin E, Parlak K. Retrospective study of fractures in neonatal calves: 181 cases (2002–2012). Pak Vet J 2014; 34 (02) 247-250
• 17 Fessler JF, Adams SB. Decision making in ruminant orthopedics. Vet Clin North Am Food Anim Pract 1996; 12 (01) 1-18
• 18 Richardson DW. Ulna (olecranon): tension band wiring. In: Fackelman GE, Nunamaker GM, Auer JA. eds. Principles of Equine Osteosynthesis. New York: Thieme; 2000: 171-177
• 19 Das A, Ishtiaque SM, Singh S, Meena HC. Tensile characteristics of yarns in wet condition. Indian J Fibre Text Res 2009; 34: 338-344
• 20 Mohammadi R, Hashemi-Asl SM. Management of an olecranon fracture in a horse. Iranian J Vet Sci 2018; 13 (01) 67-71
• 21 Anderson DE, Desrochers A, St Jean G. Management of tendon disorders in cattle. Vet Clin North Am Food Anim Pract 2008; 24 (03) 551-566 , viii
• 22 Johnson KA. The sacred cow in orthopaedics. Vet Comp Orthop Traumatol 2018; 31 (05) v . Doi: 10.1055/s-0038-1669986