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Successful treatment of an open incisive bone fracture using a locking compression plate combined with intraoral cerclage wiring

Alexis Leps, Hanna Haardt (UGent) , Katrien Vanderperren (UGent) , Lieven Vlaminck (UGent) and Ann Martens (UGent)
(2023) EQUINE VETERINARY EDUCATION. 35(5). p.e378-e384
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Abstract
A 7-year-old Warmblood mare presented with bilateral epistaxis, facial swelling and deviation of the nose and upper lip. Upon clinical and computed tomographic examination a complete, oblique, open and displaced fracture of the nasal process of the incisive bone of the left and right maxilla was found. In order to maintain a good alignment and reduction in the fracture, a temporary retention with cerclage wire connecting the incisors of the mandible and maxilla was used. The fracture was then treated surgically with a 3.5-mm narrow-locking compression plate on the dorsolateral aspect of the incisive bone in combination with oral cerclage wiring. The intra-oral cerclage wiring was removed 12 weeks post-surgery, while the plate remained in situ. Minor post-surgical complications consisted of transient facial nerve paralysis and swelling. Follow-up radiographs taken 8 weeks after surgery documented good fracture healing. Nine months after surgery the mare has returned to her intended use and showed excellent cosmesis.
Keywords
ROSTRAL MANDIBULAR FRACTURE, FIXATION, MANAGEMENT, REPAIR, WIRE, horse, cerclage, fracture, LCP plate, maxilla

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MLA
Leps, Alexis, et al. “Successful Treatment of an Open Incisive Bone Fracture Using a Locking Compression Plate Combined with Intraoral Cerclage Wiring.” EQUINE VETERINARY EDUCATION, vol. 35, no. 5, Wiley, 2023, pp. e378–84, doi:10.1111/eve.13734.
APA
Leps, A., Haardt, H., Vanderperren, K., Vlaminck, L., & Martens, A. (2023). Successful treatment of an open incisive bone fracture using a locking compression plate combined with intraoral cerclage wiring. EQUINE VETERINARY EDUCATION, 35(5), e378–e384. https://doi.org/10.1111/eve.13734
Chicago author-date
Leps, Alexis, Hanna Haardt, Katrien Vanderperren, Lieven Vlaminck, and Ann Martens. 2023. “Successful Treatment of an Open Incisive Bone Fracture Using a Locking Compression Plate Combined with Intraoral Cerclage Wiring.” EQUINE VETERINARY EDUCATION 35 (5): e378–84. https://doi.org/10.1111/eve.13734.
Chicago author-date (all authors)
Leps, Alexis, Hanna Haardt, Katrien Vanderperren, Lieven Vlaminck, and Ann Martens. 2023. “Successful Treatment of an Open Incisive Bone Fracture Using a Locking Compression Plate Combined with Intraoral Cerclage Wiring.” EQUINE VETERINARY EDUCATION 35 (5): e378–e384. doi:10.1111/eve.13734.
Vancouver
1.
Leps A, Haardt H, Vanderperren K, Vlaminck L, Martens A. Successful treatment of an open incisive bone fracture using a locking compression plate combined with intraoral cerclage wiring. EQUINE VETERINARY EDUCATION. 2023;35(5):e378–84.
IEEE
[1]
A. Leps, H. Haardt, K. Vanderperren, L. Vlaminck, and A. Martens, “Successful treatment of an open incisive bone fracture using a locking compression plate combined with intraoral cerclage wiring,” EQUINE VETERINARY EDUCATION, vol. 35, no. 5, pp. e378–e384, 2023.
@article{01GTGTTH9WM794KSSWEWRGPA4E,
  abstract     = {{A 7-year-old Warmblood mare presented with bilateral epistaxis, facial swelling and deviation of the nose and upper lip. Upon clinical and computed tomographic examination a complete, oblique, open and displaced fracture of the nasal process of the incisive bone of the left and right maxilla was found. In order to maintain a good alignment and reduction in the fracture, a temporary retention with cerclage wire connecting the incisors of the mandible and maxilla was used. The fracture was then treated surgically with a 3.5-mm narrow-locking compression plate on the dorsolateral aspect of the incisive bone in combination with oral cerclage wiring. The intra-oral cerclage wiring was removed 12 weeks post-surgery, while the plate remained in situ. Minor post-surgical complications consisted of transient facial nerve paralysis and swelling. Follow-up radiographs taken 8 weeks after surgery documented good fracture healing. Nine months after surgery the mare has returned to her intended use and showed excellent cosmesis.}},
  author       = {{Leps, Alexis and Haardt, Hanna and Vanderperren, Katrien and Vlaminck, Lieven and Martens, Ann}},
  issn         = {{0957-7734}},
  journal      = {{EQUINE VETERINARY EDUCATION}},
  keywords     = {{ROSTRAL MANDIBULAR FRACTURE,FIXATION,MANAGEMENT,REPAIR,WIRE,horse,cerclage,fracture,LCP plate,maxilla}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{e378--e384}},
  publisher    = {{Wiley}},
  title        = {{Successful treatment of an open incisive bone fracture using a locking compression plate combined with intraoral cerclage wiring}},
  url          = {{http://doi.org/10.1111/eve.13734}},
  volume       = {{35}},
  year         = {{2023}},
}
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