Effect of different full-limb casts on in vitro bone strain in the distal portion of the equine forelimb

Abstract

SUMMARY Objective To determine the ability of a full-limb transfixation pin cast to protect the distal portion of the equine forelimb from weight-bearing forces by measuring bone strain in vitro on cadaver limbs loaded in a mechanical testing machine. Sample Population 6 forelimbs from 6 horses. Procedure Each limb was instrumented with 3 unidirectional metal foil electrical resistant strain gauges. Gauges were placed on the dorsal aspect of the distal portion of the radius and the mid-dorsal portion of the cortex of the third metacarpal bone and the first phalanx. Each limb was tested 3 times, once supported with a transfixation pin cast, once supported by a standard full-limb cast, and finally, uncast. The limbs were tested in a mechanical testing machine under axial loads ranging from 100 to 1,000 lb, and bone strains were recorded at each load. Results Compared with values for the uncast limb, the transfixation pin cast and the standard full-limb cast significantly (P < 0.001) reduced bone strain on the distal portion of the radius, third metacarpal bone, and first phalanx. Compared with the standard full-limb cast, the transfixation pin cast significantly (P < 0.001) reduced bone strain on the first phalanx. Conclusion and Clinical Relevance Compared with the standard full limb cast, the full-limb transfixation pin cast is more protective of the first phalanx. (Am J Vet Res 1998;59:197–200)