{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T21:37:14Z","timestamp":1792705034027,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T00:00:00Z","timestamp":1696550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2024,9]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Repair of sagittal proximal phalanx (P1) and parasagittal metacarpal\/metatarsal III (MC\/MTIII) fractures has evolved over recent decades from a procedure carried out solely under general anaesthesia, to one commonly performed under standing sedation. To date, standing fracture repair has not been evaluated for large cohorts.<\/jats:p>\n <\/jats:sec>\n \n \n Objective\n s<\/jats:bold>\n <\/jats:title>\n To determine short\u2010term (survival to discharge) and long\u2010term (return to racing) outcomes of horses undergoing standing repair of MC\/MTIII and P1 fractures, and to compare pre\u2010surgical and post\u2010surgical racing performance.<\/jats:p>\n <\/jats:sec>\n \n Study design<\/jats:title>\n Single\u2010centre retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Retrospective clinical record review of 245 cases undergoing standing repair of MC\/MTIII or P1 fractures, 1 January 2007\u201330 June 2021. Data on signalment, fracture configuration and complications were collected and full race records were retrieved from the Racing Post Database (\n wwww.racingpost.com<\/jats:ext-link>\n ). Chi\u2010squared and Mann\u2013Whitney\n U<\/jats:italic>\n tests were used to determine any difference in variables between horses that raced after surgery compared to those that did not. McNemar change and Wilcoxon signed\u2010rank tests were used to compare pre\u2010 and post\u2010surgical racing performance,\n p<\/jats:italic>\n \u2009\u2264\u20090.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Ninety\u2010eight percent [95% confidence interval (CI): 96.2%\u201399.7%] of horses survived hospital discharge, and 75.1% (95% CI: 68.9%\u201381.4%) raced after surgery, a median of 241\u2009days later. Horses that raced post\u2010surgery were significantly less likely to have suffered from complications during hospitalisation than those that did not race again [17.3% (95% CI: 11%\u201324%) vs. 36.5% (95% CI: 23%\u201350%),\n p<\/jats:italic>\n \u2009=\u20090.005]. Comparing pre\u2010 and post\u2010operative racing performance, there was no significant difference in earnings per start [median \u00a3628.00, interquartile range (IQR) 115.90\u20131934.80 vs. \u00a3653.20, 51.00\u20131886.40,\n p<\/jats:italic>\n \u2009=\u20090.7] or proportion of horses winning [51% (95% CI: 41%\u201361%) vs. 54% (95% CI: 44%\u201364%),\n p<\/jats:italic>\n \u2009=\u20090.8] or being placed first\u2013third [77% (95% CI: 68%\u201385%) vs. 71% (95% CI: 62%\u201380%,\n p<\/jats:italic>\n \u2009=\u20090.5] in at least one race.\n <\/jats:p>\n <\/jats:sec>\n \n Main limitations<\/jats:title>\n Retrospective nature of study with reliance on clinical records and public databases, limiting data available for analysis.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Standing fracture repair is a viable treatment option for MC\/MTIII or P1 fractures that returns horses to the racetrack within an acceptable time frame and is capable of restoring pre\u2010surgical athletic ability.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/evj.14016","type":"journal-article","created":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T01:53:10Z","timestamp":1696643590000},"page":"914-923","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Outcome and racing performance following standing fracture repair in 245 horses"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5436-4032","authenticated-orcid":false,"given":"Victoria A.","family":"Colgate","sequence":"first","affiliation":[{"name":"Rossdales Equine Hospital Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4574-2553","authenticated-orcid":false,"given":"Natalie","family":"Robinson","sequence":"additional","affiliation":[{"name":"VetPartners Ltd York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4795-0620","authenticated-orcid":false,"given":"Timothy P.","family":"Barnett","sequence":"additional","affiliation":[{"name":"Rossdales Equine Hospital Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew P.","family":"Bathe","sequence":"additional","affiliation":[{"name":"Rossdales Equine Hospital Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7208-5731","authenticated-orcid":false,"given":"Matthew O. D.","family":"Coleridge","sequence":"additional","affiliation":[{"name":"Rossdales Equine Hospital Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis C. R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Rossdales Equine Hospital Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Payne","sequence":"additional","affiliation":[{"name":"Rossdales Equine Hospital Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3306.1999.tb03803.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/eve.12939"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3306.2012.00558.x"},{"issue":"6","key":"e_1_2_12_5_1","first-page":"605","article-title":"Standing placement of transphyseal screw in the distal radius in 8 Thoroughbred yearlings","volume":"56","author":"Modesto RB","year":"2015","journal-title":"Can Vet J"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1677747"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/eve.12032"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3292.2006.tb00467.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2746\/042516406778400664"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cveq.2013.11.006"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3306.2012.00569.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/evj.13304"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/vr.157.12.337"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2746\/042516408X330383"},{"key":"e_1_2_12_15_1","unstructured":"PayneRJ CompstonPC.Outcome after standing fracture repair in twenty seven racing Thoroughbreds. 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