By Donald L. Permattei, Gretchen Flo, Charles DeCamp
This instruction manual covers the analysis, etiology, and remedy of stipulations affecting the locomotor method in small animals. The 4th variation offers updated details on numerous sorts of fractures and strategies of fixation, lameness and joint surgical procedure, and musculoskeletal illnesses. different key issues contain: acute and protracted bone infections; transplantation, plating, wiring, and pinning innovations; bone grafting; reconstructive joint surgical procedure; and osteochondrosis.Content is geared up anatomically for fast entry to info on either fractures and different stipulations for every quarter of the body.Step-by-step line drawings basically illustrate kinds of fractures and procedures.Provides transparent, concise assurance of the commonest orthopedic conditions.A new bankruptcy presents innovative details on arthroscopy.Each bankruptcy is extended with the main updated information.Includes many extra illustrations.New insurance of monocortical plate/IM fixation.Discusses round frames for fractures and osteotomiesProvides info on new fixator clamps.
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Additional info for Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and Fracture Repair 4th edition
Because these materials all “breathe” and do not retain water, there are few soft tissue problems such as maceration of skin. Pressure sores are still possible when casts are incorrectly applied, but even this problem occurs less frequently than when cotton padding materials are used. Synthetic orthopedic felt used over bony prominences will do much to reduce pressure sores. In general, the middle and distal phalanges of the middle toes should be left exposed to monitor swelling. Often the cast, once hardened, is cut longitudinally in two places (bivalved) to create two half-shells and to facilitate future cast changes.
The pieces that are too small for internal fixation with bone screws, wires, or Kirschner wires are maneuvered back into position as best as possible with minimal disruption of soft tissue attachments. In most cases the surrounding soft tissue maintains or even improves the position of these pieces as the process of healing begins. Large fragments, with or without soft tissue attachment, are usually fixed in place with lag screws, wires, or Kirschner wires. As a general rule, these fragments aid in restoring the original bone substance and function as an autogenous bone graft.
A Steinmann pin with a diameter of 50% of the 47 48 Part I—Diagnosis and Treatment of Fractures, Lameness, and Joint Disease A B C D FIGURE 2-19. Fracture distraction with an intramedullary (IM) pin. A, Steinmann pin is placed in the normograde manner and driven distally across the fracture site, and the pin is maneuvered into the medullary canal of the distal fragment. If the IM pin will not be used for final fixation, the pin diameter can be smaller than usual. B, The distal fragment is brought into axial alignment by bone-holding forceps and traction through the proximal tibia while the stifle is flexed 90 degrees.