Showing posts with label limb fractures. Show all posts
Showing posts with label limb fractures. Show all posts

Wednesday, December 24, 2008

The Christmas Eve blues

Kicked off to a cracking start (excuse bad pun) with a kitten with probable broken bones in one foot (plant pot fell on his toe). As there's no RSPCA clinic session now until Saturday I agreed with the private vet that it wasn't fair on the kitten simply to give pain relief and wait until then, so we covered x-ray and support bandaging as well. If the x-rays suggest that the foot actually needs surgery the owner will go to our clinic on the Saturday.

Followed in short order by a vomiting dog (probably just an upset tum as she is fairly current with her vaccinations).

Next, and more worrying, an ownerless cat from Swavesey area with diarrhoea. She's not seriously ill, and the 24 hour vet was reluctant to have her occupying a cage over the whole of the break as the space will probably be needed for emergencies. The kennels where we board is completely full until some of the private boarders go home, and this is academic in any case as no-one is available for transport as Janine's car won't start. After some frantic phoning, I asked the vet to call the finder and ask if she would be prepared to have her back until after Christmas now the diarrhoea's been treated. To everyone's relief she was very understanding and drove in to pick up the cat. Annoyingly this one actually has been chipped, but it seems to have been done in America and none of the chip databases have any record of her owner's current address. Best guess is that she originally came from one of the bases and was either rehomed in Swavesey or got there by accident after hiding in a vehicle of some kind.

Santa, the cat with the collar wound is doing well, but needs to stay in for the moment as his wound is still draining. Yet another cat with a blocked bladder has been signed over to us as his owner couldn't cope and he's had his operation too and is also looking good.

Friday, December 19, 2008

External fixators

The Vet Nurse has an interesting post showing "before and after" radiographs of a puppy's broken leg fitted with an external fixator to keep the two ends of the bone in alignment so that they will heal. I thought I'd link to it so anyone interested can see what's actually going on when I talk about animals we take in having an external fixator on a broken leg. 

Monday, September 15, 2008

Sunday evening panic

Modern surgical techniques make some absolutely remarkable repairs possible, even where the main bones of a limb have been broken in several places so that they effectively hang loose. For really bad cases, the vets will usually implant a "surgical fixator" - effectively a metal scaffolding bonded to the pieces of bone to hold them rigidly in position so that they can grow back together. The result looks fearsome, but seems to completely relieve the pain of the break. In the accompanying photo Tiger Lily demonstrates how unworried she is by the fixator holding her upper forelimb together.

The downside is the length of time needed for bone to grow back between the broken sections. This can take several months, and until the natural join is complete it's essential that the animal doesn't put sudden strain on the leg by jumping or falling and the fixator has to stay in place (it's removed by a second operation once X-rays show natural bone growth has filled in the gaps).

This means the animal has to be closely confined and only exercised under strict supervision and various sorts of cages have to be used, none of which are entirely satisfactory. The large plastic cages sold for indoor rabbit-keeping are easy to clean and free of snags on which the fixator can get hooked up, but they are rather hot in sunny weather. Fibre-glass or plastic indoor kennels and dog crates are preferable in many ways but the bars can be a problem - as one of our fosterers discovered on Sunday when his foster-cat managed to slip his fixator through the cage bars, and panic, turn sideways and get completely wedged. It then required two of us to release him, one to rotate the cat and the other to slide the fixator through the bars. Not entirely my idea of a fun Sunday night.