Emergency fracture management and casting Flashcards Preview

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Flashcards in Emergency fracture management and casting Deck (25)
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1

Why is soft tissue damage important?

supply to limb (blood etc)

2

Is hemorrhage usually a problem?

no

3

What is bad about an open fracture?

can get infected

4

What should you do with an open fracture?

lavage
topical/systemic antibiotic
careful what put on wound
careful about clipping
sterile wrap

5

What are the benefits of immobilization?

1. decrease bone damage (eburnation)
2. decrease soft tissue damage
3. slight weight bearing--lower stress
4. safer transport

6

What are the types of immobilization?

1. cast
2. cast material over modified robert jones bandage/splint
3. modified robert jones bandage/splint
4. robert jones bandage--poor
5. plain stable wrap--useless

7

What is a modified robert jones bandage?

multiple tight layers. Do one layer at a time and get nice and tight

8

What allows best immobilization for lower limb?

cast (but usually do it when horse recumbent and that is easier to put cast on properly)

9

What is the best choice for long transport and severe comminution?

cast

10

What are the four areas of the leg?

area 1: fetlock and below
area 2: canon bone
area 3: hock in back and above carpus and below elbow in front? (or including elbow?
area 4: shoulder, hip/pelvis

11

What should you do for area 1 front leg?

light wrap
NON elastic tape (not too tight!)
dorsal splint

12

What should you do for area 1 beack leg?

light bandage
fetlock flexes so hard to apply cranial splint
can apply caudal or cranial splint
non elastic tape

13

What should you do for an area two (cannon bone)

modified robert jones bandage--snug, not too much pressure
2 splints: lateral and caudal

14

What do you do for area 3 front leg?

1. modified robert jones bandage
2. lateral splint with padding--incorporate
3. deceases abduction and medial compounding

15

What tends to happen in the front leg fracture in area 3 is not immobilized?

it tends to go medially and proximally (the proximal end)
as the distal end of leg abducts

16

What do you do for area 3 back leg?

modified robert jones wrap
lateral thigh suport, padded top

17

Why should you travel with the fractured leg caudally?

because if have to stop, then horse's weight will be loaded on the cranial facing legs so want two good legs cranially

18

Why is it better t have dividiers, chest and rump ropes when travelling with horse?

less work for horse, can lean against things, something to support if stop quickly

19

Why should you call the referral center?

because they should be prepared and to ask what they want--how you should send the horse (feed, antibiotics, analgesics?)

20

What are the types of casts?

1.? foot casts--below fetlock
2. 1/2 leg cast--below hock/carpus
3. full leg cast--elbow/stifle
4. tube cast--no bottom, not for fracture repair, can cause rubsores

21

How can you apply casts

standing or recumbent

22

How do you put a cast on?

put a LIGHT wrap on if wound, NOT a lot of material!!!!
stockingette, felt at top

23

Why do you want stockinette the appropriate diameter for casting?

so there aren't wrinkles so dont get a sore

24

What is a walking bar?

bar for horse to walk on. can incorporate into cast
make so no part of leg touches ground? Put in the middle between heel and toe and make the bar the lowest point so it contacts the ground.

25

What is a wedge up (casting)?

put it on foot and wrap with casting material so that they have a flat surface to walk on