Small Animal Fracture Applications Flashcards
Forces: Cast
Rotation
Bending
Forces: IM Pin
Bending
+/- Shear
Forces: IM Pin + Cerclage
Rotation (short-term)
Bending
Compression (short-term)
Shear (short-term)
Forces: Interlocking Nail
Rotation
Bending
Compression
Tension
Shear
Forces: Plate
Rotation
Bending (w/ anatomic reconstruction)
Compression
Tension
Shear
Forces: External Skeletal Fixator
Rotation
Bending
Compression
Tension
Shear
Predictable Fixation Longevity: IM pin + coaptation, IM pin + wire, ESF, interlocking nail, bone plate
Reconstructable Fx
2 piece fracture or single large butterfly fragment
Anatomic reduction and rigid stability
Nonreconstructable Fx
Multiple fragments, especially small fragments
Restore spacial alignment, preserve biologic potential and design fixation capable or non-load-sharing for estimated healing time
Classify the fracture
What types of fractures are casts useful with?
Simple, transverse fractures
Metacarpal, paired bones, partial fractures
NOT oblique or comminuted
Classify the fracture
Traumatic
Caudo-medial displacement
Comminuted
Left tibia and fibula
Mid-diaphyseal
Closed
Classify the fracture
Traumatic
Long oblique
Tibia
Mid-diaphyseal
Minimal caudal displacement
Classify the fracture
Traumatic
Closed
Transverse
Radius-Ulna
Distal metaphyseal
Caudo-lateral displacement
What breeds + specific bones should coaptation be avoided in? Why?
Avoid in toy breeds, radius/ulna fractures
Very slow bone healing