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Refer a case
Star, a much loved working dog and also a family pet from a sheep farm in the Welsh valleys, was involved in a road traffic accident on the farm.
This young dog suffered a tricky distal tibial fracture with limited soft bone at the lower end of the tibia (shin bone). It was fixed with a hybrid external fixator using a circular ring.
Tilly is 18 years old, and as sweet and gentle a cat as you’ll ever find. She likes nothing more than going out to the end of the drive to see the school kids passing by each morning and evening.
Ronnie, a young Bengal cat, had a close encounter with the low-flying TV kind and presented to us on Friday 13th
Ralph, a 5-month-old Yorkie pup, suffered a fracture of the proximal (top) end of his tibia (shin) bone just below his stifle (knee). This fracture involved the growth plate, the cartilage zone from which bone grows and which appears as a black line on X-rays near the ends of the long bones in growing dogs.
Kwazii presented to us at West Midlands Referrals with a comminuted (shattered), open (soft tissue wounds connecting the fracture to the outside) fracture of the radius and ulna (bones of the forearm).
This cat had a fracture-luxation between the metatarsal bones and the tarsal bones (bones of the foot and of the ankle respectively).
Interlocking nails are an innovation in fracture fixation that came from WWII. They were a closely guarded military secret because they got injured German pilots back into the air faster than ours!
Pablo, a cat, presented to us at West Midlands Referrals with a tricky femur fracture (thigh bone). The bottom end that forms part of the knee joint was comminuted (multiple fragments).
We see loads of these cases at West Midlands Referrals, especially in Springer Spaniels and also in French Bulldogs, in increasing numbers as this breed is becoming more popular.
Dressings/casts/splints often seem like a perfect, economical, minimally invasive and straightforward way to immobilise fractures. Still, some issues relating to casts or splints make them less than ideal: We have delved into the issue surrounding their use at West Midlands Referrals.
This right articular proximal ulna fracture occurred outside of the house in unknown circumstances about a week before the presentation.
A mandibular (jaw) fracture occurred during a fracas with another dog.
A 4-month-old crossbreed presented to us at West Midlands Referrals with an unstable proximal tibial “dome” fracture ten days after the injury. Unfortunately, an initial attempt to stabilise this with a splint dressing had not worked and had in fact caused some dressing sores.
A 10-year-old Dalmatian presented with mobility issues affecting the hind legs. These had progressed in the previous weeks and months, and at presentation to us the patient was knuckling on both back legs and looked “drunk”.
Disc disease occurs when pathology affects the intervertebral discs – the soft tissue spacers found between vertebrae of the spinal column. The intervertebral discs are a bit like doughnuts with a fibrous surround (the annulus fibrosus) and a gel centre (the nucleus pulposus).
A 9kg, Sealyham Terrier presented with acute paraplegia (paralysis of the hind limbs). The condition was painful, and there was still enough nerve connection between drain and feet to allow some response when the toes were pinched.
This case is a favourite – a horrendous fracture, a challenging surgery, planning with CT advanced imaging, a lovely cat, patient and committed owners, and a great outcome. What’s not to like.
Nellie, a 5-month-old female Border Collie destined to be a working sheepdog, managed to break the ball of her femur off the rest of the femur. The fracture occurred through the growth plate.
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* as of 1st May 2024