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1417.e2  Fracture Management



            Fracture Management
  VetBooks.ir                                  History, physical examination, radiographs







            Fracture distal  Humeral or                         Pelvic                        Scapular
            to the elbow   femoral fracture                    fracture                       fracture
              or stifle


                    Unstable,                          Unilateral                   Nondisplaced      Displaced,
                   displaced, or       Stable,       nondisplaced     Displaced or   body, spine    scapular neck,
                     articular       nondisplaced     nonarticular     articular     of scapula    glenoid, acromion

                                                               Bilateral
                                Humerus      Femur           nondisplaced
                                                              nonarticular
                              Spica splint or  Spica splint or
                              Velpeau sling  Robinson sling  Ehmer  Cage  Surgical    Velpeau          Surgical
                                                       sling and  rest  correction     sling          correction
                         If surgery                    cage rest
                         delayed
                                                             Ilium, sacroiliac  Acetabulum
                        Spica splint                           repaired        repaired
                 Surgical  Surgical
                correction correction                            Rest         Postoperative
                                                                 only         Ehmer sling



                    Stable, nondisplaced, nonarticular                    Unstable,
                                                                         displaced or
                                                                          articular
                                                           If surgery
                                                            delayed
                      Minimal         Severe
                    inflammation    inflammation      Robert Jones bandage  Surgical
                     expected         expected         or reinforced Robert  correction
                                                         Jones bandage
                      Full cast  Robert Jones bandage
                                  or reinforced Robert
                                    Jones bandage           Surgical
                                                           correction
                                 Reduced inflammation

                             No access         Access
                              needed           required
                                                               Postoperative “light”
                                                              Robert Jones bandage
                             Full cast       Bivalved cast
           (From Slatter DH: Textbook of small animal surgery, ed 3, St. Louis, 2003, Saunders.)















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