Bsava Guide To Procedure In Small Animals – Nick Bexfield

chondrodystrophoid, well muscled) does not permit eff ective sling application ■ Concurrent hip fractures or pre-existing disease (e.g. hip dysplasia) ■ Concurrent injuries such as fractures or open wounds Equipment ■ Padded bandage material or cast padding ■ Conforming gauze bandage ■ Adhesive outer protective bandage material (e.g. Elastoplast) Patient preparation and positioning ■ General anaesthesia is required for closed reduction of hip luxation and is preferred for Ehmer sling application.

■ The patient should be positioned in lateral recumbency with the aff ected limb uppermost. ■ At the beginning of the procedure the pelvic limb should be held in a gently fl exed position. Technique Confi rm successful hip joint reduction by radiography and check range of motion and stability of the hip joint. Confi rm that conservative management of hip luxation is appropriate (see Hip luxation – closed reduction). Apply padded bandage material around the metatarsal region to lightly pad this area.

Secure the padded bandage material around the metatarsal region with conforming gauze bandage. It is important to pass the conforming gauze bandage from lateral to medial around the dorsal aspect of the metatarsus and from medial to lateral around the plantar aspect of the metatarsus. VetBooks.ir Procedures in Small Animal Practice Completely fl ex the whole limb. Pass the conforming gauze bandage from the lateral aspect of the metatarsus across the cranial aspect of the mid-tibia, to the medial aspects of the mid-tibia and mid-femur.

Pass the bandage over the cranial aspect of the mid-femur to the lateral aspect of the mid-femur. Pass the bandage caudal to the stifl e to the medial aspects of the distal tibia and proximal metatarsal region, before returning to the plantar aspect of the metatarsus. The result should be a fi gure-of- eight bandage.

Apply a few more layers of conforming gauze bandage to secure the pelvic limb in the fl exed position. 10 Apply an adhesive protective bandage material over the conforming bandage to overhang the edge of the conforming gauze to secure the bandage to the skin/fur. Alternative techniques ■ Ehmer slings are prone to slipping, especially over the cranial aspect of the stifl e. These slings can be made using an elastic adhesive bandage alone, with some metatarsal padding.

This decreases slipping but the sling is more diffi cult to remove, and skin irritation is more likely. ■ The sling can also be secured around the abdomen by extending the bandage from the plantarolateral aspect of the metatarsus, lateral to the fl exed pelvic limb and over the dorsal aspect of the body, before wrapping it around the abdomen.

Nick Bexfield BVetMed PhD DSAM DipECVIM-CA CBiol FSB MRCVS European Specialist in Small Animal Internal Medicine Clinical Associate Professor in Small Animal Medicine and Oncology School of Veterinary Medicine and Science University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD and Karla Lee MA VetMB PhD CertSAS DipECVS PGCAP FHEA MRCVS European Specialist in Small Animal Surgery Senior Lecturer in Small Animal Surgery Clinical Science and Services The Royal Veterinary College, University of London, Hawkshead Lane, Hatfield, Hertfordshire AL9 7TA Published by: British Small Animal Veterinary Association Woodrow House, 1 Telford Way, Waterwells Business Park, Quedgeley, Gloucester GL2 2AB A Company Limited by Guarantee in England Registered Company No. 2837793 Registered as a Charity First edition 2010 Reprinted with corrections 2011 Second edition 2014 Copyright © 2014 BSAVA All rights reserved.

No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior written permission of the copyright holder. The illustrations in this Guide were drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and are printed with her permission. A catalogue record for this book is available from the British Library. ISBN 978 1 905319 67 1 The publishers, editors and contributors cannot take responsibility for information provided on dosages and methods of application of drugs mentioned or referred to in this publication.

Details of this kind must be verified in each case by individual users from up to date literature published by the manufacturers or suppliers of those drugs. Veterinary surgeons are reminded that in each case they must follow all appropriate national legislation and regulations (for example, in the United Kingdom, the prescribing cascade) from time to time in force.

This is a short excerpt from the opening of “” by Unknown, quoted for review and introduction purposes. All rights belong to the copyright holders.

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