Patient of the Week Candidates

for the week of June 28th thru July 2nd, 2010

Review the patient summaries below then vote for your favorite patient.
The patient with the most votes wins the “Patient of the Week” title.

Then the POTW with the most votes in a month will be dubbed Azzore’s Patient of the Month and will receive an extra special prize package from Dr. Dew and the Dew Crew.

PATIENT SUMMARY:
Bella is a 10# 1yr old Chihuahua. She was referred to us by Dr. Mark Davenport at Davenport Veterinary Clinic. Bella was HBC the previous Wednesday. Dr. Dr. Davenport’s radiographs demonstrated multiple ischial and pubic fractures, a right SI luxation, and a left ilial body and acetabular fracture. Dr. Dew discussed fixation of all or at a minimum the ilial body and acetabular fractures. He also discussed the need for confinement, progression of arthritis and good prognosis for return to comfortable function. Bella’s owners wished to proceed with fracture stabilization of the ilial body and acetabulum.
TREATMENT:
Dr. Dew used a trochanteric osteotomy approach. The acetabulum was stabilized a 5.0mm plate, and the ilial body was stabilized with a 5.0mm, 6 hole plate. 2.0mm screws were used to fill all holes in the plates. The greater trochanter was stabilized with 0.035 and 0.045 wires, and a 20 gauge tension band. Bella’s prognosis is good for normal osseous healing. Due to multiple unstabilized fractures and the SI luxation recovery may be prolonged and exercise limitations will be critical. Exercise restrictions must be followed to maximize the prognosis for uncomplicated healing.

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Patient of the Week

June 14th thru 18th, 2010 

Patient of the Week Candidates

for the week of June 21st thru 25th, 2010

Review the patient summaries below
then vote for your favorite patient.
The patient with the most votes wins the “Patient of the Week” title.

Then the POTW with the most votes in a month will
be dubbed Azzore’s Patient of the Month and will receive
an extra special prize package from Dr. Dew and the Dew Crew.

 

PATIENT SUMMARY:
Brianna is a 12# 1yr 7mo Terrier Mix belonging to Dr. Carolyn McCutcheon at Park Avenue Animal Hospital. She had Bilateral grade III Medial Patella Luxation (MPL). Dr. McCutcheon wished to pursue bilateral correction.
TREATMENT:
Dr. Dew used a medial approach with medial release. He stabilized the patellas with divergent pins. He was unable to luxate post correction. Brianna’s prognosis is good for healing, improved function and decreased progression of degenerative joint disease (arthritis). Nursing care, physical therapy, exercise restriction and the use of Glycoflex will play critical roles in an uncomplicated recovery and optimization of long term function.

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Patient of the Week Candidates

for the week of June 14th thru 18th, 2010

Review the patient summaries below 
then vote for your favorite patient.
The patient with the most votes wins the “Patient of the Week” title.

Then the POTW with the most votes in a month will
be dubbed Azzore’s Patient of the Month and will receive
an extra special prize package from Dr. Dew and the Dew Crew.

 
PATIENT SUMMARY:

Willie is a Labrador Retriever. He weighs 101# and is 8yrs old.  Dr. Blair Willman of North Hills Animal Clinic is is referring veterinarian. Willie has a previous right CCL injury addressed with a intra-articular fascial strip at another facility. The right leg has not improved significantly from the time of the October surgery, and he is now acutely off on the left rear. He was able to rise and walk with a very stilted gait on both rear limbs, but had significant bilateral muscle atrophy. Radiographs of stifles and hips demonstrated moderated hip dysplasia and changes in the stifles consistent with CCL injury. Positive anterior drawer and medial buttress were present in both stifles, with meniscal click in the left. Dr. Dew discussed TTA (tibial tuberosity advancement) and EFS (external fascial strip) procedures, unilateral and bilateral. After consideration the owners wished to proceed with bilateral TTA.

TREATMENT:
Dr. Dew used a medial approach with medial arthrotomy for Willie’s surgeries. Kyon hardware used for advancement and stabilization on each stifle were as follows: 12x22mm basket, 7 hole plate & fork, and 4 titanium screws. Willie’s prognosis is good for healing, improved function and decreased progression of degenerative joint disease (arthritis). Nursing care, physical therapy, exercise restriction and the use of Glycoflex will play critical roles in an uncomplicated recovery and optimization of long term function. With the TTA procedure, it is not uncommon to see some bruising and edema around the hock (ankle) and on the inside of the leg below the incision. These changes are not painful and will resolve without treatment in 3-10 days. Due to having both stifles corrected simultaneously a harness was supplied to assist Willie in rising and walking for the next 1-10 days.

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