Tralee Posted July 6, 2012 Share Posted July 6, 2012 (edited) Hi All. I am currently nursing a six year old maremma. Excellent temperament, and superior conformation. However, he has a chronic trauma to his front left leg. He is ambulatory but winces with discomfort. He had an X-ray this morning and what was suspected as a compound break has turned out to be a dislocation. The radiograph is clear and the one below is a duplicate of what I saw this morning. This is a palmar luxation of the antebrachiocarpal joint. My concern is the twofold. Firstly, whether complete arthrodesis is necessary and secondly what the long term outcomes of any other options are. Thanks for taking the time. Edited July 6, 2012 by Tralee Link to comment Share on other sites More sharing options...
Rappie Posted July 6, 2012 Share Posted July 6, 2012 Arthrodesis has the highest rate of success for treatment of this injury, particularly in a case where chronicity is a factor, not to mention a large breed, active dog. There are other methods of treatment, however they have lower success rates. Whether they are appropriate will depend on the patient and the opinion of the treating veterinarian. Link to comment Share on other sites More sharing options...
Tralee Posted July 6, 2012 Author Share Posted July 6, 2012 Arthrodesis has the highest rate of success for treatment of this injury, particularly in a case where chronicity is a factor, not to mention a large breed, active dog. There are other methods of treatment, however they have lower success rates. Whether they are appropriate will depend on the patient and the opinion of the treating veterinarian. Thank you rappie Your response is very welcome. Is it possible that some, or all of the tendons, may have survived the trauma sufficiently to be restored? Link to comment Share on other sites More sharing options...
JulesP Posted July 6, 2012 Share Posted July 6, 2012 No experience with this but wanted to say that I hope the dog recovers ok. Link to comment Share on other sites More sharing options...
Tralee Posted July 6, 2012 Author Share Posted July 6, 2012 No experience with this but wanted to say that I hope the dog recovers ok. Thanks JulesP He has the sweetest temperament and deserves the best. Link to comment Share on other sites More sharing options...
OSoSwift Posted July 7, 2012 Share Posted July 7, 2012 That looks very ouchy, poor lad. I have only ever seen ones that have been arthrodesed and they have done well Link to comment Share on other sites More sharing options...
Tralee Posted July 7, 2012 Author Share Posted July 7, 2012 That looks very ouchy, poor lad. I have only ever seen ones that have been arthrodesed and they have done well No doubt. After taking the dog in from the owner I have restricted the limb and currently have it suspended in a sling. This allows him to walk for poopy's and wee. I am slowly conditioning his front leg for three legged movement because he will be facing a three month recovery. Thanks Link to comment Share on other sites More sharing options...
german_shep_fan Posted July 8, 2012 Share Posted July 8, 2012 Hi All. I am currently nursing a six year old maremma. Excellent temperament, and superior conformation. However, he has a chronic trauma to his front left leg. He is ambulatory but winces with discomfort. He had an X-ray this morning and what was suspected as a compound break has turned out to be a dislocation. The radiograph is clear and the one below is a duplicate of what I saw this morning. This is a palmar luxation of the antebrachiocarpal joint. My concern is the twofold. Firstly, whether complete arthrodesis is necessary and secondly what the long term outcomes of any other options are. Thanks for taking the time. Just saw this, so sorry to hear I don't know anyting about this but i hope you are able to come up with a solution to help your boy. Link to comment Share on other sites More sharing options...
Tralee Posted July 8, 2012 Author Share Posted July 8, 2012 Hi All. I am currently nursing a six year old maremma. Excellent temperament, and superior conformation. However, he has a chronic trauma to his front left leg. He is ambulatory but winces with discomfort. He had an X-ray this morning and what was suspected as a compound break has turned out to be a dislocation. The radiograph is clear and the one below is a duplicate of what I saw this morning. This is a palmar luxation of the antebrachiocarpal joint. My concern is the twofold. Firstly, whether complete arthrodesis is necessary and secondly what the long term outcomes of any other options are. Thanks for taking the time. Just saw this, so sorry to hear I don't know anyting about this but i hope you are able to come up with a solution to help your boy. Hey! He's not my dog. I took him in after his leg had not healed from a suspected break. He has to go back home but needs surgery and a long recovery first. Link to comment Share on other sites More sharing options...
Tralee Posted August 16, 2012 Author Share Posted August 16, 2012 We will be continuing our edification of all things dog today when we undertake the initial steps, and consultation, for Zuess' arthrodesis. Link to comment Share on other sites More sharing options...
Tralee Posted August 17, 2012 Author Share Posted August 17, 2012 Zuess has had his surgery and is currently in recovery. Hopefully, he can be released tomorrow morning. Link to comment Share on other sites More sharing options...
persephone Posted August 17, 2012 Share Posted August 17, 2012 Good news ... hope the healing progresses smoothly :) Link to comment Share on other sites More sharing options...
Tralee Posted August 18, 2012 Author Share Posted August 18, 2012 Good news ... hope the healing progresses smoothly :) Anitbiotics for two weeks. Painkillers for 10 days. Four months of anti-inflammatories. I will post a picture later. Link to comment Share on other sites More sharing options...
persephone Posted August 18, 2012 Share Posted August 18, 2012 healing thoughts sent. Link to comment Share on other sites More sharing options...
Chezy Posted August 18, 2012 Share Posted August 18, 2012 I do hope he heals and moves on to the next stage of his life :) Link to comment Share on other sites More sharing options...
Tralee Posted August 19, 2012 Author Share Posted August 19, 2012 Healing thoughts sent. I do hope he heals and moves on to the next stage of his life :) Thanks Prognosis is good. Here is a picture of Zuess convalescing. He is more active, and his appetite has returned. But, we're not out of the woods yet. He has 14 weeks of recovery before an assessment of bone healing. Link to comment Share on other sites More sharing options...
persephone Posted August 19, 2012 Share Posted August 19, 2012 I bet he feels much more comfortable :) Link to comment Share on other sites More sharing options...
Tralee Posted August 19, 2012 Author Share Posted August 19, 2012 I bet he feels much more comfortable :) Yep! (... soft, sings my soul.....) Link to comment Share on other sites More sharing options...
Tralee Posted October 4, 2012 Author Share Posted October 4, 2012 Seven weeks post-op now. Dog is standing confidently on four legs. I feel like a parent who has just seen their child stand for the first time. Link to comment Share on other sites More sharing options...
persephone Posted October 4, 2012 Share Posted October 4, 2012 Seven weeks post-op now. <br style="color: rgb(34, 34, 34); font-family: verdana, tahoma, arial, sans-serif; line-height: 17.600000381469727px; background-color: rgb(238, 242, 247); "><br style="color: rgb(34, 34, 34); font-family: verdana, tahoma, arial, sans-serif; line-height: 17.600000381469727px; background-color: rgb(238, 242, 247); ">Dog is standing confidently on four legs. :) Link to comment Share on other sites More sharing options...
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