SA Ortho - External Coaptation

Question 1

Why coaptation

Answer 1

Decreases soft tissue trauma
Decreases limb edema
Temporary fixation

Question 2

Complications w bandaging

Answer 2

Sores
Non-unions
Necrosis

Question 3

Most common complications

Answer 3

Excessive swelling
Incorrect technique

Question 4

Least desirable complication

Answer 4

 tourniquet fucking hoe

Question 5

Avoiding complications

Answer 5

Proper application
Owner compliance
Communication

Question 6

Bandaging layers

Answer 6

Wound dressing
Telfa/adaptic
-nonadherent
Triple anti

Question 7

What is the primary /contact layer

Answer 7

Cast padding
Roll cotton

Question 8

Second layer of bandage

Answer 8

Placed after primary
Want this layer to cling
50% overlap is key

Question 9

Tertiary layer of bandaging

Answer 9

Last layer - holds primary and secondary layer together
3m vetrap single roll bandaging
Not extend beyond secondary layer

Question 10

General rules for applying badges

Answer 10

Always start distal to proximal
Even tension
Even layering
50% overlap
Nails of 3rd and 4th digit should be visible

Question 11

Robert jones bandage

Answer 11

Bulky
Support fractures - distal to elbow or distal to femur
Helps w compression and reducing swelling
Takes up dead space in bandage

Question 12

Modified Robert pad

Answer 12

Used following ortho surgery
Not supportive enough for fractures
Use cast padding instead of roll cotton (like you would in Robert jones)

Question 13

Soft padded bandage

Answer 13

No compression just protection
Not supportive, very thin

Question 14

Metal spoon splint

Answer 14

Metasplints
Support to injuries (below the elbow, below the stifle)
Radius, ulna, tibia, fibula, metatarsal /metacarpal
Primary fixation

Question 15

Which splint is client support most necessary for ?

Answer 15

Metal spoon splint

Question 16

Padding in metal spoon splint

Answer 16

Soft padded bandage plus aluminum /plastic
Caudally placed
Most commonly used on antebrachium

Question 17

Side splint

Answer 17

Soft padded bandage plus plastic splint
Laterally placed
Commonly used for tibia/fibula or radius/ulna fractures

Question 18

Custom splint

Answer 18

Uses fiberglass material
Must use the same amt of material for the padded bandage

Question 19

Spica splint

Answer 19

Applicable for humeral or femoral fracture
Common injury use is stifle or elbow
Incorporates torso - limits mobility

Question 20

Ehmer slings

Answer 20

Special bandages
Prevents weight bearing on limb typically pelvic
Internally rotating the coxofemoral joint
Very careful w bandaging scores

Question 21

Valpeau

Answer 21

Another special bandage
Prevents weight bearing on the thoracic limb
Clinical use for should luxation or some scap fractures

Question 22

Casts

Answer 22

Below elbow, below stifle
Primary fracture stabilization
Supplement internal fixation

Question 23

Indications for a cast

Answer 23

High fracture assessment w score
Quick / uncomplicated healing ~≤6wks

Question 24

Materials for casts

Answer 24

Fiberglass or polypropylene

Question 25

Rules for cast placement

Answer 25

Close fractures w soft tissue trauma
Joint proximal and distal, Extend distal to toes
50% cortical contact, soft padded bandage
Slight varus and extension of limb

Question 26

Structure of casts

Answer 26

Neutralize area - no bending or rotation, not compressive
Recheck 24 hrs then weekly
Must cut off w saw

Question 27

Bivalve cast

Answer 27

Cut - cranial & caudal, lateral & medial
Change daily
3m vetrap single roll bandaging