SA Ortho - External Coaptation Flashcards
Why coaptation
Decreases soft tissue trauma
Decreases limb edema
Temporary fixation
Complications w bandaging
Sores
Non-unions
Necrosis
Most common complications
Excessive swelling
Incorrect technique
Least desirable complication
 tourniquet fucking hoe
Avoiding complications
Proper application
Owner compliance
Communication
Bandaging layers
Wound dressing
Telfa/adaptic
-nonadherent
Triple anti
What is the primary /contact layer
Cast padding
Roll cotton
Second layer of bandage
Placed after primary
Want this layer to cling
50% overlap is key
Tertiary layer of bandaging
Last layer - holds primary and secondary layer together
3m vetrap single roll bandaging
Not extend beyond secondary layer
General rules for applying badges
Always start distal to proximal
Even tension
Even layering
50% overlap
Nails of 3rd and 4th digit should be visible
Robert jones bandage
Bulky
Support fractures - distal to elbow or distal to femur
Helps w compression and reducing swelling
Takes up dead space in bandage
Modified Robert pad
Used following ortho surgery
Not supportive enough for fractures
Use cast padding instead of roll cotton (like you would in Robert jones)
Soft padded bandage
No compression just protection
Not supportive, very thin
Metal spoon splint
Metasplints
Support to injuries (below the elbow, below the stifle)
Radius, ulna, tibia, fibula, metatarsal /metacarpal
Primary fixation
Which splint is client support most necessary for ?
Metal spoon splint
Padding in metal spoon splint
Soft padded bandage plus aluminum /plastic
Caudally placed
Most commonly used on antebrachium
Side splint
Soft padded bandage plus plastic splint
Laterally placed
Commonly used for tibia/fibula or radius/ulna fractures
Custom splint
Uses fiberglass material
Must use the same amt of material for the padded bandage
Spica splint
Applicable for humeral or femoral fracture
Common injury use is stifle or elbow
Incorporates torso - limits mobility
Ehmer slings
Special bandages
Prevents weight bearing on limb typically pelvic
Internally rotating the coxofemoral joint
Very careful w bandaging scores
Valpeau
Another special bandage
Prevents weight bearing on the thoracic limb
Clinical use for should luxation or some scap fractures
Casts
Below elbow, below stifle
Primary fracture stabilization
Supplement internal fixation
Indications for a cast
High fracture assessment w score
Quick / uncomplicated healing ~≤6wks
Materials for casts
Fiberglass or polypropylene
Rules for cast placement
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
Structure of casts
Neutralize area - no bending or rotation, not compressive
Recheck 24 hrs then weekly
Must cut off w saw
Bivalve cast
Cut - cranial & caudal, lateral & medial
Change daily
3m vetrap single roll bandaging
