Fracture Treatment

Broken bones are quite common in dogs and cats. The treatment plan will vary depending on the location and severity of the rest. The main determinant of whether a fracture can be treated more conservatively by splinting or if surgery is needed is the location of the rest.

The splint or cast should be able to secure the joint above and below the fracture. If none of the joints remain completely immobile, the muscle tension will cause the broken end of the bone to move as long as the joint moves even a small amount. This can cause pain and destroy any healing that has occurred. Even a 1 mm movement between the bone fractures can relieve any healing that has occurred. In the best case, this will lengthen the time the patient must use the splint as it extends the healing process. In the worst case, this chronic wound can cause the healing process to stop, leading to what is called “lack of healing.” The lack of union is basically a place where the fracture does not heal and is unstable. If there is a lack of union, the only option is to repair the fracture.

In some cases, your veterinarian may recommend surgery for a fracture and it seems that you should be able to treat it with a splint. A common example of this is that, in the previous radiograph, a toy like a Chihuahua or a miniature Doberman pushes its radius and the ulna (two bones of the front leg below the elbow) downwards. Close to the wrist Surgery is usually the best option for this situation because there is not a strong blood supply in the lower part of the front leg. It is likely that these fractures disintegrate, so it is generally recommended to perform surgical repairs from the beginning to provide the best chance for complete recovery.

At the age of 89, my grandfather entered the family room from his room and forgot that he needed his walker. We still are not sure how he fell to the ground, but eventually he suffered a hip fracture.

His doctor thought that the risk of his surgery was too high, so he was left in bed the following year until he did not move, and another health problem weakened and he died.

Since her death, my family has often discussed the cause of the fall, and the undiagnosed osteoporosis revealed by the hip fracture is the beginning of its end.

We do not know that in less than a year, in the same room my grandfather fell, my grandmother stumbled and broke my left arm in three places. Before being completely independent, I needed care throughout the day because I could not even use the bathroom without help.

As a doctor, what bothers me the most is that my grandmother and my grandfather have the same primary care doctors who never try to explore bone density to see if they have osteoporosis.

It is the failure of the health care system to find osteoporosis in a timely manner and the parallel crisis in the treatment of osteoporosis, which is prompting us to accelerate a disturbing trend that has recently been gained in an important study. Emphasis.

In the International Journal of Osteoporosis, researchers found that hip fractures in women over 65 began to increase in Medicare beneficiaries in 2013 (after years of stabilization), and there were 11,000 hips between 2013 and 2015. Estimation of fracture. There are two clues that indicate the reason. This emerging crisis: as patients are concerned about their side effects, bone density screening tests are reduced and osteoporosis medications are reduced (the largest category is called bisphosphonates).

In osteoporosis, this means that the porous bone has a reduced bone density due to insufficient bone formation, excessive bone loss or a combination of both.

More commonly, this loss of bone density occurs as a result of hormonal changes associated with aging: estrogen levels in postmenopausal women are reduced and testosterone levels are lower in men older than 70 years.

Other factors, such as the use of certain medications, autoimmune diseases, smoking, excessive alcohol consumption and low calcium levels, can amplify bone loss or inhibit bone formation, thus increasing the risk of osteoporosis.

It is estimated that the lifetime risk of osteoporotic fractures (fractures in areas where bone mineral density is known to be low) is 40% to 50% for women and 13% to 22% for men. We have known for a long time that more than 30% of people will die within a year of hip fracture, just like my grandfather. The same study, which began in the early 1990s, showed an increase in the