Wednesday, September 19, 2012

Animal Orthopedics

This was written for my Agriculture Seminar class. It's an overview of a presentation I gave. I apologize for no sources.
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Animal Orthopedics Paper
By: Rachel Counts
AGRON 300
11/1/11
Animal Orthopedics is a fairly new field that often mirrors the progress made in human orthopedics. It began in small animals, and has progressed to include animals all across the board including (but not limited to): llamas, horses, imus, kangaroos, and more.
There are many different types of orthopedic therapy, all meant to treat symptoms from the ill-effects of such diseases as osteoarthritis, sudden trauma, neurological disorders and more. There are many reasons as to why an animal would lose range of motion in a limb. Surgery, braces or prosthetics help animals regain use of their limbs.
Surgery is the most drastic type of orthopedics for animals, but is the most common. There are three main types of surgeries; elbow replacements, stifle replacements and hip replacements. These surgeries are normally required to replace a joint due to arthritis. The cartilage between joints wears down, and makes movement painful for an animal.
Elbow replacements involve creating a new  joint, and supporting the bone with multiple screws.  This eases the movement of that joint and prevents the rubbing of the two bones. Mobility is renewed in the animal through this surgery.
A stifle replacement is much like an elbow replacement, but if for the knee in the back leg. The surgery also differs slightly. Much like the elbow replacement, the hinge joint is replaced, but unlike the elbow replacement the new joint is supported by building down through the bone. The back legs take more brute force and need this added support to aid the joint.
Finally, the third most common orthopedic surgery is hip replacements. Hip replacements are normally necessary due to Hip Dysplasia or advanced osteoarthritis. The entire coxofemoral ball and socket joint in the femur is replaced to add stability and comfort to the hip. Animals that were once crippled due to hip problems can now move about as is normal.
The next big part of orthopedics which is often overlooked is orthopedic braces. These are meant to aid in movement through non-invasive terms. Animals that have muscle loss or neurological disorders that inhibit the range of motion in a limb can benefit from this orthopedic method. Braces support weak limbs, and use some techniques that help an animal lift limbs.
Some animals lose muscle use through sudden trauma, or sometimes merely through old age. Braces are a gentle way to regain limb use. One such case involves a dog that lost his full ability to lift his back left leg. The back of his paw dragged on the ground and wore away at the top of his foot. An orthopedic brace was assembled that attached above the stifle joint and wrapped a band around his toes. This allowed the dog to walk without injury by aiding the muscles in lifting the leg with each step.
There are several steps involved in having an orthopedic brace fashioned for an animal. First the animal is evaluated for eligibility to receive a brace. Aspects such as the extent of the injury, the deformity, the animal’s live environment, and what kind of lifestyle the animal leads is all considered before the decision can be made. Long-term goals are also reviewed to make sure the best interest of the animal is considered. Next, a cast-mold is created to make a custom-fitted brace for the animal. This can be accomplished through two different methods. Either your vet can create a cast and the dimensions can be sent in to the business creating the orthopedics, or the business can send you a casting kit for a fee. The brace will then be built over a course of five to ten days.
After the brace has been built, the orthopedic device will be tried on for the first time. Adjustments will be made to make the brace most comfortable with the largest range of motion available. Certain adjustments can be made, such as moving the frame to release pressure or to aid in support, increasing the liner to make changes to the amount of shock absorbance and to adjust friction between the animal’s limb and the device. And finally the straps used to secure the device can be changed.
Once the adjustments have been made, the animal is made a wearing schedule to help “break in” the device. Animals must accumulate to the device to be able to wear it comfortably. The orthopedic brace is not intended to by worn all the time.   
After the device has been made, repairs and refurbishments are often offered through a business to keep the device in working order. Two aspects of the brace can be repaired or refurbished: the frame, or the foam lining/straps in the brace.
The last big part of orthopedics is prosthetics. Animals will lose their feet in traumatic events, such as an accident or through hypothermia. One such animal was a cat that urinated in the freezing weather, and became frozen to the ground from the liquid on her back legs. She lost both back feet, but was able to be fitted with prosthetic paws.
Prosthetics are built in much the same way as a brace. A mold can be taken of an existing leg or foot or of the injured leg to help determine the placement of the new limb. The animal is then sent into surgery where the prosthetic is grafted into the bone. The bottom part can be attached from outside the animal to be able to have repairs, or it can be a permanent replacement.
Prosthetics are still an expanding field, and requires a lot of research to be taken to new places, just as human prosthetics are. But prosthetics for now are an amazing field that can be very extensive. Some animals have had as many as all four feet replaced. This helps us see how far we’ve gone in this narrow field already.
Orthopedics in general help animals lead better and more natural lives. It’s still a developing field, but we’ve come a far way since working on exclusively small domestic animals. Surgeries, braces and prosthetics are all equally important in the field, and each deserves its own respect.

Summary: 
Animals Orthopedics
By: Rachel Counts
11/1/11

Animal Orthopedics is a fairly new field that often mirrors the progress made in human orthopedics. It began in small animals, and has progressed to include animals all across the board including (but not limited to): llamas, horses, imus, kangaroos, and more.
·         Joint Athroplasty:
o   Elbow Replacements: requires supporting bones and reconstructing joints
o   Stifle Replacements:  create a new hinge joint. Supported by building new joint into bones
o   Hip Replacements: normally required because of hip dysplasia. Replaces coxofemoral
Short video
·         Orthopedic Braces
o   Helps support weak limbs or other degenerative diseases
o   Process includes: Evaluation for eligibility to receive brace. Mold brace to animal. Build brace. Try on new orthopedic brace and make final adjustments. Refurbish or repair brace over time.
·         Prosthetics
o   Normally meant to replace missing feet/paws or limbs.
o   Expanding field
o   Lots of progress
o   Some animals have had as many as all limbs replaced


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