Use of a Custom Orthotic Boot for Management of Distal Extremity and Pad Wounds in Three Dogs

Hardie, Robert J.; Lewallen, James

doi:10.1111/j.1532-950x.2013.12031.x

Cited by 12 publications

(5 citation statements)

References 15 publications

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“…Although the first "artificial leg" was described for a canine patient more than 50 years ago, orthoses are still considered an emerging or alternative therapy within the scope of veterinary medicine (2). Orthotic devices for veterinary patients are used for a variety of reasons, including preventing cast-related wounds, managing functional impairments in mobility and ambulation, and facilitating a return to a normal active lifestyle (3)(4)(5). Special consideration for device use is made for specific orthopedic conditions when surgery is not an option for the affected veterinary patient and/or client (e.g., financial constraints, concomitant diseases, increased anesthetic risk) (6,7).…”

Section: Introductionmentioning

confidence: 99%

Orthotic Device Use in Canine Patients: Owner Perception of Quality of Life for Owners and Patients

et al. 2021

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Orthotic devices are an established treatment for neuromusculoskeletal disease in the human population. Orthoses are an emerging veterinary therapy due to limited practitioner experience, availability of devices, and published data from veterinary patient outcomes. Expanding client education and veterinary expertise in the application of orthoses may allow greater access and successful utilization of these devices to treat appendicular disease. While orthoses have the potential to improve quality of life for veterinary patients, consideration needs to be made for owner related factors with device use. Owner satisfaction and experience may greatly impact compliance with treatment recommendations; therefore, it is crucial that owner expectations are met. The purpose of the present study was to evaluate owner-reported outcomes of orthosis for canine patients and their owner's subjective responses about the shared pet/owner experience utilizing a promoter score. It was hypothesized that owner's impressions of their pet's experience with the orthotic device would influence owner perceptions of quality of life for both the owner and the pet, and these factors would impact the likelihood of the owner to recommend a veterinary orthosis to a friend. An anonymous online survey was sent to 136 clients of a single veterinary orthoses manufacturer. Fifty-six surveys were completed and included for analysis. The owner's reported quality of life was in agreement (P = 0.02) with reported pet quality of life. There was also a higher likelihood (P = 0.02) for the owner to recommend a veterinary orthotic device to a friend when owner perceptions of pet quality of life were positive as compared to negative or neutral. Willingness to recommend an experience to a friend is a reflection of satisfaction with the experience. The dependence of owner and pet quality of life should therefore guide therapeutic decisions for patient management and client communication to ensure that the orthosis experience is positive for both patient and owner.

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Section: Introductionmentioning

confidence: 99%

Orthotic Device Use in Canine Patients: Owner Perception of Quality of Life for Owners and Patients

et al. 2021

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“…The use of stifle orthoses (braces) is gaining popularity in dogs as a result part of an increased interest in post‐surgical rehabilitation as well as conservative treatment options for patients that are surgical candidates. However, scientific literature on orthoses is limited in dogs, consisting essentially of case reports or case series about carpal or tarsal orthoses, and review articles . A small retrospective case series recently reported on paw pressure in dogs wearing stifle orthoses, but no studies have been published on the effect of any orthoses on joint motion in dogs.…”

Section: Introductionmentioning

confidence: 99%

Pelvic limb kinematics in the dog with and without a stifle orthosis

Torres

Sandberg

et al. 2017

Veterinary Surgery

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The restrictive motion of the stifle orthosis is not fully translated to the underlying joint, based on the limited differences between the motion of braced and unbraced stifles. This effect varies with plane of motion and phase of the gait cycle, with most changes in stifle motion being detected during the stance phase. The stifle orthosis had an equal or greater effect on the motion of adjacent joints, especially the tarsus.

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“…Hence, creating a new weight-bearing surface is necessary to salvage the limb (1,4,8). Several procedures have been described to restore limb function when some or all digits or the associated pads are lost (1,5,8,9). The phalangeal fillet technique, a specific digital pad transfer technique, can be used to replace or fill defects in footpads (8).…”

Section: Introductionmentioning

confidence: 99%

“…Another option is to transplant digital pad grafts harvested from unaffected limbs into recessed sites in the granulation tissue on the metacarpal or metatarsal stump (1,8). Other salvage procedures for dogs with complete digital loss include the use of prosthetics or orthotics (9,10).…”

Section: Introductionmentioning

confidence: 99%

Pedicle digital pad transfer and negative pressure wound therapy for reconstruction of the weight-bearing surface after complete digital loss in a dog

Goethem²,

Polis³

et al. 2015

Vet Comp Orthop Traumatol

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A young Labrador Retriever was presented for treatment of severe distal hindlimb necrosis caused by bandage ischemia. During digit amputation at the metatarsophalangeal joints, the third and fourth digital pads were salvaged and transferred to the metatarsal stump to create a weight-bearing surface. Negative pressure wound therapy (NPWT) was utilized for flap immobilization and to promote granulation tissue in the remaining wound defect. Sturdy adherence of the digital pads was achieved after only four days. The skin defect healed completely by second intention and the stump was epithelialized with a thin pad after three months. At the nine month follow-up examination, the stump had a thick hyperkeratinized pad. The dog walked and ran without any apparent signs of discomfort and compensated for the loss of limb length by extending the stifle and tarsocrural joints. Despite a challenging wound in a difficult anatomical location, digital pad flap transfer and NPWT proved successful in restoring long-term ambulation in an active large breed dog.

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Use of a Custom Orthotic Boot for Management of Distal Extremity and Pad Wounds in Three Dogs

Abstract: A custom orthotic boot was effective at immobilizing the distal extremity and reducing contact between the wound and the boot which allowed for complete healing by contraction and epithelialization.

Cited by 12 publications

References 15 publications

Orthotic Device Use in Canine Patients: Owner Perception of Quality of Life for Owners and Patients

Orthotic Device Use in Canine Patients: Owner Perception of Quality of Life for Owners and Patients

Pelvic limb kinematics in the dog with and without a stifle orthosis

Pedicle digital pad transfer and negative pressure wound therapy for reconstruction of the weight-bearing surface after complete digital loss in a dog

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