Re: Re: Need Info re- rehab Plan

[Guest guest]

Sounds like a great course of action. I just wanted to clarify what you meant by "hinged" thought. There are several types of hinges. The two most common are free motion and limited motion. Free motion joints would not serve the purpose for allowing more range of motion later in rehab. Be sure to clarify to your orthotist that you want a limited range of motion joint that you can adjust the ROM. I would assume that you do not want any motion early on in the healing process.

Happy Holidays

Ben Ben Blecha, CPOwww.skyprosthetics.com-- Those who can laugh without cause have either found the true meaning of happiness or have gone stark raving mad.~Norm Papernick

To: VetRehab Sent: Thursday, December 18, 2008 1:14:05 PMSubject: RE: Re: Need Info re- rehab Plan

Amy,

This is a very common technique, however the screw is predisposed to breaking. Therefore, the repair is typically supported/protected with additional devices (either a hinged hock brace, orthosis, or lateral splint). The screw is typically removed at 4 to 6 weeks, however the tendon repair must still be protected (hinged brace, orthosis, etc) as the dog is progressing through rehab. Actual time for tendon healing…..approximatelty 3+/- months. A hinged brace is nice because you can start increasing the load on the tissues over time by increasing the range of motion.

Sherman

Sherman O. Canapp Jr., DVM, MS

Diplomate ACVS

Veterinary Orthopedic &

Sports Medicine Group

10270 Baltimore National Pike

Ellicott City, MD 21042

Phone:

Fax:

http://www.vosm. org

From: VetRehab@yahoogroup s.com [mailto:VetRehab@ yahoogroups. com] On Behalf Of alan.holterSent: Thursday, December 18, 2008 2:59 PMTo: VetRehab@yahoogroup s.comSubject: Re: Need Info re- rehab Plan

I tried this procedure once and the screw broke within days. i think there is too much stress on just a screw, there needs to be some other added stabilization. Most of these lax tendons take 6-8 weeks to tighten before I recommend starting rehab.Alan Holter DVM>> My Vet just performed a surgery to stabilize the talocrural joint of a > Lab who had a chronic very lax gastrocnemius tendon. Prior to surgery > this dog was walking with his hock in deep flexion. He placed a screw > from his distal calcaneus to his tibia to hold his hock in extension. > Does anyone have experience with this procedure? I'm looking for > information regarding healing times, contraindications, etc. to help

me > develop this dogs rehab program.> Thanks for your help,> Amy Flannery MS PT CCRP>

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[Guest guest]

Ben,

Good point and that was my error not mentioning that fact

(limited motion). Derrick Campana, OT one of VOSM’s consultants makes

these devices for us and they have worked very well for these types of

cases. These devices actually protect the surgical site well enough (by

locking out ROM early in the post-op phase and keeping the hock at a slightly

extended state) that you do not need to place the calcaneal to tibial screw.

Happy Holidays,

Sherman

Sherman O. Canapp Jr., DVM, MS

Diplomate ACVS

Veterinary Orthopedic &

Sports Medicine Group

10270 Baltimore National Pike

Ellicott City, MD 21042

Phone:

Fax:

http://www.vosm.org

From: VetRehab

[mailto:VetRehab ] On Behalf Of Ben Blecha

Sent: Friday, December 19, 2008 10:20 AM

To: VetRehab

Subject: Re: Re: Need Info re- rehab Plan

Sounds like a great course of action. I just wanted to

clarify what you meant by " hinged " thought. There are

several types of hinges. The two most common are free motion and

limited motion. Free motion joints would not serve the purpose for allowing

more range of motion later in rehab. Be sure to clarify to your

orthotist that you want a limited range of motion joint that you can

adjust the ROM. I would assume that you do not want any motion early on

in the healing process.

Happy Holidays

Ben

Ben Blecha, CPO

www.skyprosthetics.com

-- Those who can laugh without cause have either found the true meaning of

happiness or have gone stark raving mad.

~Norm Papernick

From: Sherman Canapp

To: VetRehab

Sent: Thursday, December 18, 2008 1:14:05 PM

Subject: RE: Re: Need Info re- rehab Plan

Amy,

This is a very common technique, however

the screw is predisposed to breaking. Therefore, the repair is typically

supported/protected with additional devices (either a hinged hock brace, orthosis,

or lateral splint). The screw is typically removed at 4 to 6 weeks,

however the tendon repair must still be protected (hinged brace, orthosis, etc)

as the dog is progressing through rehab. Actual time for tendon

healing…..approximatelty 3+/- months. A hinged brace is nice

because you can start increasing the load on the tissues over time by

increasing the range of motion.

Sherman

Sherman O. Canapp Jr., DVM, MS

Diplomate ACVS

Veterinary Orthopedic &

Sports Medicine Group

10270 Baltimore National Pike

Ellicott City, MD 21042

Phone:

Fax:

http://www.vosm. org

From:

VetRehab@yahoogroup s.com

[mailto:VetRehab@ yahoogroups. com] On Behalf Of alan.holter

Sent: Thursday, December 18, 2008 2:59 PM

To: VetRehab@yahoogroup s.com

Subject: Re: Need Info re- rehab Plan

I tried this procedure once and the screw broke within days. i think

there is too much stress on just a screw, there needs to be some other

added stabilization. Most of these lax tendons take 6-8 weeks to

tighten before I recommend starting rehab.

Alan Holter DVM

>

> My Vet just performed a surgery to stabilize the talocrural joint of

a

> Lab who had a chronic very lax gastrocnemius tendon. Prior to surgery

> this dog was walking with his hock in deep flexion. He placed a screw

> from his distal calcaneus to his tibia to hold his hock in extension.

> Does anyone have experience with this procedure? I'm looking for

> information regarding healing times, contraindications, etc. to help

me

> develop this dogs rehab program.

> Thanks for your help,

> Amy Flannery MS PT CCRP

>

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10:16 AM

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found in this incoming message.

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10:09 AM

[Guest guest]

Hello all,

We are planning to move to a new facility soon and I was wondering if anyone has

had experience w/ relocating the UWTM? I have the Hydrophysio HP200 and am

nervous about the disassembly.

Thank you and happy holidays to everyone.

Regards,

Jackie

~~~~~~

Jackie Honghern Sharp

CCRP

Louisville Veterinary Specialists and Emergency Services

www.lvses.com

office

fax

>

> Subject: RE: Re: Need Info re- rehab Plan

> To: VetRehab

> Date: Monday, December 22, 2008, 12:34 AM

> Ben,

>

>

>

> Good point and that was my error not mentioning that fact

> (limited motion).

> Derrick Campana, OT one of VOSM's consultants makes

> these devices for us and

> they have worked very well for these types of cases. These

> devices actually

> protect the surgical site well enough (by locking out ROM

> early in the

> post-op phase and keeping the hock at a slightly extended

> state) that you do

> not need to place the calcaneal to tibial screw.

>

>

>

> Happy Holidays,

>

>

>

> Sherman

>

>

>

> Sherman O. Canapp Jr., DVM, MS

>

> Diplomate ACVS

>

>

>

> Veterinary Orthopedic &

>

> Sports Medicine Group

>

>

>

> 10270 Baltimore National Pike

>

> Ellicott City, MD 21042

>

> Phone:

>

> Fax:

>

>

>

> <http://www.vosm.org/>

> cid:image001.jpg@...

>

> http://www.vosm.org

>

>

>

> From: VetRehab

> [mailto:VetRehab ] On Behalf

> Of Ben Blecha

> Sent: Friday, December 19, 2008 10:20 AM

> To: VetRehab

> Subject: Re: Re: Need Info re- rehab Plan

>

>

>

> Sounds like a great course of action. I just wanted to

> clarify what you

> meant by " hinged " thought. There are several

> types of hinges. The two most

> common are free motion and limited motion. Free motion

> joints would not

> serve the purpose for allowing more range of motion later

> in rehab. Be sure

> to clarify to your orthotist that you want a limited range

> of motion joint

> that you can adjust the ROM. I would assume that you do

> not want any motion

> early on in the healing process.

>

>

>

> Happy Holidays

>

> Ben

>

>

> Ben Blecha, CPO

> www.skyprosthetics.com

> -- Those who can laugh without cause have either found the

> true meaning of

> happiness or have gone stark raving mad.

> ~Norm Papernick

>

>

>

>

>

> _____

>

>

> To: VetRehab

> Sent: Thursday, December 18, 2008 1:14:05 PM

> Subject: RE: Re: Need Info re- rehab Plan

>

> Amy,

>

>

>

> This is a very common technique, however the screw is

> predisposed to

> breaking. Therefore, the repair is typically

> supported/protected with

> additional devices (either a hinged hock brace, orthosis,

> or lateral

> splint). The screw is typically removed at 4 to 6 weeks,

> however the tendon

> repair must still be protected (hinged brace, orthosis,

> etc) as the dog is

> progressing through rehab. Actual time for tendon

> healing...approximatelty

> 3+/- months. A hinged brace is nice because you can start

> increasing the

> load on the tissues over time by increasing the range of

> motion.

>

>

>

> Sherman

>

>

>

> Sherman O. Canapp Jr., DVM, MS

>

> Diplomate ACVS

>

>

>

> Veterinary Orthopedic &

>

> Sports Medicine Group

>

>

>

> 10270 Baltimore National Pike

>

> Ellicott City, MD 21042

>

> Phone:

>

> Fax:

>

>

>

> <http://www.vosm.org/>

> cid:image001.jpg@...

>

> http://www.vosm. org <http://www.vosm.org/>

>

>

>

> From: VetRehab@yahoogroup s.com <http://s.com/>

> [mailto:VetRehab@

> yahoogroups. com] On Behalf Of alan.holter

> Sent: Thursday, December 18, 2008 2:59 PM

> To: VetRehab@yahoogroup s.com

> Subject: Re: Need Info re- rehab Plan

>

>

>

> I tried this procedure once and the screw broke within

> days. i think

> there is too much stress on just a screw, there needs to be

> some other

> added stabilization. Most of these lax tendons take 6-8

> weeks to

> tighten before I recommend starting rehab.

>

> Alan Holter DVM

>

>

> >

> > My Vet just performed a surgery to stabilize the

> talocrural joint of

> a

> > Lab who had a chronic very lax gastrocnemius tendon.

> Prior to surgery

> > this dog was walking with his hock in deep flexion. He

> placed a screw

> > from his distal calcaneus to his tibia to hold his

> hock in extension.

> > Does anyone have experience with this procedure?

> I'm looking for

> > information regarding healing times,

> contraindications, etc. to help

> me

> > develop this dogs rehab program.

> > Thanks for your help,

> > Amy Flannery MS PT CCRP

> >

>

> No virus found in this incoming message.

> Checked by AVG - http://www.avg. com

> Version: 8.0.176 / Virus Database: 270.9.19/1855 - Release

> Date: 12/18/2008

> 10:16 AM

>

> No virus found in this incoming message.

> Checked by AVG - http://www.avg.com

> Version: 8.0.176 / Virus Database: 270.9.19/1857 - Release

> Date: 12/19/2008

> 10:09 AM