RE: Need Info re- rehab Plan

[Guest guest]

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

>

[Guest guest]

Hi Aimee,

I have some questions for you?

1.

How long post surgery till you see the patient?

2.

What type of brace do you typically see them in? This dog had

surgery today. His tendon was surgically repaired. He is in a fiberglass below-stifle

walking cast that will be changed in 2 weeks.

3.

 I am familiar with the Tarsoflex braces. How long post surgery till

you use it?

4.

What are the initial post-op  home instructions?

Thanks for your help!

Amy

Amy Flannery MS PT CCRP

Animal Rehabilitation and

Fitness

316 3rd Ave,

Alpha, NJ, 08865

From:

VetRehab [mailto:VetRehab ] On Behalf Of forpawsrehab@...

Sent: Thursday, December 18, 2008 3:51 PM

To: VetRehab

Subject: Re: Need Info re- rehab Plan

Hi Amy.

I tend to progress these guys from all activity (including rehab) in the brace

(static, no ROM) to gradually increasing ROM to rehab activities out of the

brace and home activity in the brace to full activity without the brace.

Another intermediate step might be from a high temp thermoplastic brace to a

tarsoflex with low temp thermoplastic to tarsoflex alone. This is going to take

a good long while-- 12 weeks plus, especially if you think there are

complications (screw breaking) or chronic laxity. Is the chronic laxity due to

another underlying systemic issue? That might (definitely will) affect your

outcome.

Amie

Amie Lamoreaux Hesbach, MSPT, CCRP, CCRT

Next Step Animal Rehabilitation & Fitness, LLC

Huntingtown, land USA

www.vetmash.com

Need Info re- rehab Plan

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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