Re: Patella bracing solutions?

[Guest guest]

Hi Marti,

I hope all is well out there. I personally have not tried many patellar

luxation braces (one or two which have not worked) but have a difficult time

understanding how it is going to be possible to maintain enough of an intimate

fit to defy anatomic abnormality and maintain patellar reduction during a range

of motion all while being comfortable on the patient especially with a grade III

luxation. We are doing another one at the owner's request now however that dog

appears to have been a trauamatic luxation which is quite a bit different in my

mind because we don't have the underlying anatomic abnormalities nor the chronic

wear on the patellofemoral joint.

, VMD, CCRP

Veterinary Orthopedic Sports Medicine Group

https://www.VOSM.com

________________________________________

From: VetRehab [VetRehab ] On Behalf Of Marti

[mdrum@...]

Sent: Friday, May 18, 2012 7:37 PM

To: VetRehab

Subject: Patella bracing solutions?

Can anyone chime in on your experience with orthoses for patella luxations in

dogs? Specifically I have a dog with a Grade III LPL that failed repair and the

owner is hesitant to revise. We did kinesiotaping that seemed to be working for

a short period, but the dog developed skin irritation and a wound. I am familiar

with stifle/cruciate braces, but don't see how they would stabilize a patellar

luxation.

Thanks!

Marti Drum DVM, PhD, CCRP, CERP

Clinical Assistant Professor

Small Animal Physical Rehabilitation

University of Tennessee

C247 Veterinary Teaching Hospital

Knoxville, TN 37996

(o)

(f)

mdrum@...<mailto:mdrum%40utk.edu>

" The most exciting phrase to hear in science,

the one that heralds the most discoveries,

is not 'Eureka!' (I found it!),

but 'That's funny...' "

-Isaac Asimov

[Guest guest]

How about squats while you hold it in place? It would take some doing, a couple of people, a good dog, and a few weeks but I can see it happening. Well, depending on how strait he really is now and how good the surgery was in the first place. How good of a dog is he? Problem with a brace is the same as you had with the tape, I would think... But you may be able to get someone to do one, pretty precise though if it could work and I'm not sure if anyone would do a cast/ send-a-way one like that.Robby J Porter IIICertified Canine Rehabilitation PractitionerLouisiana Veterinary Referral CenterAnimal Rehabilitation CenterMandeville, LA70448Main Hospital: ext. 208lavrc.comtwitter.com/LAVRCfacebook.com/LAVRCyoutube.com/LAVRCfacebook.com/louisianaCOPfacebook.com/SuperPanThePanofSteel*********************************************************************************************************This document, and any attached information is proprietary, privileged and confidential property of the

Louisiana Veterinary Referral Center (LAVRC) under applicable law and is intended exclusively for business use by all LAVRC employees and intended recipients with a legitimate LAVRC business need. The reproduction, dissemination, distribution and/or disclosure by unintended recipients is unauthorized, strictly prohibited and may be unlawful (Privileged and confidential pursuant to La. R.S. 13:3715.3).If you have received this transmission in error, please immediately reply to the sender and delete this information from your system. To: VetRehab Sent: Friday, May 18, 2012 6:37 PM Subject: Patella bracing solutions?

Can anyone chime in on your experience with orthoses for patella luxations in dogs? Specifically I have a dog with a Grade III LPL that failed repair and the owner is hesitant to revise. We did kinesiotaping that seemed to be working for a short period, but the dog developed skin irritation and a wound. I am familiar with stifle/cruciate braces, but don't see how they would stabilize a patellar luxation.

Thanks!

Marti Drum DVM, PhD, CCRP, CERP

Clinical Assistant Professor

Small Animal Physical Rehabilitation

University of Tennessee

C247 Veterinary Teaching Hospital

Knoxville, TN 37996

(o)

(f)

mdrum@...

"The most exciting phrase to hear in science,

the one that heralds the most discoveries,

is not 'Eureka!' (I found it!),

but 'That's funny...'"

-Isaac Asimov

[Guest guest]

I love soon the Play Bow or Downward dog exercise (butt in the air, elbows on

the floor) for MPL. Once they are stronger you can progress to doing it on a

pad. This guy woul need some manual stabilization of the patella to ensure

proper alignment during the exercise but I could probably be done with 2 people

and some yummy treats.

I have had several dogs get sore from this exercise, so start out slowly.

:-)

>

> How about squats while you hold it in place? It would take some doing, a

couple of people, a good dog, and a few weeks but I can see it happening. Well,

depending on how strait he really is now and how good the surgery was in the

first place. How good of a dog is he? 

> Problem with a brace is the same as you had with the tape, I would think...

But you may be able to get someone to do one, pretty precise though if it could

work and I'm not sure if anyone would do a cast/ send-a-way one like that.

> Robby

>  

> J Porter III

> Certified Canine Rehabilitation Practitioner

> Louisiana Veterinary Referral Center

> Animal Rehabilitation Center

> Mandeville, LA

> 70448

> Main Hospital: ext. 208

> lavrc.com

> twitter.com/LAVRC

> facebook.com/LAVRC

> youtube.com/LAVRC

> facebook.com/louisianaCOP

> facebook.com/SuperPanThePanofSteel

>

>

********************************************************************************\

*************************

> This document, and any attached information is proprietary, privileged and

confidential property of the Louisiana Veterinary Referral Center (LAVRC) under

applicable law and is intended exclusively for business use by all LAVRC

employees and intended recipients with a legitimate LAVRC business need. 

The reproduction, dissemination, distribution and/or disclosure by unintended

recipients is unauthorized, strictly prohibited and may be unlawful (Privileged

and confidential pursuant to La. R.S. 13:3715.3).

> If you have received this transmission in error, please immediately reply to

the sender and delete this information from your system.   

>

>

> ________________________________

>

> To: VetRehab

> Sent: Friday, May 18, 2012 6:37 PM

> Subject: Patella bracing solutions?

>

>

>  

> Can anyone chime in on your experience with orthoses for patella luxations in

dogs? Specifically I have a dog with a Grade III LPL that failed repair and the

owner is hesitant to revise. We did kinesiotaping that seemed to be working for

a short period, but the dog developed skin irritation and a wound. I am

familiar with stifle/cruciate braces, but don't see how they would stabilize a

patellar luxation.

>

> Thanks!

>

> Marti Drum DVM, PhD, CCRP, CERP

> Clinical Assistant Professor

> Small Animal Physical Rehabilitation

> University of Tennessee

> C247 Veterinary Teaching Hospital

> Knoxville, TN 37996

> (o)

> (f)

> mdrum@...

> " The most exciting phrase to hear in science,

> the one that heralds the most discoveries,

> is not 'Eureka!' (I found it!),

> but 'That's funny...' "

> -Isaac Asimov

>