Part One: Soft Tissue Injuries
Chapter 1: Initial Management of Contaminated
and Infected Wounds
Preliminary Procedures 2
Debridement and Lavage 11
Wound Closure Assessment 17
Topical Lavage Agents 19
Antibiotics and Antibacteriels 24
Enzymes 28
Wound Healing Stimulants 29
Other Topical Agents 32

Chapter 2: Bandages, Splints and Slings
Primary Bandage Layer 38
Adhesive Tape Stirrups 46
Secondary Bandage Layer 48
Tertiary Bandage Layer 50
Padding Materials 55
Specialty Appliances 60
Carpal Flexion Splint 63
Carpal Sling 65
Velpeau Sling 66
90/90 Sling 67

Chapter 3: Carpal-Metacarpal/Tarsal-Metatarsal Wounds
Primary Wound Closure 72
Delayed Primary Closure 73
Secondary Wound Closure 74
Peripheral Nerve Injury and Repair 76
Wound Drainage 79
Wounds With Apposable Edges - No Tension 86
Wounds With Apposable Edges - Tension 95
Various Shaped Wounds 105
Wounds Over the Carpus and
Tarsus - Apposable Edges 113
Wounds with Nonapposable Edges -
Potential for Apposition and Relief of Tension -
Related Scars 118
Wounds Over the Carpus and
Tarsus - Nonapposable Edges 136
Wounds With Nonapposable Edges - No
Potential for Apposition 139
Wounds With Exposed Bones and Joints 163

Chapter 4: Paw Wounds
Hemostasis 168
Dorsal Digital Wounds 168
Palmar/Plantar Pad Wounds - Pad
Surface Wounds 169
Deep Abrasion, Partial Avulsions and
Deep Burns 171
Pad Punctures 173
Pad Lacerations 175
Metacarpal/Metatarsal Pad Loss 179
Deep Pad Ulceration - Bandaging 179
Pad Replacement: Phalangeal Fillet 181
Pad Replacement: Pouch Flap (Cats) 186
Pad Replacement: Tubed Pedicle Flaps (Cats) 188
Pad Replacement: Pad Grafts 190
Pad Replacement: Mesh Grafts (Cats) 193
Interdigital Wounds 194
Interdigital Pododermatitis 194
Superficial Interdigital (Web) Lacerations 204
Deep Interdigital Lacerations 205
Digit Orthopedic Wounds and
Soft Tissue Salvage 206
Digit Space Filling: Phalangeal Fillet 209

Chapter 5: Specific Wounds - Snakebite and
Acral Lick Dermatoses
Snake Bite Wounds 212
Acral Lick Dermatitis 216

Chapter 6: Onychectomy, Deep Digital, Flexor Tenectomy and Digit Amputation
Onychectomy 228
Deep Digital Flexor Tenectomy (Cats) 233
Dewclaw Amputation 234
Digit Amputation 236

Part Two: Orthopedic Injuries
Chapter 7: Orthopedic Injuries of the Tarsal Area
Anatomy of the Distal Hind Limb 246
Ligament and Tendon Injuries 250
Sprain Injury 251
Tarsal Shearing Wounds Treated by
Open Wound Healing, Prosthetic Imbrication
and External Fixation 261
Severe Tarsal Shearing Wounds Treated by Early
Arthrodesis Using External Fixation 264
Severe Tarsal Shearing Wounds Treated by
Delayed Arthrodesis Using Bone Plating 267
Plantar Intertarsal Subluxation and Luxation 271
Dorsal Intertarsal Subluxation 275
Luxation of the Base of the Talus 278
Tarsometatarsal Joint Subluxation 279
Talocalcaneal Luxation 281
Strain Injury 282
Injury to the Common Calcaneal Tendon 286
Rupture or Laceration of the Common
Calcaneal Tendon 287
Avulsion of the Gastrocnemius
Tendon Insertion 289
Chronic Calcaneal Tendonitis 295
Gastrocnemius Tears at the
Musculotendinous Junction 296
Rupture of the Gastrocnemius Muscle 297
Luxation of the Superficial Digital
Flexor Tendon 298
Transarticular External Fixation of the Tarsus 299
Malleolar Fractures 305
Distal Tibial Physeal Fractures 307
Fractures of the Tarsal Bones 307
Fractures of the Calcaneus 308
Talus Fractures 312
Central Tarsal Fractures 316
Central Tarsal Bone Fracture - Luxation 320
Fractures of the Numbered Tarsal Bones 321

Chapter 8: Orthopedic Injuries of the Carpal Area
Anatomy of the Distal Forelimb 324
Hyperextension Injury 327
Collateral Ligament Instability of the
Antebrachiocarpal Joint 331
Luxation of the Antebrachiocarpal
(Radiocarpal) Joint 335
Middle Carpal Subluxation 336
Distal Fractures of the Radius and Ulna 337
Distal Radial and Ulnar Fractures: Noncominuted
and Closed 341
Distal Radial and Ulnar Fractures:
Cominuted or Open 344
Angular Limb Deformity 345
Radial Carpal Bone Fractures 352
Radial Carpal Bone Luxation 354
Accessory Carpal Bone Fractures 355
Soft Tissue Injury Related to the
Accessory Carpal Bone 357

Chapter 9: Orthopedic Injuries to the Metatarsal, Metacarpal and Phalangeal Areas
Anatomy of the Metatarsal, Metacarpal
and Phalangeal Areas 360
Metacarpal and Metatarsal Fractures 362
Phalangeal Fractures 367
Ligamentous Injuries of the Phalanges 369
Sesamoid Fragmentation 371

Part Three: Atheletic and
Working Dog Injuries
Chapter 10: Athletic and Working Dog Injuries
General Information 378
Skin Injuries 379
Cracked Nails 379
Bruised Nails 380
Avulsed Nails 380
Pad Injuries 381
Muscle Injuries 382
Interosseous Myositis or Muscle Strain 382
Interosseous Muscle Tears or Ruptures 383
Synovial Injuries 384
Acute Carpal Synovitis 384
Chronic Carpal Synovitis 384
Acute Sesamoidal Synovitis 385
Chronic Sesamoidal Synovitis 386
Toe Dislocations 386
Tendon Injuries 388
Palmar or Plantar Lacerations 390

Index 393


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