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Angular Limb Deformity – ESF/Plate

Surgical Procedure

Angular limb deformity is a condition in which the limb is not straight due to a bone deformity. This condition is more prevalent in the forelimb and the treatment may involve an ulnar osteotomy where the bone is cut, repositioned, fat graft is added, and either an ESF (external structural fixation) or internal plate is affixed to the bone with screws to stabilize the bone sections in their new position for bone fusion. If the deformity is acute and severe, then an ulnar ostectomy (as oppose to an osteotomy) may be required in which the sharply curved section of the bone is cut out before the above steps are performed.

Process overview

Pre-Surgery Preparations

All procedures require pre-operational bloodwork. Food and water is restricted 8 to 12 hours prior to surgery to prevent possible aspiration due to vomiting. Depending on the case and procedure, additional diagnostic tests may be required for example EKG, Xray, or ultrasound. We may also recommend an anesthesia specialist if necessary to oversee the anesthesia and health monitoring of your pet.

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During Surgery

Your pet will given a sedative to facilitiate preparation of the surgical site and placement of IV cather. The next step is to provide oxygen, fluids, and thermal support. All medical equipment or apparatus will then be connected so as to monitor your pet's vital signs. Your pet is then anesthetized (induced) and appropriate pain management (epidural, local anesthetic, constant rate infusion/CRI) is administered as needed. We will continue to regulate and monitor your pet throughout the procedure.

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Immediately following the procedure, we continue to administer fluids and observe your pet for a few hours until your pet is fully awake. Discharge instructions will be provided during which all your post-op questions will be answered by the doctor and your pet is able to go home to start his/her recovery process. Follow-up post-operative exams and post-operation pain medication is provided.

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