Treatment FAQ

what is the treatment for a fractured rear fibula in a pup

by Madisen Mueller Published 3 years ago Updated 2 years ago

Surgery is most often recommended to repair a fracture, although a splint

Splint

A splint is defined as “a rigid or flexible device that maintains in position a displaced or movable part; also used to keep in place and protect an injured part” or as “a rigid or flexible material used to protect, immobilize, or restrict motion in a part.” Splints can be used for injuries that are not sever…

may work in some cases. Not much can be done about a crushing injury, and it is rarely diagnosed immediately. The end result (a twisted leg) is most often diagnosed weeks to months after the injury. It’s still important to exercise your puppy

Surgical options include: bone plates and screws, pins and wires, and external fixators (pins holding the bone fragments stable through holes in the skin connected on the outside, like a scaffolding). These options can be used individually or in combinations to provide stability to the bone fragments while they heal.Sep 12, 2015

Full Answer

How do you treat a broken tibia and fibula in dogs?

Some tibia and fibula fractures require anesthesia and surgical stabilization of the bone fragments for the best results Injectable analgesics (pain medications) are given to the animal while being treated in the hospital and may be continued orally once discharged from the hospital

What are the treatment options for fibula fractures?

The treatment of fibula fractures depends on a number of different factors, including where the fracture is located and what other injuries have occurred in association with the fracture. Surgery may be recommended, but usually, a splint or cast is given to help prevent movement.

What is the recovery process for a broken fibula?

Fibula bone fracture recovery process A short lesson on the principle of bone healing is needed to understand why non weight-bearing on the fractured leg is necessary. When a bone fractures, the body starts to heal it. There are 3 phases of bone healing; inflammation phase, repair phase, and remodeling phase.

What kind of fracture does a puppy break its forelimb?

The bones of the forelimb are the radius and ulna. This is a common fracture that typically occurs when a puppy jumps from furniture or someone’s arms. Most often, both bones break right above the wrist. The vast majority of situations require a plate and screws to correctly realign and heal this fracture.

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How long does it take for a fracture to heal in a puppy?

Your vet will explain how long the bone may take to heal, but generally canine fractures need a minimum of four weeks in young puppies and eight weeks in older animals to heal sufficiently and eventually return to normal.

Can a dog's fractured leg heal on its own?

WILL A DOG'S BROKEN LEG HEAL ON ITS OWN? It is dangerous to allow a dog's broken leg to heal untreated or without the supervision of a veterinarian. While a broken bone does naturally heal on its own (through bone remodeling), that does not mean it will heal properly.

How do you treat a puppy's broken bone?

What to do if you suspect your pet has a fractured boneSeek veterinary care as soon as possible. ... Keep your pet as still and quiet as possible.If small enough, place your pet in a crate or box.Do not give any pain relievers or any other type of medication unless directed by a vet.Fractures cannot be treated at home.

Can dogs recover from fracture?

Fractures will need a minimum of 4 weeks of healing in young puppies, and 8-12 weeks for older dogs. The entire healing process can take up to 2-3 months if activity is properly restricted, and it will take longer if not.

Can a puppy walk on a broken leg?

Can a dog still walk with a broken leg? It depends on the severity of the break, so yes, a dog can still walk with a broken leg. Usually, any slight change or inkling of pain in their limbs will cause them to start limping.

How do you fix a broken leg on a puppy at home?

0:482:31How to Treat Leg Injuries in Dogs - YouTubeYouTubeStart of suggested clipEnd of suggested clipYou're going to want to stabilize the fracture. And you can do that with just a piece of gauze. AndMoreYou're going to want to stabilize the fracture. And you can do that with just a piece of gauze. And a stick or a twig or a yardstick. To try and keep the bones from flopping.

Are puppy fractures common?

Learn more here. As responsible pet parents, we all try to protect our beloved dogs from injury. Sometimes accidents happen, and all we can do is help them recover. Bone fractures are very common injuries among dogs of all ages.

Do puppy bones heal faster?

When your dog is less than a year old, his bones tend to knit together faster than when he is an adult. A pup may heal in as little as four weeks and be ready to romp around. Adult dogs need about eight weeks and seniors close to three months.

What happens if a puppy breaks its leg?

If you think your dog has broken a bone, she'll need to be assessed and treated by a professional right away. Your vet will likely schedule an emergency visit for you, but understand that you may need to wait a while to be seen if the vet is booked up for the day already.

How much does it cost to fix a broken leg on a puppy?

It varies, depending on the severity of the break. Generally, the cost of a dog's broken bone runs from $200 to $1,000 and up. Some minor fractures don't require any treatment besides rest; others, like compound fractures, may involve surgery and steel plates inserted into the animal's limb.

How much does it cost to cast a dog's leg?

Cost of Casting and Splinting in Dogs The average cost to cast or splint an extremity is approximately $2,000, but total body casts can average up to $5,000. Ask your veterinarian about the price deemed appropriate, as prices vary depending on the condition and veterinarian.

How do you wrap a dog's broken leg?

4:345:37How to bandage a broken leg in a puppy - YouTubeYouTubeStart of suggested clipEnd of suggested clipThe bottom of the bandage mostly it just adds a little bit of grip. And just a little bit of supportMoreThe bottom of the bandage mostly it just adds a little bit of grip. And just a little bit of support for the foot and the bandage from falling. As she walks yeah. And then this one goes on the top.

How to repair a fibula?

Surgery on the Fibula. The most common way to repair a fractured fibula bone is with a metal plate and screws. Typically a plate is applied to the outside of the bone, with several screws above the location of the fracture, and several screws below.

What are the symptoms of a fibula fracture?

The most common symptoms associated with the fibula fracture include: Pain directly over the fibula bone (outside of the leg) Swelling in the area of the fracture.

What are the complications of fibula surgery?

Common complications associated with surgery for treatment of a fibula fracture can be related to the incision and the underlying hardware. 9  Because there is very little soft tissue between the skin and the bone, problems related to wound healing, infection, and painful hardware are common surgical complications.

What is the most common fracture to occur to the fibula bone?

The most common type of fracture to occur to the fibula bone is an isolated injury to the end of the fibula bone at the level of the ankle joint. These injuries occur in a similar manner to a badly sprained ankle. 4  Often the injury can be treated similarly to a badly sprained ankle.

What is the name of the fracture of the fibula above the ankle?

These injuries, often referred to as "tib-fib" fractures, typically require surgery to support the alignment of the leg.

What is the most common injury to the fibula?

By far the most common are injuries that occur when the ankle joint is damaged. 2  Typically, the ankle buckles or is twisted and the fibula is damaged as part of the injury.

Why does my fibula hurt?

In some people, particularly long-distance runners 7  or hikers, the fibula may be injured as a result of repetitive stress. This type of injury is known as a stress fracture. The pain of a stress fracture may begin gradually. Usually, the pain worsens with increasing levels of activity and is relieved by rest.

How long does it take to heal a fibula fracture?

Recovery and home care. The general process for healing a fibula fracture is immobilization with a splint or cast for several weeks , after which you might get a walking boot to help you walk. Recovery time depends on factors such as: the severity of the injury and the presence of any other injury at the same time.

What is a fibular head fracture?

fibular head fracture, a break near the knee. avulsion fracture, a fracture in which a small part of the bone gets pulled off. stress fracture, a hairline fracture due to repetitive injury. shaft fracture, a break that often affects the middle of the leg due to direct impact.

What are the factors that increase the risk of fibula fracture?

that the biggest risk factor of a fibula fracture is low bone mass. Low bone mass increases the amount of stress or trauma on the fibula. Factors that reduce bone mass can also increase your risk for a fracture. These include: smoking. being female (except for fractures near the ankle) older age.

What happens when a fibula fractures?

A fibula fracture happens when more pressure is put on the bone than it can handle. Seek emergency medical attention if you think you might have a fracture, particularly if the fracture breaks skin and bone is visible.

How to tell if fibula fracture is a neurovascular injury?

tenderness and bruising. pain that gets worse when putting pressure on the leg. tingling or numbness, which usually happens if there is a neurovascular injury.

What is the function of the fibula?

The fibula helps stabilize and support your leg, body, ankle, and leg muscles. It runs parallel to the tibia, a larger bone that also forms the shin, and attaches the ankle and knee joint. The fibula only carries 17 percent of the body’s weight. A fibula fracture happens when more pressure is put on the bone than it can handle.

How long does it take for a fractured bone to heal?

After an injury, it can take up to 12-16 weeks to make a full recovery. Your doctor will use X-rays to see how well your fracture is healing. They’ll also look to see when they can remove the screws, if you have them.

What is the most common fracture in a puppy?

Radius-ulna fractures in puppies. The bones of the forelimb are the radius and ulna. This is a common fracture that typically occurs when a puppy jumps from furniture or someone’s arms. Most often, both bones break right above the wrist.

How do you know if your dog has a fractured bone?

Dogs’ bones reach maximum strength after puberty. Less dense bones, accordingly, mean more potential for fractures. Signs that a puppy has fractured a bone may include obvious things like limping or not using one leg. Other, not so obvious, signs might be swelling of the injured area or pain such as guarding the injury, crying, not playing, ...

What is a tibial crest fracture?

Tibial crest fractures in puppies. A dog's tibia is similar to our shin bone. The tibial crest is the top, front part of the bone. A tibial crest fracture can occur in a puppy after trauma, such as a fall. Pins are required through the broken portion to repair this type of fracture. Growth plate fractures in puppies.

How do you know if your puppy is injured?

If your puppy displays such signs, it is always important to seek help from your veterinarian or the emergency clinic immediately , as things can worsen as time passes.

Why do puppies have broken toes?

Toe fractures in puppies. Broken toes commonly stem from falling or jumping from a high surface , such as furniture. This may also result from being stepped on accidentally by a human. Toe fractures often require pins to help the pieces line up and heal correctly, as well as a splint. Hip fractures in puppies.

What happens to the growth plates in a puppy?

As the puppy reaches puberty, the growth plates eventually close. Until this happens, the growth plates are soft and easily injured.

Can a broken hip be repaired?

Fractures of the hip stem from a traumatic fall. A broken hip might be repairable, usually with pins. Other times, surgery is performed to remove the head of the femur, i.e. the ball of the hip joint. Tibial crest fractures in puppies.

What percentage of tibia fractures are in dogs?

Fractures of the Tibia and Fibula. Fractures of the tibia are relatively common in dogs and cats, accounting for 10% to 20% of all fractures. 5, 6, 40 Tibia fractures often result from trauma, and approximately 50% of tibia fractures occur in young dogs and cats. 5, 6, 40 A majority of tibia fractures are diaphyseal fractures. ...

What is the tibia in a dog?

The tibia is a long bone that is crucial for locomotive function of dogs and cats. The tibia articulates with the femur proximally, with the tarsus distally, and with the fibula on its lateral side both proximally and distally. The tibia serves as an attachment site for many muscles, including the quadriceps femoris (stifle joint extensor), the biceps femoris, and the caudal part of the sartorius (stifle joint flexor) and cranial tibial (tarsal flexor) muscles. 12 The fibula is a thin bone that contributes little to weight bearing in dogs and cats. The fibula articulates with the caudolateral part of the lateral condyle of the tibia proximally, and with the tibia and the talus distally. The fibula serves as an attachment site for a few muscles and for collateral ligaments of the stifle and the tarsal joints. Wide variation in the length and shape of the tibia and fibula is seen among breeds. A method for radiographic measurement of the bony axis of the tibia has been described recently in dogs. 8

What are the most common types of proximal fractures?

Tibial tuberosity avulsion and physeal fracture are the two most common types of proximal fracture. 5, 6, 40 Unger reported that nonarticular (Salter-Harris type I or II) fractures were the most common type and accounted for 56% of proximal fractures. 40 Fractures involving the articular surface were rare and accounted for only 2% of proximal fractures. 40

What are the four epiphyses of the tibia?

The tibia has four separate epiphyses: proximal epiphysis, tibial tuberosity epiphysis, distal epiphysis, and medial malleolar epiphysis (Figures 63-1 and 63-2 ). 37 The proximal epiphysis is relatively flat and forms the articular surface of the tibia. The proximal epiphysis sits on the metaphysis, and the interface between epiphysis and metaphysis contains two small concavities that help to interdigitate the epiphysis to the metaphysis. 27 The associated physis (growth plate) is responsible for approximately 40% of the length of the tibia. 19 The tibial tuberosity is a traction epiphysis (apophysis) that forms the prominence to which the patellar ligament attaches. It has a histologically identifiable physis, although growth occurs at a slower rate than in the nearby proximal epiphy seal plate, and it does not contribute substantially to the length of the bone. 16 At some point in development (between 6 and 8 months in large-breed dogs), the proximal epiphysis fuses to the tibial tuberosity epiphysis (apophysis). 27, 41 The apophyseal growth plate has a flat interface with the metaphysis. The apophyseal growth plate normally closes relatively late in the development of the dog (>12 months in large-breed dogs). 41 Premature closure of the associated growth plate may cause tibial deformity. 13, 29, 31

Why are distal diaphysis fractures open?

Fractures of the distal diaphysis, particularly oblique fractures, are often open fractures because of the minimal soft tissue coverage in this region. As a result of sparse soft tissue in this region, care should be taken during palpation and manipulation to avoid creating an open fracture if one does not exist.

What are the factors that affect tibial fracture?

29 Biologic factors (such as age and health of the patient, blood supply and soft tissue damage, and location of the fracture), mechanical factors (such as type and stability of the fracture, size and activity of the patient, and the number of limbs injured), and clinical and practical factors (such as financial constraints, patient and client compliance, and the surgeon’s preference and experience) should be considered to determine an appropriate plan for successful fracture management.

Where is the tibial tuberosity located?

The tibial tuberosity is located just distal to the cranial border of the tibial plateau. The tibial tuberosity is the quadrangular proximocranial process that provides insertion for the quadriceps femoris muscle via the patellar ligament and parts of the biceps femoris and sartorius muscles.

How long does it take for a bone fracture to heal?

As the bone fractures, it bleeds causing inflammation. The blood or hematoma (blood clot) enters in the space between the two fractured fragments to initiate healing or the repair process. The inflammatory phase takes 5 days and the repair phase takes 40 days.

How long does it take for a bone to remodel?

In this phase, the bone remodels itself into its original size and regain its strength properties. This phase takes 100 days.

What are the phases of bone healing?

When a bone fractures, the body starts to heal it. There are 3 phases of bone healing; inflammation phase, repair phase, and remodeling phase.

Clinical significance

Function

  • The larger bone of the lower leg, the tibia, carries most of the body weight. The smaller bone, the fibula, is located on the outside of the leg.
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Structure

  • The fibular bone starts just below the knee joint on the outside of the leg and extends all the way down to the ankle joint. The bone is a long, thin bone, hollow in its center. While the bone does little to support the weight of the body, it is a critical site of attachment for ligaments at both the knee and the ankle joint and is also connected to the tibia bone by a thick ligament called the sy…
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Types

  • These are not the only types of injury that can occur to the fibula but account for the vast majority of injury to the fibula bone. By far the most common are injuries that occur when the ankle joint is damaged. Typically, the ankle buckles or is twisted and the fibula is damaged as part of the injury.
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Diagnosis

  • Diagnosis of a fibular fracture can typically be made with an X-ray image. Other imaging studies such as MRI or CT scan are typically not necessary, but there are some situations where a fibular fracture may not show up on a regular X-ray. These situations include injuries such as stress fractures (described below). Your physician will examine the site of the injury, and also examine …
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Treatment

  • Isolated fibular fractures, when the ankle joint is unaffected, often can be treated with simple protection. Known as a \"lateral malleolus fracture,\" these injuries occur when the ankle twists or bends awkwardly and the inner (medial) side of the ankle is unaffected. In these situations, a brace is sufficient to support the ankle. Crutches are of...
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Risks

  • The most common complications associated with surgery for treatment of a fibula fracture are related to the incision and the underlying hardware. Because there is very little soft tissue between the skin and the bone, wound healing problems, infection, and painful hardware are by far the most common surgical complications. Wound healing complications are most worrisome in …
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Prevention

  • Once healed, make sure to ask your doctor for prevention and safety tips to reduce your risk of further injury, particularly if your injury resulted from an activity. It may be frustrating to wait until you're better to continue doing what you love, but it's well worth it. In general, you can reduce your risk of a fibula fracture by working to maintain your bone mass. Some factors such as age and g…
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