Management

	The trauma to this dog resulted in injuries that can only be treated surgically.  We will put a buttressing-lengthening plate on the left femoral fracture.  This plate was chosen because it will be able to take more force.  This plate has solid a central portion thus it is less likely to bend and gap thereby allowing to take place before the plate brakes.  For the right tibula/fibular fracture we are going to use an external fixature procedure.  We are going to use an external procedure as opposed to an internal procedure because it causes less contamination, does little damage to the blood supply of the bones, and it does not set back bone healing.  The radius and ulna offer enough room for such a corrective procedure due to decreased muscle mass.  Because there are some free bone fragments a limited approach to reduction will be utilized.  Hence, the procedure will be done through a small incision to allow visual assessment of bone reduction and removal of fragments.  Radiographs should be retaken after six weeks to assess the progress of healing.  Potential complications include mal-union or non-union. These would have to be corrected.  
	We will send the dog home after the procedure on prophylactic antibiotics.