╨╧рб▒с>■  ')■   &                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ ┐╦jbjbjкjк ╚╚╦       ]вввввввццццц Є ц╡ъ        rtttttt,ЯЇУ nав     а~вв   ~~~ .в в r╢╬вввв r~Ї~rввr■ ═ф ╢цц8FrGroup 11 Client Communication The calf has had an unstable fracture in the bone above his fetlock since he was extracted at birth. The nature of the fracture kept it from healing properly with only casting of the leg. In addition, the fracture site has become infected, which also keeps if from healing properly. Because of the weight of the calf more aggressive fixation techniques are necessary if we are going to salvage the calf. This will not be cheap, and you need to decide how valuable this animal is to you. We have 3 options for you to consider. The first option holds the best outcome for the functionality of the calfТs leg. This involves surgically opening the area around the fracture and cleaning out the dead and infected tissue. Once the area is cleaned out, we will screw in two plates, one on either side of the fracture. These plates can remain in place for the life of the calf, if all goes well. These plates are the strongest material we can use and will be most likely to allow the bone to heal while withstanding the calfТs weight. The calf should be restricted to stall rest for at least 6-8 weeks. This is the best option if you decide to salvage the calf, however it does have its drawbacks. It is the most expensive option, and also due to the low amount of skin and soft tissue around that bone healing may be difficult particularly if the blood supply to that area is not good. The second option also involves surgically stabilizing the fracture. This procedure is less invasive and is called transfixation pinning and casting. We would anchor pins through the bone, above and below the fracture site, and then apply a cast that would stabilize the leg. We will still need to remove the necrotic and infected tissue from the leg, but we will maintain as much of the surrounding tissue as possible. The calf will need to be on stall rest for at least 6-8 weeks after surgery. This technique involves minimal post operative care and is less expensive than the plating, but may be less stabile considering the weight of the calf and the tendency of pins to loosen over time. The casting will have to be done so as not to interfere with the normal physeal growth of the calfТs leg. This method will also have to be removed once adequate healing has occurred. For both surgical techniques, the calf will need to be on IV antibiotics for 2 days, and then oral antibiotics for at least 2 weeks. Additionally, the screw holes from both techniques will be weak points in the calfТs leg even after the fracture has healed. This will require an additional 30 days of stall rest before the calf returns to full function even after the fracture has healed. It is possible that either of these techniques will fail under the weight of the calf and/or because it has been so long since the fracture occurred. However the prognosis is much better for your calf than it would be for an adult animal because of his reduced weight. If neither of these options are financially feasible, then we recommend culling the calf. The fracture is too unstable for the animal to recover adequately without surgical repair. 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