Have your pet perform 10 to 15 repetitions of figure-of-eight walks two or three times a day, circling to the right and left.Have your pet perform 10 repetitions of sit-stand exercises three times a day.Increase the slow leash walks to 20 to 30 minutes two or three times daily.Most patients should be walking normally by 2 weeks, but every pet is different and some may take longer.Schedule a recheck 2 weeks after surgery to remove any sutures and evaluate the range of motion and percent weight-bearing.Increase the slow leash walks to 10 to 20 minutes three times a day.Stop passive range of motion exercise if your pet is using the leg correctly.Apply a hot pack to the stifle for 10 to 15 minutes two or three times a day until the swelling has resolved.If your pet is very rambunctious we may place an off weight-bearing bandage for two weeks.Schedule a recheck to evaluate the range of motion and percent weight-bearing.Begin slow leash walks of less than 10 minutes three times a day.Precede and follow the passive range of motion exercise with massage of the quadriceps muscles (large muscles above the kneecap).Perform passive range of motion exercise (gently flex and extend the knee) 10 slow repetitions three times a day.If the inflammation has resolved after 72 hours, apply a hot-pack to the stifle for 10 to 15 minutes two or three times a day if no bandage is applied.Apply an ice-pack to the stifle for 10 to 15 minutes two to four times a day for the first 24 to 36 hours after surgery if no bandage is applied.If a padded bandage was applied, it should be removed after five days.Provide pain management with NSAID’s the first five days.Fracture is reduced and anchored in place with three Kirschner wires. The blood clot and fibrin clot are removed from the original location of the tuberosity.A longitudinal incision is made just medial to the patella, the patellar ligament, and the tibial tuberosity.Open reduction and internal fixation technique. The tibial tuberosity serves as the insertion point of the quadriceps muscles through the patellar ligament, and avulsion results from the contraction of the muscle while stifling is flexed and the foot firmly on the ground, Such mechanism could easily occur during jumping or running and perhaps in a fall. To download and print this information, please click here.Īvulsion fracture the tibial tuberosity occurs in a young animal, usually between 4-8 months of age.
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