Guest guest Posted November 24, 2011 Report Share Posted November 24, 2011 Does anyone have any experience or words of wisdom or precautions regarding rehab for elbow replacements? Thanks in advance, Tara , DVM, CCRT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 24, 2011 Report Share Posted November 24, 2011 Tara, This is an easy one, contact Doyle, PT, at Gulf Coast Veterinary Specialists in Houston. She works with the joint replacement Guru, Dr. Bill Liska. www.gcvs.com Rick Wall, DVM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 24, 2011 Report Share Posted November 24, 2011 Thanks Rick, Tara > Tara, > > This is an easy one, contact Doyle, PT, at Gulf Coast Veterinary Specialists in Houston. She works with the joint replacement Guru, Dr. Bill Liska. > > www.gcvs.com > > > Rick Wall, DVM > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 25, 2011 Report Share Posted November 25, 2011 Hi Tara, We just did one with Dr Dejardin and he was thrilled with the outcome. We used Laser, PROM, Massage, Exercises, E-stim, and UWTM. Do not inject anything near the elbow as the implant is just under the skin. Hope that helps, Laurie Laurie McCauley, DVM > > Does anyone have any experience or words of wisdom or precautions regarding rehab for elbow replacements? > Thanks in advance, > Tara , DVM, CCRT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2011 Report Share Posted November 26, 2011 Thanks Laurie,I have been directed to do very little because of implant concerns so I was curious to see what others are doing and what is considered "normal" post-op care.Thanks again,Tara Hi Tara, We just did one with Dr Dejardin and he was thrilled with the outcome. We used Laser, PROM, Massage, Exercises, E-stim, and UWTM. Do not inject anything near the elbow as the implant is just under the skin. Hope that helps, Laurie Laurie McCauley, DVM > > Does anyone have any experience or words of wisdom or precautions regarding rehab for elbow replacements? > Thanks in advance, > Tara , DVM, CCRT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2011 Report Share Posted November 26, 2011 Tara,Is your surgeon utilizing the TATE prosthesis or the Iowa state one? Most surgeons, including Loic Dejardin are using the former. The TATE accesses the joint through an epicondyle osteotomy, which is then reattached with a screw. Protection of this healing site as well as avoidance of excessive micro motion which will inhibit bony ingrowth into the implant are the reasons for concern. Most dogs are weight bearing fairly quickly following TER, albeit with major lameness. Preoperatively, most dogs have significant loss of PROM; improvement is usually made intraoperatively but post-operative fibrosis can rapidly negate the gains. So, early in the healing process focus on resolution of inflammation with modalities, guiding the soft tissues through healing using controlled progressive forces, joint mobilizations to improve PROM, etc. As you reach the 4-6 week mark, progressive exercise for strengthening and proprioceptive retraining is tolerated. Supination and pronation are lost so the shoulder rotators/stabilizers need special attention to control the forces in this plane. The triceps typically exhibit significant atrophy and require focused strengthening as well for joint protection and normalized gait and function. Enjoy! Doyle, MPTSent from my iPad Thanks Laurie,I have been directed to do very little because of implant concerns so I was curious to see what others are doing and what is considered "normal" post-op care.Thanks again,Tara Hi Tara,We just did one with Dr Dejardin and he was thrilled with the outcome. We used Laser, PROM, Massage, Exercises, E-stim, and UWTM. Do not inject anything near the elbow as the implant is just under the skin.Hope that helps,LaurieLaurie McCauley, DVM>> Does anyone have any experience or words of wisdom or precautions regarding rehab for elbow replacements?> Thanks in advance,> Tara , DVM, CCRT> Quote Link to comment Share on other sites More sharing options...
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