In MWDs, fractures of these bones are very difficult to immobilize, splints and bandages are poorly tolerated, and splints and bandages can actually increase fracture displacement, worsen fractures, and jeopardize neurovascular bundles. Key management principles are to provide adequate analgesia (See CPG 16) and minimize movement to the maximal extent (kennel confinement except for limited leashed walks, using ancillary support).
- HCPs without advanced orthopedic training and experience generally should not attempt to immobilize fractures of the humerus, scapula, or femur.1,2
- HCPs with advanced training and experience in orthopedics (typically orthopedic surgeons, orthopedic PAs, splint technicians in Level 2 or higher facilities) may be capable, with written and/or verbal guidance from supporting veterinarians in constructing an appropriate Spica splint for humerus and femur fractures. In these instances, appropriate coaptation is safe, makes the patient more comfortable and consequently makes it easier and safer to transport a wounded MWD. With appropriate coaptation, the MWD is less likely to become agitated or aggressive every time it is bumped, moved, or moves about during manipulation and transport.