咨询描述:老师你好,我家狗17岁了,四天前后腿骨折了,狗的年龄有些大,不做内固定,看看有其它方法吗?
回复总结:针对狗狗骨折的情况,处理办法上建议通过内固定手术促进跨关节融合。如果不做内固定,建议使用保守的外固定包扎同时进行消炎消肿处理。用药治疗方面建议使用具有抗炎止痛作用的宠物专用口服药以及促进骨骼愈合的中层药,同时配合使用软骨素,起到修复骨骼的作用。
问题大致一样,细节不同?
李荣贵
执业兽医师
根据您家欢欢的情况,这种骨折如果全面的修复只能通过内固定手术而且是粉碎性的通常需要跨关节融合。但是麻醉风险相对比较好,保守的是通过外固定包扎消炎消肿,但骨折的预后通常不好,所以主要看您怎么权衡。如果怕它万一耐不住麻醉一关。就不考虑内固定全身麻醉
老师您好,像这种情况服用抗炎药物,做外固定能行吗?一般做外固定,费用需要多少?老师,以您的经验外固定和不处理愈后会有多大差异?
李荣贵
执业兽医师
这个地方做外固定,对于他来说粉碎性骨折而且骨折部位来说对合会有困难,所以无法修复骨折断端,抗炎止痛药建议***口服,相对老年犬尤其肾功能不全的稍微安全点。不建议长时间喂避免出现肾脏,肠胃损伤导致胃溃疡。外固定一般****左右,地区不同,费用会有所变化。
李荣贵
执业兽医师
如果是这种位置,不做外固定,关节的疼痛摩擦反应可能会更严重,疼外固定主要也是去帮助它缓冲尖锐的骨头所造成的疼痛刺激,但外固定后一定要留意它的脚部肿胀情况。不然瘀血肿的话,那就还不如不外固定。预后来说差别没很明显,,因为是粉碎性靠近关节处的。
李荣贵
执业兽医师
不客气,但愿它能好好恢复,您可以给它口服点中成药,我帮你开好处方,您可以按照推荐用药给它口服,促进骨骼愈合,止痛药适当减量口服,也帮您开好处方,
李荣贵
执业兽医师
处方第一个是止痛抗炎药按照减半一天一颗。注意它的肠胃反应,如果不适就停药观察即可。第二个是中成药促进骨骼愈合的,也有一定止痛活血作用。第三个是软骨素可适当补充,对于老年性骨骼修复起到好的帮助。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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