External Coaptation
4 likes1,808 views
This document discusses equine external coaptation including bandaging, splints, and casts. Bandages are used for compression, reducing motion, protecting limbs, and controlling hemorrhage. Proper bandage application and monitoring is important to prevent pressure sores, necrosis, and injury. Different types of bandages and casts are used for various purposes such as exercise, shipping, covering hooves, and immobilizing limbs. Close monitoring of any external coaptation is needed to address issues like swelling, soiling, or increased lameness.
External Coaptation
- 1. EQUINE MEDICINE External Coaptation-Bandaging, Splints, Casts
- 2. INDICATIONS Compression of dead space or open wound space Reduce motion Minimize contamination Medication application Prevent mutilation Protect limb Control hemorrhage
- 3. COMPLICATIONS Pressure sores Pressure necrosis Tendon & ligament injury Too much padding may cause: – Bandage slipping – Bandage bunching – Compromised blood flow
- 4. BANDAGE MONITORING Must be done daily – Placement/Tightness – Soiling/Strike-through – Swelling of limb – Damage of materials – Increased lameness – Patient monitoring Tie/cross-tie horse Neck cradle Wrap safe/other liquids Electronic strips
- 5. Types of Bandages Exercise – Polo wraps, splint boots – Bell boots – Support-Professional’s Choice Shipping – Protection from self & trailer May extend to cover carpus/tarsus & hoof Bandages or boots
- 6. Types of Bandages Hoof – Uses Cover hoof wounds Protection – Types EZ boots/Davis boots Bandages – Considerations Needs to be waterproof No pressure at the coronary band Weight bearing surface needs to be thick
- 7. Types of Bandages Distal Limb (Standing Bandage) – Uses Inflammatory conditions Protection Support – Coverage Top of metacarpus/metacarpus to coronary band – Application Clean & medicate wounds Bandage with limb weight bearing All materials should be easily accessible before beginning
- 8. Types of Bandages Full Limb – Used when upper limb needs to be bandaged – Bony prominences Extra padding Relief incision
- 9. Types of Bandages Limb Splints – Immobilize joint, bone, soft tissue Robert Jones Strut Kimsey
- 10. Types of Bandages Limb Casts – Better than splints for immobilization – Usually applied under anesthesia – Weight bearing surface must be reinforced – Types Foot Lower limb Full limb Tube (Sleeve)
- 11. Cast Monitoring Should be checked at least twice daily – TPR – Hot spots on cast – Odor, exudate, swelling – Wear, cast integrity – Opposite limb inflammation – Weight bearing Complications – Cast sores – Opposite limb Laminitis Tendon/ligament damage