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Vol. 23, No.

2 February 2001 V 157

CE Article #3 (1.5 contact hours)


Refereed Peer Review

Bandaging in Dogs
FOCAL POINT and Cats: External
★ The type of bandage used for
external coaptation is often
dictated by the animal’s injury;
Coaptation*
therefore, veterinarians should be
familiar with the required The Animal Medical Center Kansas State University
materials and techniques for New York, New York MaryAnn Radlinsky, DVM, MS
applying various bandaging.
Amelia M. Simpson, DVM
Gulf Coast Veterinary Specialists
KEY FACTS Houston, Texas
Brian S. Beale, DVM
■ Tape stirrups can help prevent
bandage slippage, p. 158.

ABSTRACT: Indications for external coaptation include protecting wounds, immobilizing frac-
■ The Robert-Jones bandage is
tures, and decreasing postoperative limb swelling. The type of bandage selected for external
designed to immobilize the limb, fixation is often dictated by the animal’s injury. This article discusses some of the most com-
whereas the modified Robert- monly used bandages, including the Robert-Jones and modified Robert-Jones bandages, rigid
Jones bandage provides partial and soft casts, carpal and Ehmer slings, and metal and fiberglass splints.
immobilization, p. 159.

I
■ Permanent contracture of the n veterinary medicine, many different bandaging options are available. To
carpus is possible with the carpal provide the best external coaptation for a given injury, practitioners should be
sling but can be avoided by aware of the indications and contraindications for using these bandages. This
allowing limited extension within article reviews the most commonly used bandages, including the Robert-Jones
2 to 4 weeks after surgery, p. 160. and modified Robert-Jones bandages, soft and rigid fiberglass casts, Ehmer and
carpal slings, and metal and fiberglass splints. The indications, contraindications,
■ Only the Ehmer sling, which required materials, and application techniques for applying these bandages are
encircles the body, provides discussed.
limb abduction, p. 161.
ROBERT-JONES BANDAGES
■ Less cast padding is used under The bandage used most often in veterinary orthopedics is the Robert-Jones
splints to minimize motion bandage and its modifications.1,2 The Robert-Jones bandage should be used for
between the splint and skin, certain wounds, fractures, or dislocations at or distal to the elbow and stifle.
p. 162. This bandage is indicated when severe inflammation is expected in a patient
with a stable, nondisplaced, or nonarticular fracture but is also used if surgery is
delayed in patients with an unstable, displaced, or articular fracture.1 The goal of
the Robert-Jones bandage is to provide temporary support of a fracture through
immobilization while maintaining even compression over the entire limb.1–3
*A companion article entitled “Bandaging in Dogs and Cats: Basic Principles” appeared
in the January 2001 (Vol. 23 No. 1) issue of Compendium.
158 Small Animal/Exotics Compendium February 2001

TABLE I
Bandage Types and Materials
Type Materials Needed
Robert-Jones bandage Two pieces of 0.5- to 1-inch porous adhesive tape and tongue depressor for stirrups
Nonadherent dressing (if indicated)
One to three 1-lb rolls of 12-inch cotton
One to three rolls of 3- to 4-inch roll gauze
One to two rolls of 3- to 4-inch elastic adhesive tape
Modified Robert-Jones bandage Two pieces of 0.5- to 1-inch porous adhesive tape and tongue depressor for stirrups
Nonadherent dressing (if indicated)
Several rolls of 2- to 4-inch cast padding
One to three rolls of 3- to 4-inch roll gauze
One to two rolls of 3- to 4-inch elastic adhesive tape
Cast Rigid or fiberglass casting material
Nonadherent dressing (if indicated)
Two pieces of 0.5- to 1-inch porous adhesive tape and tongue depressor for stirrups
Several rolls of 2- to 4-inch cast padding
One to three rolls of 3- to 4-inch roll gauze
One to two rolls of 3- to 4-inch elastic adhesive tape
Slings
Carpal Nonadherent dressing (if indicated)
One roll of 2- to 3-inch cast padding
One roll of 2- to 3-inch roll gauze
Some 1-inch porous adhesive tape
One roll of 2- to 3-inch elastic adhesive tape
Ehmer Small amount of cast padding
One roll of 1- to 2-inch porous adhesive tape
Splints Mason metasplint or fiberglass splint
Two pieces of 0.5- to 1-inch porous adhesive tape and tongue depressor for stirrups
Nonadherent dressing (if indicated)
Several rolls of 2- to 4-inch cast padding
One to three rolls of 3- to 4-inch roll gauze
One to two rolls of 3- to 4-inch elastic adhesive tape

This bandage should not be used as primary fixation of of the tape near the completion of bandaging. Alterna-
a fracture because the padding can loosen over time tively, the tape can be stuck directly to itself. It is im-
and, therefore, it will not provide the rigid fixation portant to tab the ends first to allow easier separation at
needed for fracture healing.1 the end. Cotton padding should be applied, starting
Materials required include two pieces of 0.5- to 1- distally at the toes and working proximally to the mid-
inch white adhesive tape and a tongue depressor for femur/midhumerus (Figure 1B). The cotton should
stirrups, a nonadherent dressing (if indicated), one to continue to be unrolled proximally and distally, over-
three 1-lb rolls of 12-inch cotton, one to three rolls of lapping 50% per pass until sufficient bulk is achieved.1
3- or 4-inch cling gauze, and one to two rolls of 3- or The third and fourth digits must be visible to evaluate
4-inch self-adherent stretch tape (Table I). limb swelling after bandage placement. Roll gauze
Tape stirrups, which help prevent bandage slippage, should be applied next, beginning with the toes, work-
should be applied either to the medial and lateral sur- ing proximally, and overlapping each pass by 50% (Fig-
faces of the leg or the dorsal/palmar or plantar surfaces ure 1C). The gauze layer should apply strong and even
(Figure 1A). The stirrups should extend from the car- pressure to compress the cast padding by 40% to 50%
pus or tarsus to approximately 3 to 6 inches distally but should not extend beyond the layer of cast pad-
from the toes.1 A tongue depressor should be placed be- ding. The tape stirrups should be separated and taped
tween the adhesive surfaces to help facilitate separation proximally up the bandage. Finally, the outer layer

PRIMARY FIXATION METHOD ■ NONADHERENT DRESSING ■ BANDAGE PLACEMENT


Compendium February 2001 Small Animal/Exotics 159

Figure 1A Figure 1B Figure 1C Figure 1D


—The Robert-Jones bandage. (A) The distal ends of the tape stirrups should be folded to facilitate later separation. (B) A
Figure 1—
large amount of cotton padding is required to ensure immobilization and deliver even compression over the entire bandage. (C)
Roll gauze should be applied with strong even pressure and should compress the cotton padding by 40% to 50%. The tape stir-
rups should be separated and taped to the limb. (D) A self-adherent stretch tape has been applied to the outer layer.

should be applied in the same fashion as the first two 50% of the proximal and distal fracture ends are in con-
layers (Figure 1D); however, care must be taken to avoid tact. The bone should be stable in the cast. A cast should
vascular compromise and swelling, which can occur if be used if the fractured bone is expected to heal quickly
the final layer is applied too tightly. The finished ban- (e.g., fractures in young animals; greenstick fractures; radi-
dage should be smooth in appearance (Figure 1D). al or tibial fractures with an intact ulna or fibula, respec-
The primary difference between the Robert-Jones tively). The cast must be used for the shortest amount of
bandage and modified Robert-Jones bandage, or soft time possible to achieve healing and minimize the possi-
padded bandage, is the amount or type of padding bility of the patient developing fracture disease. Fracture
(Table I). The modified Robert-Jones bandage uses cast disease is characterized by chronic edema, muscle atrophy,
padding instead of roll cotton and requires much less joint stiffness, and disuse osteoporosis. In extreme cases,
padding during its construction, making it consider- these changes can lead to permanent joint dysfunction. To
ably less bulky but still capable of providing compres- provide adequate stability for bone healing, the cast must
sion and partial (as opposed to complete) immobiliza- include the joint above and below the fracture.
tion (Figure 2). The modified Robert-Jones bandage is Casting materials include two pieces of 0.5- to 1-inch
indicated when light compression is needed to reduce white adhesive tape and a tongue depressor for stirrups, a
soft-tissue swelling but is not advised for any injuries nonadherent dressing (if indicated), several rolls of 2- to
that require rigid stability.1 The modified bandage is of- 4-inch cast padding, one to three rolls of 3- or 4-inch
ten used to minimize postopera- cling gauze, one to two rolls of 3-
tive swelling or provide temporary or 4-inch self-adherent stretch tape,
stability to a limb before surgery. and rigid casting material (Table I).
With the fracture in reduction,
CASTS the bandaging material should be
Rigid Casts applied the same as is done with a
Using a rigid cast as a method of modified Robert-Jones bandage ex-
fracture management is a viable cept with fewer passes of the cot-
option in several instances.9–11 Case ton roll. The casting material should
selection is important in determin- be applied over the cling gauze lay-
ing the type of cast to be consid- er. The manufacturer’s directions
ered. The fracture must be closed can be followed for preparing the
—The modified Robert-Jones bandage
Figure 2—
and located below the elbow or sti- casting material for application.
is considerably less bulky than is the Robert-
fle and should be amenable to a Jones bandage. The material should be applied be-
closed reduction in which at least ginning at the foot and continuing

PARTIAL IMMOBILIZATION ■ CAST SELECTION ■ FRACTURE DISEASE ■ TONGUE DEPRESSOR


160 Small Animal/Exotics Compendium February 2001

proximally, overlapping each layer SLINGS


by 50%. Two rolls of casting mate- Carpal Slings
rial may be needed to provide ade- The carpal sling, or carpal flex-
quate stability. Because creases can ion bandage, immobilizes the car-
cause sores on the skin, the surface pus. This bandage is used to main-
of the casting material must be tain the carpus in flexion after
consistently smooth. The cast tendon repair, thus relieving ten-
should be covered with self-adher- sion on the flexor tendons. This
ent stretch tape. A radiograph of sling can also be useful when mo-
the limb in the cast should be tion of the elbow or shoulder is
made to ensure that proper frac- Figure 3A desired without weight bearing af-
ture alignment was maintained ter repair of selected humeral and
during application. elbow fractures.
One benefit of using a cast is Construction of a carpal sling
that it can be bivalved (by cutting requires cast padding, 2- to 3-inch
it in half ) when strict immobiliza- gauze, 1-inch tape, and self-adher-
tion is no longer needed. One half ent stretch tape (Table I). The
can then be used as a splint for carpal sling should be applied
added support during the remain- with the carpus in flexion because
der of the fracture healing process. bandaging the extended carpus
will lead to bunching of the mate-
Soft Casts rials when the carpus is flexed.
Soft casts composed of woven Figure 3B Cast padding and gauze should be
glass fibers impregnated with a placed beginning at toe level and
polyurethane resin as the matrix are working upward to the middle of
a relatively new type of external the antebrachium (Figure 3A).
coaptation.11 After the material sets, The distal aspect of the third and
it remains somewhat elastic and re- fourth digits must remain exposed
silient to manual compression. Soft to allow monitoring for swelling.
casts can be used to protect joints After the gauze layer has been placed,
from excessive motion after joint flexion can be maintained by
surgeries (e.g., internal fixation of wrapping 1-inch tape in a circular
intraarticular fractures, ligament re- fashion around the paw and the
pair or replacement, reduction of distal radius. Another method of
joint luxations). In these cases, soft Figure 3C maintaining carpal flexion is by
casts are beneficial because they al- Figure 3——(A) The carpal sling is applied with the starting at the flexed portion of
low some joint movement while carpus in flexion to prevent the bandaging mater- the carpus and applying 3 to 4
protecting the repair. Soft casts are ial from bunching. (B) Adhesive tape can either figure-of-eight loops of 1-inch
also more advantageous than are be wrapped in a circular pattern from the paw tape (Figure 3B). Self-adherent
rigid casts because the former may to distal radius or in a figure-of-eight pattern as stretch tape should then be ap-
mitigate degeneration of cartilage shown. (C) Permanent contracture of the carpus plied over the entire bandage (Fig-
and lessen or prevent decreased can be avoided by lengthening the tape loops, ure 3C). Permanent contracture
range of motion and joint contrac- thereby decreasing the degree of flexion and al- of the carpus is possible. This can
ture that commonly occur with lowing partial extension of the carpus. be avoided by allowing limited ex-
joint immobilization.11 tension within 2 to 4 weeks after
Soft casts require the same basic materials needed for surgery by lengthening the 1-inch tape loops to enable
rigid casts. The manufacturer’s directions can be fol- partial extension.1
lowed for preparing the soft casting material for appli-
cation. As with a rigid cast, the material should be ap- Ehmer Slings
plied beginning at the foot and working proximally, The true Ehmer sling is a non–weight-bearing ban-
overlapping each layer by 50%. Adequate reinforce- dage of the hindlimb that is commonly used to treat
ment at the joints may be needed to ensure that the disorders of the coxofemoral joint.1,4–6 The Ehmer sling
cast is sturdy enough to hold its shape. is used to maintain closed reduction for craniodorsal

CASTING MATERIAL ■ MANUAL COMPRESSION ■ FIGURE-OF-EIGHT PATTERN


Compendium February 2001 Small Animal/Exotics 161

Figure 4A Figure 4B Figure 4C Figure 4D

—(A) When applying an Ehmer sling,


Figure 4—
a few layers of cast padding should be placed
over the metatarsal region. (B) Tape (1- or 2-
inch) is wrapped around the metatarsals and
continued medially. (C) A twist is made in the
tape as it courses toward the medial aspect of
the stifle to keep the adhesive in contact with
the skin. (D) As the tape courses distally from
the lateral aspect of the thigh to the medial as-
pect of the hock, another twist in the tape is
required. (E) The modified Ehmer sling does
not encircle the body. The arrows indicate ar-
eas that owners should be instructed to careful-
ly monitor for swelling or rubbing. (F) A true
Ehmer sling encircles the animal’s body.
Figure 4E Figure 4F

coxofemoral luxations but can also be used following a non–weight-bearing sling, does not cause abduction
surgical correction of coxofemoral luxations and to pre- and allows movement of the coxofemoral joint.
vent weight bearing after repair of acetabular and A small amount of cast padding and 1- to 2-inch ad-
femoral fractures. The Ehmer sling will maintain the hesive tape are the only materials required for an Ehmer
leg in a flexed position with the coxofemoral joint in- sling (Table I). Two to three layers of cast padding
ternally rotated and abducted. Internal rotation of the should be placed around the metatarsal/proximal pha-
hip will enable the femoral head to seat beneath the langeal region (Figure 4A). The tape should then be
dorsal rim of the acetabulum, and the abduction will placed over the padding and around the metatarsal re-
help maintain reduction of the coxofemoral joint by gion (Figure 4B). With the leg flexed, the tape should
forcing the femoral head into the acetabulum.1,5 be continued up the medial aspect of the tibia, medial
The Ehmer sling should make a figure-of-eight pat- to the stifle joint, and medially over the thigh muscle
tern around the distal limb and then wrap around the with the adhesive surface of the tape always facing the
body to maintain abduction, prevent the bandage from skin (Figure 4C). The tape should be continued from
slipping off the limb, and restrict motion of the coxo- medial to lateral over the quadriceps to pass distally
femoral joint. The Ehmer sling may be problematic for caudal to the stifle joint, and medial to the distal tibia
a male dog because the encircling portion, although and hock and should pass under the plantar aspect of
cranial to the prepuce, can become soiled with urine the metatarsals, medially to laterally (Figure 4D). Two
and cause irritation. A modified Ehmer sling does not or three wraps of tape should be continued in a similar
encircle the body and may slip off the cranial aspect of manner. This completes the modified sling (Figure 4E).
the thigh. The modified Ehmer sling, which is basically With the true Ehmer sling, the tape should be carried

CLOSED REDUCTION ■ ACETABULUM ■ COXOFEMORAL JOINT ■ METATARSAL REGION


162 Small Animal/Exotics Compendium February 2001

tic splint used to immobi-


lize fractures and disloca-
tions of the metacarpus and
carpus (Figure 5A), includ-
ing the distal radius and
ulna, carpus or tarsus, and
metacarpal or metatarsal
bones or phalanges.7,8 The
Mason metasplint will not
immobilize the proximal
radius and ulna or the el-
bow. The metal or plastic
shoe should approximate
the shape of the padded
limb (Figure 5B).7 Extend-
Figure 5A Figure 5B Figure 5C
ing the bandage above the
—(A) The Mason metasplint can provide immobilization of the metacarpus and carpus. elbow will help keep the
Figure 5—
(B) The splint is applied between the roll gauze layers. (C) The bandage should extend beyond bandaging in place (Figure
the elbow to help it stay in place.
5C).7,8

proximally, lateral to the stifle. The amount of tension Fiberglass Splints


on this vertical portion will dictate the degree of abduc- Fiberglass splints are molded splints that can be ap-
tion created by the sling. The tape should circle the ab- plied laterally to the thoracic or pelvic limb or the cau-
domen cranial to the tuber coxae. Only one to three dal aspect of the thoracic limb. The splint should ap-
circumferential layers should be needed (Figure 4F). proximate the shape of the limb to which it is applied.
Owners should be instructed to check the bandage It can be used to immobilize the elbow and stifle joints
twice daily for complications. Three areas in particular and can stabilize less severe fractures of the radius, ulna,
should be pointed out as common locations for ban- tibia, and fibula.
daging complications (e.g., swelling, rubbing). These Limb positioning is important during application of
areas include the pez, caudal aspect of the stifle, and in- a molded splint. The pelvic limb should be in a normal
guinal region. If a true Ehmer sling is used on a male standing position with the hock slightly flexed. The
dog, the area at the cranial aspect of the prepuce should thoracic limb splint should be applied with the carpus
be examined for sores. in slight flexion (15˚) and deviated medially by 15˚.
Proper positioning of the thoracic limb is necessary to
SPLINTS prevent valgus deformity, which may occur because of
Mason metasplints, which are preformed, and molded the normal laxity of the radial carpal joint or eccentric
fiberglass cast splints are two of the most common types growth of the radius and ulna in immature patients.7,8
of splints used by veterinarians. Before these splints are There are several ways to apply a fiberglass splint.
placed, any existing wounds should be dressed. Tape stir- Some veterinarians prefer to apply the splint directly to
rups should then be applied, followed by the application the leg while the fiberglass is wet (Figure 6A). Others
of cast padding. Less cast padding is used than with a prefabricate the splint either with it already wet or while
soft padded bandage to avoid increased motion between it is dry with the intention of wetting it immediately be-
the splint and the skin.4,8 A “donut,” or layered cast fore placing it on the leg (Figure 6B). It should be noted
padding with a hole cut in the center, should be placed that fiberglass has a tendency to shrink slightly before it
over any bony prominence (e.g., accessory carpal bone, sets. The gauze and the final protective layer may be ap-
olecranon, tuber calcanei). After one to two layers of plied before the fiberglass has completely hardened as
gauze are applied over the cast padding, the splint should long as even pressure is maintained and no creases or
be placed on the limb. Another layer of gauze should be other deformities are made (Figures 6C and 6D).
applied over the splint, followed by an outer layer of ad-
hesive or elastic tape. BANDAGING AFTERCARE
All bandaging should be kept clean, dry, and intact.
Mason Metasplints Owners must examine the toes of their pet for signs of
The Mason metasplint is a preformed metal or plas- swelling, maintain bandage integrity, and commit to

BANDAGE COMPLICATIONS ■ LIMB POSITIONING ■ VALGUS DEFORMITY


Compendium February 2001 Small Animal/Exotics 163

Figure 6A Figure 6B Figure 6C Figure 6D


—(A) A temporary layer of cast padding will protect the bandage from moisture because the fiberglass splint is applied di-
Figure 6—
rectly to the leg. (B) Some veterinarians prefer to premeasure the length of the splint. (C) The gauze layer can be applied to the
soft cast as long as even pressure is maintained and no creases are made in the cast. (D) The protective layer should be applied
with even pressure, taking care not to deform the splint if it has not yet hardened.

bandage changes as scheduled. When the pet is out- 10. Akeson WH, Amiel D, Abel MF, et al. Effects of immobi-
doors, a plastic bag can be placed over the limb to pro- lization on joints. Clin Orthop 219:28–37, 1987.
11. Rytz U, Aron DN, Foutz TL, et al: Mechanical evaluation of
tect the bandage from environmental elements. Owners soft cast (Scotchcast, 3M) and conventional rigid and semi-
should be instructed to return immediately for a bandag- rigid coaptation methods. Vet Comp Orthop Traumatol 9:
ing change if drainage or a foul odor is coming from the 14–21, 1996.
bandaging, if loosening or other structural damage to the
bandage occurs, or if the animal shows signs of obsessive
licking or chewing at the bandaging. An Elizabethan col- About the Authors
lar may be needed to eliminate the opportunity for the Dr. Simpson is affiliated with The Animal Medical Center,
pet to chew the bandaging. New York; Dr. Beale with Gulf Coast Veterinary Special-
ists in Houston, Texas; and Dr. Radlinsky with the Depart-
REFERENCES ment of Clinical Sciences, College of Veterinary Medicine,
1. Decamp CE: External coaptation, in Slatter DH (ed): Text- Kansas State University, Manhattan. Drs. Beale and
book of Small Animal Surgery. Philadelphia, WB Saunders Radlinsky are Diplomates of the American College of Vet-
Co, 1993, pp 1661–1676.
2. Fossum TW, Hedlund CS, Hulse DA, et al: Small Animal erinary Surgeons.
Surgery. St. Louis, Mosby, 1997, pp 706–708.
3. Knapp DW: Bandage techniques: Application of a Robert-
Jones bandage, in Bojrab MJ (ed): Current Techniques in
ARTICLE #3 CE TEST

CE
Small Animal Surgery. Philadelphia, WB Saunders Co, 1990,
pp 1295–1296. The article you have read qualifies for 1.5 con-
4. Jones DGC: Bandaging techniques in orthopaedics in small
animals. Vet Annual 26:202–215, 1986.
tact hours of Continuing Education Credit from
5. Fox SM: External coaptation bandages: How and when to the Auburn University College of Veterinary
use them. Vet Med 83(2):153–164, 1988. Medicine. Choose only the one best answer to each
6. Dean PW: Ehmer sling (figure-of-eight sling), in Bojrab MJ of the following questions; then mark your an-
(ed) Current Techniques in Small Animal Surgery. Philadel-
phia, WB Saunders Co, 1990, pp 1296–1298. swers on the test form inserted in Compendium.
7. Knecht CD: Principles and application of traction and coap-
tation splints. Vet Clin North Am Small Anim Pract 5(2): 1. Tape stirrups
177–195, 1975. a. should only be used for the carpal and Ehmer sling
8. Lang DN, Bartels KE: Splinting techniques, in Bojrab MJ bandages.
(ed): Current Techniques in Small Animal Surgery. Philadel-
phia, WB Saunders Co, 1990, pp 1304–1311. b. should only be used on thoracic limbs.
9. Piermattei DL, Flo GL: Small Animal Orthopedics and Frac- c. help prevent bandage slippage.
ture Repair, ed 3. Philadelphia, WB Saunders Co, 1997, pp d. are not needed for the modified Robert-Jones ban-
48–51. dage.

BANDAGE PROTECTION ■ DRAINAGE ■ ELIZABETHAN COLLAR


164 Small Animal/Exotics Compendium February 2001

2. A Robert-Jones bandage should be used c. flexion (90˚) and deviated medially by 15˚.
a. as primary fixation of a fracture. d. slight flexion (15˚) and deviated medially by 90˚.
b. to provide temporary support of a proximal ra-
dius/ulna fracture through immobilization while 10. During application of a molded splint to the pelvic
maintaining even compression over the entire limb. limb, the hock should be
c. to provide temporary support of a femoral neck a. flexed 120˚.
fracture through immobilization while maintaining b. slightly extended.
even compression over the entire limb. c. extended as much as possible.
d. to provide temporary support of a proximal humer- d. flexed slightly.
al fracture through immobilization while maintain-
ing even compression over the entire limb.

3. With the Robert-Jones bandage, the gauze layer


should compress the cast padding by ___%.
a. 10 c. 70 to 80
b. 90 d. 40 to 50

4. The primary difference between the Robert-Jones ban-


dage and the modified Robert-Jones bandage is
a. the number of outer layers.
b. that tape stirrups are not needed for the modified
Robert-Jones bandage.
c. the amount or type of cast padding.
d. that modified Robert-Jones bandaging has no inter-
mediate layer.

5. A carpal sling should be used for


a. rheumatoid arthritis in the carpus.
b. injury to the flexor tendons.
c. a carpal osteochondritis dissecans lesion.
d. brachial plexus avulsion.

6. The true Ehmer sling


a. is basically a non–weight-bearing sling that does not
cause abduction and allows movement of the coxo-
femoral joint.
b. maintains the leg in a flexed position with the coxo-
femoral joint internally rotated and abducted.
c. is comprised of the typical three layers of bandag-
ing material.
d. maintains the leg in a flexed position with the coxo-
femoral joint internally rotated and adducted.

7. The true Ehmer sling is indicated after the repair of


a. a ruptured cranial cruciate ligament.
b. a brachial plexus avulsion.
c. a craniodorsal coxofemoral luxation.
d. fractured metatarsal bones.

8. The Mason metasplint may be used for


a. a ruptured cranial cruciate ligament.
b. a fractured humerus.
c. a craniodorsal coxofemoral luxation.
d. fractured metatarsal bones.

9. The thoracic limb splint should be applied with the


carpus in
a. slight flexion (15˚) and deviated medially by 15˚.
b. slight extension (15˚) and deviated laterally by 15˚.

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