Weight Bearing After Amputation

Heather L. Troyer, DVM, DABVP, CVA, CVPP, The Oradell Animal Hospital, Paramus, New Jersey

June 2017|Orthopedics

Sign in to Print/View PDF

Weight Bearing After Amputation

In the Literature

Cole GL, D Millis. The effect of limb amputation on standing weight distribution in the remaining three limbs in dogs. Vet Comp Orthop Traumatol. 2017;30(1):59-61.

From the Page …

This study evaluated standing weight in patients that had previously undergone thoracic limb or pelvic limb amputation. The evaluators used a commercial stance analyzer. As compared with standard force plates, which are used in other methods to evaluate gait kinetics, stance analyzers require less skill for collecting data, use less space, and are less costly. 

Two groups of dogs were evaluated. One group comprised dogs with thoracic limb amputation (n = 10), and the other group comprised dogs with pelvic limb amputation (n = 10). Five trials of stance data were collected for each dog and compared with established normal, nonamputated values. 

Dogs with thoracic limb amputation and dogs with pelvic limb amputation had the largest increase in weight bearing in the contralateral thoracic limb. The study suggested that a careful preoperative orthopedic and neurologic evaluation of the limbs is necessary and that long-term emphasis on preservation of the contralateral thoracic limb would be useful. 

Multimodal adjunctive techniques1 could help preserve joint and limb health in amputees. Analgesic and restorative therapies may include NSAIDs, extra-label adjunctive analgesics, physical rehabilitation, acupuncture, cold laser therapy, weight maintenance, stem cells or platelet-rich plasma, and/or emerging drug therapies.1-3 Understanding these new modalities and the biomechanics of an amputee may help practitioners make more informed clinical decisions, in the same way that knowing which digits are primarily weight bearing can help when discussing prognosis about foot trauma or surgery with an owner.

… To Your Patients 

Key pearls to put into practice:

1

If venous drug administration is needed in an amputee, clinicians should consider not using the contralateral thoracic limb.

2

If a pelvic limb amputee has orthopedic disease in the ipsilateral thoracic limb, both thoracic limbs should be assessed and treated to preserve the contralateral (primary weight-bearing) thoracic limb.

3

Clients should be educated about the importance of maintaining lean body weight, preserving joint health, and encouraging exercise for amputee patients that are comfortable and able. Also, assistance devices should be discussed, and patients should be referred for orthotics when necessary.

References and Author Information

Material from Clinician’s Brief may not be reproduced, distributed, or used in whole or in part without prior permission of Educational Concepts, LLC. For questions or inquiries please contact us.

Practice Tools

Take the next step with career resources and job openings.

Topic

Orthopedics

Clinician's Brief provides relevant diagnostic and treatment information for small animal practitioners. It has been ranked the #1 most essential publication by small animal veterinarians for 9 years.*

*2007-2017 PERQ and Essential Media Studies

It's Free & Simple

Subscribe

Delivered to Your Inbox

Newsletter

Join the Conversation

Facebook

Follow us @CliniciansBrief

Twitter

Home

Latest Issue

About Us

Employment

Sign In

Global Edition

Contact Us

Brief Media

Create Account

Capsules

© 2018 Educational Concepts, L.L.C. dba Brief Media ™ All Rights Reserved. Privacy Policy (Updated 05/08/2018) Terms of Use (Updated 05/08/2018)