E.V. Dog & Cat Clinic

E.V. Dog & Cat Clinic E.V. Dog & Cat Clinic is a well established small animal veterinary clinic since 2001.

This what keeps us awake last night.  Patient yesterday,  a 4-year old, shihtzu, referred and presented with caudal, uni...
31/12/2024

This what keeps us awake last night.

Patient yesterday, a 4-year old, shihtzu, referred and presented with caudal, unilateral mandibular, close, transverse fracture due to unknown trauma, underwent open reduction and internal fixation with mini t- plate.

Midnight planning with vpop pro for tomorrow's TTT with posssible sulcoplasty and soft tissue augmentation repair withou...
29/12/2024

Midnight planning with vpop pro for tomorrow's TTT with posssible sulcoplasty and soft tissue augmentation repair without DFO to treat grade 2 MPL in a 2-year old, Siberian Husky.

Happy holidays! ☺From: EVDCC Fam
23/12/2024

Happy holidays! ☺
From: EVDCC Fam

Old but gold. Epidural anesthesia help minimize anesthesia risk in a senior dog for inguinal and scrotal hernia repair.
20/12/2024

Old but gold.

Epidural anesthesia help minimize anesthesia risk in a senior dog for inguinal and scrotal hernia repair.

Sven, a friendly and optimistic, 4-year old, intact male, Beagle has been with us admitted and confined in the past few ...
19/12/2024

Sven, a friendly and optimistic, 4-year old, intact male, Beagle has been with us admitted and confined in the past few days for surgery. Sven suffered, chronic pain, discomfort and limited mobility due to non-functional hind leg after a failed fracture fixation with pin and wire from previous vet clinic (Radiograph A). According to Sven’s owner, the pin and wires were removed by same vet clinic after six months.

Small displaced fragments were evident in the radiographs that caused open wound leading to chronic pain and infection in the thigh region of the affected leg. We examined Sven and treated accordingly to prevent spread of infection and possible life threatening complications with antibiotics, pain medications and nutritional support.

Two orthogonal views radiographs were taken (Radiograph A and B ) in our clinic for thorough assessment. The stiple developed arthrosis or stiffening due to severe, chronic muscle contracture, scarring and muscle atrophy. There’s shortening of the major segments with massive callus along fracture end and non-union fracture also developed. With careful consideration between risk and benefits, we finally arrived with the best recommendation of amputating the infected leg.

The affected leg was prep; hair was clipped around entire left hind leg extending from below the hock to midline abdomen and dorsal aspect of the pelvis. Soon after sterile prepration, Sven underwent leg amputation via coxofemoral disarticulation. Despite a little delay due to lost of muscle orientations, contracture and atrophy, the entire procedure and anethesia recovery went well.

Sven got home yesterday with his caring owner. He is very much active and much happier with his three legs than before with four legs.

Our job as Vet surgeon is not only to save bones when it’s broken. Our important job is to help arrive with the right decision with the pet owners for the best of their pet’s well being. Part of our job is to calibrate, re-assess, override benefits vs risk and provide strong recommendation. While for other, amputation is a radical procedure, a dire need for removing the damage and infected leg is more important before life-threatening and irreversible complications ensue.

18/12/2024

Neuter made ridiculously simple.

The left hind leg of this patient developed non-union fracture of left femur after a failed fixation by other practice a...
16/12/2024

The left hind leg of this patient developed non-union fracture of left femur after a failed fixation by other practice a year ago. The stiple joint developed arthrosis due to muscle contraction and severe scarring. Bone segments shortened due to dysplasia secondary to non-union fracture. There’s an infected open wound that developed in cranial thigh caused by bone fragment that pierced through the muscles and skin.

A regional block (epidural) anesthesia together with other analgesia and anesthesia regimen were employed for this patient who underwent hind leg amputation.

Challenging case of the week:Signalment: 2-yo, IF, ShihtzuPresented weak, slightly dehydrated, >2sec. CRT, rapid regular...
14/12/2024

Challenging case of the week:

Signalment: 2-yo, IF, Shihtzu

Presented weak, slightly dehydrated, >2sec. CRT, rapid regular pulse and HR, Temp 38°, diffuse hematoma in ventral caudal abdomen, non-weight bearing, still alert, but lethargic and blood in the urine were noted. No open wounds, except bruising in pelvic and thigh regions.

Suppotive thearpy provided with oxygen, iv fluids (LRS), antiinflammatories and pain meds.
The patient condition apparently improved in 24 hours and able to p*e with clear urine, all vital paramaters almost back to normal.

No significant findings in the chest and abdominal radiographs, but in pelvic regions, major traumaric injuries both the pelvis and left femur were evident in the radiographic examinations.

Dx: Hematoma and soft tissue contusion in the pelvic region and left thigh region, short, reducible close fracture of the left caudal ilium near the acetabulum (socket), shattered (comminuted) fracture of the p***s, avusion of the right ischial tuberosity, and close, long oblique fracture of distal left femur.

Sx/Tx: The distal femur fracture was fixed with two 2.0 cortex screw as lag screw by technique to stablized and compress the long oblique farcture and an appropriate size regid titanium alloy DFO plate as neutralization plate with combinations of bicortical and monocortical locking screws were used. The diversity of plate system we have would allow us to use a T-plate, instead of using long contoured plate to stabilized and fixed the ilial fracture.

Postop: Surgery went well. The patient recovered smoothly from anesthesia. Tye patient is provided with combinations of opioids, non-steroidal anti-inflammatories, gabapentin, iv antibiotics in in first 24 hours, continous iv fluids and crystalloids and monitoring. 24-hour post op, the patients is able to eat and more active and no signs of complications except swelling. Patient will stay in confinement for 3-5 days for continous monitoring and medications. Cage rest and limited activity with lease walk will be allowed after discharge. Recheck examinations and follow up xrays will be recommneded until bridging healing callus are observed.

Wishing this lovable patient her fast recovery.

Case of the day: 2-yo, IF, Shihtzu, presented with severe multiple pelvic farcture and distal femur fracture due after b...
13/12/2024

Case of the day:
2-yo, IF, Shihtzu, presented with severe multiple pelvic farcture and distal femur fracture due after being hit by a car around 24 hours ago.

The patient was stabilized in the past 24 hours and ready for fixation surgery.

The concepts of bone healing reflects a very complex relationship between biology and biomechanics. When these two impor...
12/12/2024

The concepts of bone healing reflects a very complex relationship between biology and biomechanics. When these two important elements does not cooperate to each other, the goal of bone healing cannot be achieved. Using the analogy of a musical concert that when symphony is not in harmony, a satisfying melody cannot be attained.

Therefore, when these two important elements, the biology and biomechanics act in harmony, bone healing often proceeds melodically to a satisfactory bone union-Glatt

07/12/2024

Here’s Coco 2 weeks post op now with 3 very strong functional legs. Coco is able to adopt and compensate her weight with her remaining pelvic leg. We are glad to see Coco back happy and pain free.

A 2-year old, female Beagle, named Fendi was presented non-weight bearing due to traumatic close fracture of left forele...
01/12/2024

A 2-year old, female Beagle, named Fendi was presented non-weight bearing due to traumatic close fracture of left foreleg. Radiographs showed major short spiral oblique and two short incomplete oblique making a butterfly fragment in the medial aspect near the junction of mid and proximal third disphysis. There’s also a short monocortical vertical fissure runs along the long axis between these major fargments near the lateral cortex. The small butterfly fragmented bone was displaced medially. The major distal segment was also displaced slighty medially. There’s no cranial or caudal displacement of fragment nor major segment as seen in sagittal plane.

A 1.5mm titanium alloy cortex screw was used as lag screw (by technique) to fix the small butterfly fragment. Though it wasn’t perfectly placed, it works to fix and compress the small fragment anyway. A second lag screw to fix the distal segment might be an option, but a strong pre-contoured, 9-hole limited contact plate was used as neutralization plate and the primary fixator instead. The third locking screw from the most distal screw of the distal major segment was inadvertently placed near the fracture line, but it works to provide strong fixation and neutralization anyway.

The patient is fast recovering and started weight bearing anyway.

We elected leg amputation in this patient, a 6-year old, sweet, intact female american bully named Coco, due to severe s...
28/11/2024

We elected leg amputation in this patient, a 6-year old, sweet, intact female american bully named Coco, due to severe soft tissue damage, degloving injuries and highly comminuted, open fracture in left proximal tibia and mutiple fracture of the digits and metacarpals after being hit by a car.

Surgery and open wound management have been tried in the fast few days and still be an option, but due to the nature of injury and the degree of soft tissue damage, treatment is highly damanding and the risk infections, long term complications, and potential treatment failure are unpredicatable.

Amputation via coxofemoral disarticulation went well for Coco. No worries pain is gone. With just three legs, coco can compensate and able to do her routine activity soon.

We are so thankful to Coco’s loving owners for bringing her to us and for their invaluable understanding.

Address

16 Marcos Alvarez Avenue, Talon 5
Las Piñas
1747

Opening Hours

Monday 9:30am - 5pm
Tuesday 9:30am - 5pm
Wednesday 9:30am - 5pm
Thursday 9:30am - 5pm
Friday 9:30am - 5pm
Saturday 9:30am - 5pm

Telephone

+63273412473

Website

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