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Palmar Flexor Laceration Treatment

4/5/09 Two days using Vetgold

Rosie was admitted on Mar 31 with a laceration of her palmar flexor tendon and partial laceration of her digital flexor tendon (Reviewing the file reminded me what an all consuming case Rosie was). Owners have no idea how she did it as she was running on a sandy dune at their house, they looked and never found anything that could have cut her. That wound was up the side of her right front leg. We had to apply a Robert Jones splint bandage to immobilize her leg so the tendon would heal-after all she is a Chocolate Lab. She was on Zeniquin at the beginning. She refused to use her leg despite the fact that it had a splint and was very stable. She seemed to have a reaction to the Zeniquin so we changed to Amoxil and Chlor but the owner missed some tablets over weekend. By Mon she had spiked a fever but was still eating. A few of the sutures at the bottom of the wound had dehissed. We cut away the dead tissue and she continue on Chlor and Clavamox. At this point we put her on probiotics as well. This was April 15. There was some heat in the paw and we were concerned that there may be an infection in the bone and/or joint. Even though we had done a culture and sensitivity on April 9 which found only normal skin flora. The paw was being soaking in Epsom salt baths because Rosie had started with a pressure sore on the paw. If given the chance she would lick madly. We could not keep the splint off because we still needed to keep the leg immobilized. On April 27 we started Clindamycin. Finally, an infection blew through the bottom of her paw. On the 28th we added Gentocin and Clavamox. She stayed on this cocktail till the end of treatment on May 13th. We started the Vet Gold on the 2nd of May. The owners felt it helped with the healing process, softened the skin, reduced irritation. The wound would not have healed without antibiotic treatment but I think the Vet Gold helped the skin regenerate faster and with less scarring. I saw Rosie’s owner yesterday and she is thrilled. Rosie is back to being a normal Chocolate Lab. She runs around like crazy, plays with other dogs and swims. You would never know that she went through such an ordeal. As for us, we are impressed as well – and will be looking for cases to use Vet Gold on. At one point Dr Lefebvre thought he might have to amputate, so he is happy with the outcome.

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