EXTERNAL COAPTATION DEVICES (ECD) IN DOGS

Abstract

External coaptation is dened as the use of bandages, splints, casts, or other materials to aid in stability and support for soft and osseous tissues. Furthermore, external coaptation can help manage wounds and control edema. External coaptation can be used as either: Primary xation for a fracture, ancillary xation to provide additional support, or temporary xation for an open fracture and/or until denitive surgical correction can take place. External coaptation should only be used in fractures distal to the elbow and stie, as correct application requires immobilization of the joints above and below the fracture. Certain splints, such as spica splints, can help immobilize more proximal injuries (humerus and femur). A cast extended to the level of the proximal portion of the tibia caused less pressure at the level of the calcaneus and the proximal cranial edge of the cast. Reducing the amount of pressure at these locations may minimize the potential for pressure sores and other soft tissue injuries (Iodence et al. 2018).