1. Keeping up with Kurt The latest from Holly Kurt’s external fixation: photosphotos radiographradiograph External fixation concept Canine forelimb skeletal anatomy Human external fixation device Kurt’s injury timeline Kurt is a seeing eye dog, a lab/golden retriever cross, born October 28, 2008. Holly Woodley of Puppy Raisers of UD (PROUD) is training Kurt. We haven’t seen Kurt in class lately because he had surgery. As a bit of applied anatomy, here is some information about his treatment. The skeletal anatomy of the human and dog forelimb are quite similar.

2. Update from Holly, Oct. 2: Kurt had a double fracture through his radius and ulna. It was misdiagnosed at first, so the fracture set and healed before he finally made it back to The Seeing Eye to get it examined. By that time, his leg had a very obvious valgus deformity. During his first surgery, which he had in early June, the vet removed a chunk of his radius. She felt that since his growth plate hadn't fused yet, the bone might have continued to grow and straighten itself out. Kurt went back to The Seeing Eye every two weeks throughout the summer so that the vets could take x-rays and chart his growth. At the end of August, the vets determined that no more growth would be achieved in his leg. That's why they took him back up to The Seeing Eye during the second week of classes. Kurt is still at The Seeing Eye recovering from this surgery and being closely monitored by the vets. Back to top Next

3. Update from Holly, Oct. 8: Kurt should be returning from The Seeing Eye during the first week of November. However, it’s not official yet. He seems to be recovering very well! Update from Holly, Oct. 20: I just learned yesterday that Kurt has had a little set back. He has an infection in the site and is on a high level of antibiotic. It also looks like the leg is just not healing as we would like. The surgeon is considering doing yet another surgery on him. Back to top Previous

4. Kurt’s external fixation – on radius and ulna Back to top

5. Kurt’s external fixation – on radius and ulna Back to top

6. The wrapping for Kurt’s external fixator.

7. An external fixation device may be used to keep fractured bones stabilized and in alignment. The device can be adjusted externally to ensure the bones remain in an optimal position during the healing process. This device is commonly used in children and when the skin over the fracture has been damaged. Source: “External fixation device”, Medline Plus, http://www.nlm.nih.gov/medlineplus/ency/imagepages/18021.htm retrieved 2009-10-02.http://www.nlm.nih.gov/medlineplus/ency/imagepages/18021.htm Back to top

8. Canine humerus, radius, and ulna (left limb, lateral aspect). Source: “Vetenarian specimens from Skulls Unlimited”, http://www.skullsunlimited.com/graphic s/vt-106-lg.jpg, retrieved 2009-10-02. http://www.skullsunlimited.com/graphic s/vt-106-lg.jpg Back to top

9. External fixation for fracture of the distal radius. Source: “Wrist Fracture/External Fixation – Patient Story”, emedx.com, http://www.emedx.com/emedx/surgery_stories/wrist_external_fixator.htm, retrieved 2009-10-02. http://www.emedx.com/emedx/surgery_stories/wrist_external_fixator.htm Back to top

10. Kurt’s Injury Timeline This picture is of Kurt the day after he broke his leg. It is obvious that he isn't putting any weight on his left front leg and it is slightly turned outward. Next Back to top

11. Kurt’s Injury Timeline This picture of Kurt was taken after his first surgery that he had in June. Part of his incision can be seen and there is a prominent valgus deformity. NextPrevious Back to top

12. Kurt’s Injury Timeline This picture shows how Kurt’s leg was in late July. There is a "callus" on his leg. NextPrevious Back to top

13. Kurt’s Injury Timeline This picture shows Kurt’s leg in August. Previous Back to top