Casting and Splinting in Dogs

Veterinary reviewed by: Dr. Linda Simon, MVB MRCVS

Casting and Splinting in Dogs - Conditions Treated, Procedure, Efficacy, Recovery, Cost, Considerations, Prevention

Veterinary reviewed by: Dr. Linda Simon, MVB MRCVS

Casting and Splinting in Dogs - Conditions Treated, Procedure, Efficacy, Recovery, Cost, Considerations, Prevention

What is Casting and Splinting?

Casts are a form of external immobilization, custom-made to conform to the injured extremity of the canine. The casts lie in close contact with the skin, made of several layers of padding and plaster. However, other materials may be used to create a cast, including polyurethane-impregnated cotton-polyester, fiberglass, or thermal plastics. 

A splint is a rigid material used to aid in immobilization and support of a not yet set bone. The same materials used to construct casts can be used in splint creation, but thermal plastic is commonly used as it possesses the ability for reuse. Ready-made splints of aluminum or plastic are also commonly used for fractures, and are easily applied.

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Casting and Splinting Procedure in Dogs

Casting 

Casting is conducted using aseptic technique, meaning the method used to complete a cast is designed to prevent microorganism contamination. The dog may be anesthetized and the affected area may be shaved prior to the procedure. 

The following describes casting technique used on a foreleg fracture:

  1. The dog is placed in lateral recumbency (lying on the side) with the injured extremity facing down. 
  2. A stirrup is created as tape is applied to the ventral and dorsal aspects of the foot. The leg is elevated and supported to maintain the elevated position for casting. 
  3. A stockinette bandage may be applied if deemed necessary. 
  4. Padding is applied to the elevated leg. Padding underneath the cast consists of layers that are wound tightly around the leg, starting from the distal to proximal aspects of the leg. Several layers will be applied. 
  5. The cast material is rolled around the leg, from distal to proximal limb aspects, overlapping itself on each encirclement. Several layers may be applied. 
  6. Wet plaster is then placed atop of the casting material and conformed to the unique shape of the leg. A slight flexion is placed in the plaster on the carpus to prevent a valgus deformity as the bone heals. 
  7. Visible padding at both ends of the cast are turned downward and taped over the stirrup to aid in position maintenance of the cast. 
  8. Plaster will take several hours to dry, therefore, the canine will be hospitalized overnight prior to release. 

Splinting

Splints are not total encircling devices, but aid in early immobilization when a fracture is accompanied by a great deal of swelling. 

In splinting of a foreleg fracture, strips of plaster run down the cranial and caudal aspects, bound together by a tape or elastic gauze. Splint material is chosen according to the size of the dog and length of the limb. The strips are laid on the dressing table and plaster is made wet. 

  1. The wet strips are placed on the affected leg, starting from the toe to the elbow. 
  2. Uniform distance is maintained between the cranial and caudal aspects, then gauze is wrapped in a circular motion around the plaster. 
  3. The splint is flexed to conform to the natural bend in the extremity and tape is applied for security. 
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Efficacy of Casting and Splinting in Dogs

Surgically treated fractures will heal approximately 97% of the time without complications of serious nature. The rate of healing can be as low as 50% to 95% depending on whether or not the canine is experiencing secondary complications (swelling, infection). Casting and splinting conducted by a veterinary or orthopedic veterinary profession will result in permanent fixation of the affected skeleton.

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Casting and Splinting Recovery in Dogs

Pain medication is the norm for send-home drug therapy after a casting or splinting endeavor. However, antibiotics and anti-inflammatory drugs are also prescribed in cases of secondary damage caused by the injury (swelling or infection). 

The at-home care provided by the pet owner accounts for approximately 50% of recovery. Limbs that have been casted must be checked twice daily for effective circulation. Cold, swollen, or blue tinged toes indicate a problem and must be addressed immediately. The cast must stay impeccably clean and dry, to prevent infection. Dirty, damp or odorous casts must be changed immediately. 

Check-ups with the veterinarian and total recovery time lies dependent on the injury type. Several months of recovery time are to be expected.

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Cost of Casting and Splinting in Dogs

Casting and splinting can be an expensive, yet highly effective treatment for fracture or breaks. It is often an available 'back up option' when surgery is not affordable or possible for whatever reason.The average cost to cast or splint an extremity is approximately $2,000, but total body casts can average up to $5,000. Ask your veterinarian about the price deemed appropriate, as prices vary depending on the condition and veterinarian.

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Worried about the cost of Casting And Splinting treatment?

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Dog Casting and Splinting Considerations

The risks of using a cast or splint are limited in the veterinary clinic, as most risks are present at home. Improper care can pose a risk of infection, loss of circulation, necrotic tissues and delayed healing time. If the extremity was casted properly, the benefits reach the treatment goal of fixating the fractured or broken limb.

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Casting and Splinting Prevention in Dogs

The need of casting or splinting for dogs can be prevented by taking basic safety measures. Fenced in yards, the use of a leash and keeping an eye on your dog will prevent the majority of skeletal injuries from occurring. Blunt force traumas, hit-by-car accidents, falls, and fights are the most commonly reported causes of casting needs.

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Casting and Splinting Questions and Advice from Veterinary Professionals

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Yorkshire Terrier

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Six Months

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4 found helpful

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4 found helpful

Has Symptoms

Noisy Breathing

My dog foot is swollen and a bit tilted to the side. We just notice his paw is more swollen than the other one. He not in pain and has been walking on it but something is definitely not right any recommendations. Should I put his splint back on

Sept. 3, 2020

Owner

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Dr. Michele K. DVM

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4 Recommendations

Thank you for your question. I'm not sure if he had a splint on previously that was taken off or if it fell off or why he has a splint, but it definitely would not be a good idea to put the splint on yourself. You can do much more damage than good if you're not sure what's actually going on with the foot and it's swollen. If he is comfortable anc walking, it doesn't seem to be an emergency necessarily, but it would be good idea to have him seen tomorrow by your veterinarian so that they can assess what is actually happening with his foot and see if splinting is the right treatment or not. I hope that all goes well for him.

Sept. 3, 2020

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Corgi

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Seven Months

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11 found helpful

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11 found helpful

Has Symptoms

Limping

Hello! My corgi pup broke his toe on left front paw on June 11, was splinted, splint came off July 26th (6.5 weeks). I’ve noticed he’s limping a little. His from paw appears to be somewhat smaller than the other 3, and the paw looks a little loose or floppy. He does bear weight on his entire leg, he moves good, and he doesn’t excessive lick or anything, doesn’t appear to be in any pain. Wondering what I can expect from recover and are these things normal? Will his paw/leg get back to normal and why is it floppy? Any types or advice would be nice! Does he need PT or to swim or anything? Thank

July 30, 2020

Owner

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Dr. Sara O. DVM

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11 Recommendations

Hello, This is common after taking a splint off. As he starts to use the leg more the muscle in the leg will start to build back up. Monitored swimming is always a great PT to do for any dog. If your dog continues to have issues over the next week, call the vet that put the splint on and disucsse these issues with them. Since they have seen the x rays they will be able to provide you with more information on these issues.

July 30, 2020

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