Amputation

Amputation for management of fracture trauma in the shelter animal is a life-saving option where primary treatment often demands resources that are not available in most shelters. This chapter describes surgical techniques for amputation. Front limb amputation by scapular disarticulation is quicker and more cosmetic than shoulder disarticulation. A unique pattern for each major amputation constitutes a “roadmap” of the technique. In the case of scapular disarticulation, the road map covers four regions of the dissection, beginning with Phase I, the lateral dissection; continuing with Phase II, the dorsal dissection; followed by Phase III, the medial dissection; and ending with Phase IV, the ventral dissection. Rehabilitation of the post-operative amputee involves protection of the incision, checking for seroma formation, assisting the patient in early ambulation, maintaining hydration, and controlling pain. In general, the amputation of the tail should be intervertebral as opposed to transvertebral.