Management Plan

Due to the severe nature of the fractures on the right tibia and fibula and left femur, surgery is our primary option.  
The fracture on the left femur appears to have four large bone fragments.  The best treatment option for this fracture would be to use screws to reduce the fracture site to one fracture line and then place two pins on different axes through the medullary cavity to hold the primary fracture in place.
The fracture on the right tibia is composed of many small bone fragments.  During surgery, the bone fragments will be removed and a neutralization plate will screw onto the tibia in order to hold the fracture in place and transfer the weight of the animal past the fracture site.  An autogenous cancellous bone graft will also be performed in order to improve the blood flow and rate of healing to the area.
The right fibula is a simple fracture that could have been reduced by external techniques if it had occurred on its own.  However, since surgery is already being performed, an intramedullary pin of large diameter that will prevent rotation and movement will stabilize the fibula.
Post surgery the dog will be monitored until the following day and then discharged to the owners.  The owners will receive strict instructions regarding confinement and controlled exercise.
Due to the risk of infection from invasive bone surgery, the dog will be prescribed Cephalexin.  This dog will also be released with a prescription of Percodan to help keep him comfortable.
The dog should be reevaluated in 4 to 6 weeks.  At this time the intramedullary pins will be removed if the follow up radiographs demonstrate that healing is taking place.  The dog will then need to be reevaluated at 3 months at which time we will discuss the removal of the bone plate with the client.