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tvpjournal.com | January/February 2016 | Today's VeTerinary PracTice PracTice To PracTice Peer reviewed 121 Types device options include: • s upport wraps, with or without thermoplastic (Figure 10) • custom braces • Hinged braces (Figure 11). Mechanics depending on the injury and recommended treatment plan, many of these devices can be designed to allow dynamization of the tissues over the recovery period, which gradually increases forces on the tendons and stimulates healing. Patients can also be transitioned to a less cumbersome device during the recovery period to support healing. Fitting When the device arrives, schedule a ftting appointment, following the same parameters as for ccL braces (see Fitting & Using Custom Stife Braces; Figure 12). in addition, wraps and braces used for the carpus and tarsus need to be snug to be effective, but not so tight that the toes swell. if the toes swell, the brace should be removed for a few hours until the swelling resolves. Massaging the toes helps the swelling subside. if excessive sweating is noted, talc powder may be used to help keep the skin and device dry. HIP LUXATION ehmer slings are commonly used in dogs to protect the hip following conservative or surgical treatment of coxofemoral luxation. 3 ehmer slings are not easily removed and reapplied, limiting the ability to perform rehabilitation therapy. in addition, ehmer slings commonly cause secondary skin irritation and abrasions. an alternative is the vest with ehmer sling, a custom form-ftting sling that allows for proper positioning and immobilization, while enabling access for rehabilitation therapy (Figure 13). This sling is manufactured using a fabric that is stretchable, breathable, antimicrobial, and bactericidal. FIGURE 12. When the wrap or brace arrives, schedule a ftting appointment to confrm ft and show the owner how to properly place and remove the device. FIGURE 13. Patient wearing a vest with Ehmer sling, which allows for proper positioning and immobilization, while providing access for reha- bilitation therapy. FIGURE 14. Forelimb prosthesis for a patient after limb-sparing surgery for osteosarcoma.