Page 2 - Clinical Connections - Autumn 2024

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Page 2 - Clinical Connections - Autumn 2024
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RVC RESEARCH    STUDY    VETERINARY SERVICES       RVC.AC.UK


          the Equine and Small Animal Orthopaedic   and  anaesthesia.  Radiographs  were  was already initiated during DexterÐÂÔÂÖ±²¥™s
          teams.  Dexter  was  anaesthetised  and   obtained after the procedure. The humeral   hospitalisation and continued at home. After
          positioned  in  left  lateral  recumbency.  A   head had remained in the correct position   two months turn-out in a small paddock with
          brachial plexus block was performed by the   and all implants were intact.   a companion, Dexter was turned out with
          RVC  Anaesthesia and  Analgesia team to   The Velpeau sling and all skin sutures   the remainder of the herd. His owners report
          provide additional analgesia.       were  removed  three  weeks  after  surgery   that he has made a made a full recovery.
            A curved craniolateral incision was made,   and Dexter started weight-bearing and   DexterÐÂÔÂÖ±²¥™s case illustrates the value and
          extending from the scapular neck to the mid-  ambulating immediately. He was discharged   strength of teamwork and the use of pooled
          diaphysis of the right humerus.  The joint   from  the  hospital  four  weeks  after  the   resources to provide care for all species of
          capsule was incised after tenotomy of the   procedure.                 sick and injured animals at the RVC.
          infraspinatus tendon.                                                    Shoulder reconstruction surgery is more
            The humeral head was found to be                                     commonly performed in RVC Small Animal
          craniolaterally luxated and was manipulated                            Referrals and combining the expertise and
          back into the glenoid cavity. Cortical screws                          experience of small animal surgery specialist
          and washers were then placed in the centre                             Professor Meeson and large animal surgery
          of the scapular neck and the proximal                                  specialist Dr Bolt resulted in a good outcome
          humerus behind the greater tubercle.                                   for Dexter and an enjoyable opportunity to
            A tunnel was also created through                                    share ideas and work together.
          the  greater tubercle, from cranioventral                                The surgeons were expertly supported by
          to  caudodorsal.  Together  they  provided                             nursing teams from both the Equine Referral
          the  anchorage  for  the  artificial  ligament                         Hospital and the Queen Mother Hospital for
          placement ÐÂÔÂÖ±²¥“ which included three different                             Animals during the procedure. Anaesthesia
          loops  of  a  high-tension  dual  core  artificial                     in camelids can be very challenging and the
          suture.                                                                RVCÐÂÔÂÖ±²¥™s Anaesthesia and Analgesia Service
            After the joint capsule and overlying                                facilitated a safe and successful procedure
          soft tissues were closed,  a  dressing  was                            and also provided multimodal analgesia.
          placed on the limb, in addition to a Velpeau                             DexterÐÂÔÂÖ±²¥™s  aftercare  after surgery  was
          bandage.                             Dexter at the RVC                 provided by RVC BVetMed rotation students
                                                                                 and training scholars (residents and interns)
          Recovery and outcome                 Physiotherapy, consisting of passive   who all enjoyed being involved in this
          Dexter recovered uneventfully from surgery   flexion and extension of the right forelimb,   unusual case.


            RVC Research Reveals Need for Industry Standard of Alpaca Care

            RVC research into husbandry practices has uncovered a variation   Vitamin  D  supplementation,  alpacas  can  be  affected  by
            in the management of alpacas in the UK and the need to develop   vitamin D deficiency, including by developing rickets and bone
            industry standard practices to support alpaca welfare.   deformities. This  was  the  first  research  paper  to  review  UK
            Alpacas are becoming increasingly popular in the UK but there   alpaca owner's Vitamin D supplementation.
            has been limited research into husbandry practices.  There are   The  survey  revealed  a  wide  range  of  practices  across  UK
            an estimated 60,000 alpacas across the UK, 45,000 of which are   owners, with key findings including:
            registered with the British Alpaca Society (BAS) and approximately   ÐÂÔÂÖ±²¥¢   95.7% of respondents vaccinated for clostridial disease
            15,000 unregistered.                                 ÐÂÔÂÖ±²¥¢   In general, the axilla area is preferred by owners for
            The alpaca husbandry research project was led by newly graduated   subcutaneous injection, but large variations exist
            vet Abby Middleton, with support from Beth Reilly (RVC Teaching   ÐÂÔÂÖ±²¥¢   77.8% of alpaca holdings use and dispose of their vaccine
            Fellow in Small Ruminant Health and Flock Management), Nicola   on the day of broaching
            Blackie (Senior Lecturer in Production Animal Science) and James   ÐÂÔÂÖ±²¥¢   91.4%  of  respondents  supplemented  their  alpacas  for
            Crilly (Lecturer in Small Ruminant Health and Flock Management).  Vitamin D but the dose and frequency varied significantly
            An  online  survey  was  distributed  to  alpaca  owners  through  the   ÐÂÔÂÖ±²¥¢   Smaller holdings were more likely to use oral Vitamin D
            BAS newsletter, social media and word of mouth. Alpaca owners   products than injectable Vitamin D products
            were asked questions about their husbandry and management  Research Paper: Middleton A, Blackie N, Crilly JP, Reilly B (2024) ÐÂÔÂÖ±²¥˜Survey
            procedures,  such  as  shearing,  foot  trimming,  vaccinating  and  of current UK alpaca husbandry practices: Vaccination, treatment and
            Vitamin D supplementation.                          supplementationÐÂÔÂÖ±²¥™. Veterinary Record
            Away from their native South  American climate, and without



                                                                                        For equine referrals, please call: 01707
                                                                                       666297
                                                                                        Email:
                                                                                       equinehospital@rvc.ac.uk


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