Stabilisation and support of degenerative metacarpophalangeal joints

WIMBA Carpus Orthosis Pro with Paw Support

Case Report – Lyla

1. Abstract

This case report examines the use of a WIMBA Orthosis Pro for a dog named Layla, who needed support for her right forelimb. The report covers patient data, examination findings, the clinical hypothesis, the WIMBA solution, the rehabilitation plan, and the outcome of using the orthosis.

2. Patient Data

Name: Layla
Breed: Mix
Date of birth: 01/02/2017
Weight: 18,2 kg

WIMBA Provider: Resurgence Veterinary Mobility
Cara McNamee, DVM, cVMA, CCRT

3. Examination Findings

Based on the initial examination, the orthosis was intended to address issues such as general conditioning, compensatory problems, and overall support of the right forelimb.

Digits: Valgus in digits RF with decreased ROM 2nd PIP, crepitus and medial/lateral instability at 3rd and 4th PIP (worse over 3rd), and thickening at 2nd and 5th MCP joints with hyperextension and flattening of paw in a stand. No significant pain on palpation over flexor tendons.

4. Clinical Hypothesis

The clinical reasoning for using the WIMBA orthosis in Layla’s case centered around the need to stabilise and support the degenerative metacarpophalangeal joints in the right forelimb.

5. Solution

WIMBA Carpus Orthosis Pro with Paw Suppot for Lyla based on a 3D scan using WimbaSCAN.

WimbaSCAN for WIMBA Carpus Orthosis Pro

Fig. 1 3D Model of the Dog’s Limb Based on WimbaSCAN

6. Rehabilitation Plan

The rehabilitation plan for Layla involved general conditioning and addressing any compensatory issues.

7. Outcome

First donning (16th January)

Layla appeared indifferent to the orthotic application and made no attempts to remove it, even though she is generally anxious. Observed decreased swing phase and reduced shoulder extension while adapting to the orthotic.

Update (3rd February)

Layla is doing really well with her WIMBA Pro Pilot orthosis. Regular follow-up visits would help ensure the best possible outcome for her mobility.

8. Before and After Using WIMBA

9. Summary

Average Opinion after First Donning

Although the data is limited, the gathered feedback after the first donning is positive. The orthosis fulfilled its purpose, with improvements in Layla’s gait after application. It stabilized the limb as intended and remained stable during movement. Additionally, the orthosis was easy to put on, with the fastening mechanism being intuitive and simple to use.

10. Detailed Feedback

Scale 1 out 10 (1 – Poor experience; 10 – Outstanding experience)

Tab. 1 Product Goals

When?	Did it take a long time to put on the orthosis?	How would you rate the ease of putting the orthosis?	Was the fastening mechanism intuitive and easy?
First Donning	8	8	10

Tab. 2 Veterinary Goals

When?	First Donning
Does the orthosis fulfills its purpose?	YES
Did you notice any change in dog’s gait after putting the orthosis on?	YES
Does it stabilize the limb according to your goals?	YES
Does the orthosis stay stable on the dog’s leg during movement?	YES

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