{"id":1048,"date":"2018-06-05T11:55:23","date_gmt":"2018-06-05T15:55:23","guid":{"rendered":"http:\/\/www.drphilzeltzman.com\/blog\/?p=1048"},"modified":"2022-07-08T15:59:35","modified_gmt":"2022-07-08T19:59:35","slug":"achilles-is-all-broken-after-he-gets-hit-by-a-car","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/achilles-is-all-broken-after-he-gets-hit-by-a-car\/","title":{"rendered":"Achilles was all broken after he got hit by a car&#8230;"},"content":{"rendered":"<p><span style=\"color: #000000;\">Achilles, a 4 year old, 10 pound Yorkie, was hit by a car. His pelvis was broken in multiple places. The main issues were a fracture of the ileum (the bone in the front of the pelvis &#8211; red arrows) and a Sacro-Iliac luxation (aka SI luxation &#8211; blue arrows).<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1050 size-full\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-preop.jpg\" alt=\"A pelvis broken in multiple places\" width=\"1780\" height=\"1267\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-preop.jpg 1780w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-preop-1100x783.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-preop-768x547.jpg 768w\" sizes=\"auto, (max-width: 1780px) 100vw, 1780px\" \/><\/p>\n<p><span style=\"color: #000000;\">An SI luxation is a dislocation between the pelvis and the spine. Both injuries needed to be repaired surgically. There were several other fractures in the pelvis, which did not need surgery. In addition, there were multiple soft tissue injuries, meaning mostly damage to the muscles around the pelvis. <\/span><\/p>\n<p><span style=\"color: #000000;\">I was called to put Achilles back together at the Animal Clinic of Morris Plains in NJ.<\/span><\/p>\n<p><span style=\"color: #000000;\">The fracture was repaired with a metal plate and 6 screws. The dislocation was repaired with 1 pin and 1 screw (see postop X-ray).<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1049 size-large\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-postop-2000x1193.jpg\" alt=\"A repaired pelvis\" width=\"2000\" height=\"1193\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-postop-2000x1193.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-postop-1100x656.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2018\/05\/Achilles-postop-768x458.jpg 768w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n<p><span style=\"color: #000000;\">After surgery, Achilles will need to rest very strictly for 2 months. This will allow all of the fractures, repaired and unrepaired, to heal nicely.<\/span><\/p>\n<p><span style=\"color: #000000;\">This is sadly a common story. Dogs often jump out of a car, run out of a yard, chase cars, follow their instincts (often due to hormones) etc. In the end, the car always wins. Please keep your cats and dogs safe. A leash is the easiest way to avoid many problems.<\/span><\/p>\n<p>Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Achilles, a 4 year old, 10 pound Yorkie, was hit by a car. His pelvis was broken in multiple places. The main issues were a fracture of the ileum (the bone in the front of the pelvis &#8211; red arrows) and a Sacro-Iliac luxation (aka SI luxation &#8211; blue arrows). An SI luxation is a [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[138,107,157,156],"class_list":["post-1048","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-hit-by-car","tag-orthopedic-surgery","tag-phil-zeltzman","tag-veterinary-surgeon"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Achilles was all broken after he got hit by a car... | Dr Phil Zeltzman\u2019s Blog<\/title>\n<meta name=\"description\" content=\"Achilles, a 4 year old, 10 pound Yorkie, was hit by a car. His pelvis was broken in multiple places. 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