Easier To Fix Leg Cases

Marshmallow The Chicken Ron Hines’s Most Difficult Case

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On a Sunday in February I received an email this is essentially what it said:
My name is C.C and I live in Harlingen, Texas. I want to explain our dilemma. A neighbor gave us a ~2 month old cockerel (immature rooster) 6 days ago. She did not want it because its leg was deformed and it could not walk. I estimate is that its left leg is sticking out 160 degree sideways from what it is supposed to be at its knee (femorotibial joint). Our vet figured that it had broken its joint some time ago and it had healed in this improper position. He seemed slightly condescending about my desire to seek care in the form of surgery to provide a better quality of life for this bird who is unable to even sit comfortably, much less stand. 
Our current setup for him is a very plush orthopedic dog bed with an extra deep-padded insert and two neck pillows (the kind you use on airlines) in which I place him very carefully to support his body and minimize pressure on the legs, in addition to a DIY “wheelchair” for chickens I built using PVC pipe, caster wheels, and a piece of fabric fashioned into a makeshift sling with leg holes and an opening for pooping. I was advised today to leave this poor bird in this wheelchair 24/7 indefinitely for the rest of his life. But I simply cannot be happy with that outcome. What I seek is improvement, not perfection, in any case, to at least allow this bird to close his leg in a position close enough to appropriate so that he can sleep and sit comfortably. In my heart, even within 6 days, he has already become like my baby. It is hard being so invested in a bird who I have trouble seeing having a good quality of life in his current state.
Looking at the x-ray she supplied I could see that the vet tech mispositioned the rooster in it image  that they took. The affected joint is not even in the photo. It was farther down the leg at the tibial/metatarsal joint as seen in the snapshot I took when the chicken arrived:

I made a hammock, similar to the ones I make when young birds come in with spraddle leg

 

Unlike younger birds with softer bones, Marshmallow’s left leg could not be repositioned gradually. It was too ossified and the forces required would have destroyed the adjacent joint. The only option was to cut the bone where the healed fracture had occurred and reposition the two sections in a more correct alignment. I keep avian skeletons in my garage and use them to contemplate what my surgical options might be and practicing them when a tough case comes along:

   

Perfect tools for these procedures do not exist. I tend to make them myself or utilize tools designed for watchmaker repairs and heat or alcohol sterilize them:

 

In Marshmallows case after cutting the bone at the old fracture line, tiny stainless steel screws, one in each leg, held the injured leg in close to proper alignment until the bone refused:

   

 

Fourty four days after surgery:

On Wed, Mar 20, 2024 at 6:15 PM C.C. wrote:

Hi Dr. Hines!

Just a short update for you: Marshmallow has learned to run! I’ve been taking him outside daily and he’s learned to chase hens and runs to a fence through which he crows at our other rooster! He still limps/skips when he runs or walks, but it’s such a minor issue compared to how far he’s come that it doesn’t hold him back in the least, and I believe it may even continue to improve with more time. He’s doing really well and his temperament has improved dramatically, too. He no longer aggressively bites!

I hope everything is going well for you,
C.

Some of the products used:

     

Not all SS is corrosion resistant. Must be screws of marine quality such as these: #2 0.5 inch pan head phillips #391680725042 from Baltimore Marine Supply @ $6.28/100

Aluminum foam splint is suitable for splinting all extremities. Made of lightweight and malleable foam padded aluminum, it is soft and adaptable. The splint becomes rigid and supportive for fractured or injured limbs by shaping it into a simple C, W or T- shaped curve. Can be cut with ordinary household scissors. Mine came in a donated pallet of hospital supplies. The TECHMED product appears similar. But I cannot guarantee that that was the brand that I received.

A drop of Cyanoacrylic glue between the foam/aluminum splinting shackles and leg scales helps keep the shackles from riding up or down, which might impede circulation. Check foot temp. frequently. They Should be equal. Coloration should be equal and there should be no swelling below anything that circles the leg which might impede circulation. I have found no difference between consumer superglue product pictured and “medical grade” products for the uses I use them in avian and exotic animal medicine. But I cannot vouch for all brands and formulations.

Dear reader, Besides your donations, visitors to the products that Google and others display on my website help me defray the cost of keeping my articles on the Web – and you informed. As you know, sites like mine that intentionally use no AI, no SEO, and are not written to Sell You Things are getting harder and harder to find, Best wishes, Ron Hines

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