Peer-reviewed veterinary case report
Infected bone piece causing drainage after combined tibial osteotomy
By Maley, J R et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2010·Sonora Veterinary Specialists, United States·View original on PubMed →
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Original publication title: Osteomyelitis-related sequestrum formation in association with the combination tibial plateau levelling osteotomy and cranial closing wedge osteotomy procedure.
- Species:
- dog
Plain-English summary
A 28-month-old female spayed American Bulldog was brought in for a draining wound and occasional limping on her left hind leg, which started about seven months after she had surgery to correct her knee. She developed an infection at the surgical site shortly after the operation, and despite removing the implant and several rounds of antibiotics, the drainage continued. After further examination, a piece of dead bone (sequestrum) was found on an X-ray. Once the vet surgically removed this piece, the drainage stopped, and her condition improved.
People also search for: dog limping after surgery · American Bulldog infection treatment · dog draining wound after surgery
Abstract
A twenty-eight-month old female spayed American Bulldog was presented for evaluation of a chronic draining tract and intermittent left hindlimb lameness twenty-eight weeks after a combination tibial plateau levelling osteotomy and cranial closing wedge osteotomy (TLPO/CCWO) had been performed. The patient had developed an infection of the surgical site three weeks postoperatively. Drainage persisted despite implant removal 10 weeks postoperatively and several weeks of culture and sensitivity-directed antibiotic therapy. Twenty-eight weeks postoperatively, a sequestrum was identified on radiographs. Surgical removal of the sequestrum resulted in resolution of the drainage. While osteomyelitis is a known complication of TPLO surgery, this case represents the first described case of osteomyelitis-related sequestrum formation in association with the combined TPLO/CCWO procedure.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/20151084/