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Peer-reviewed veterinary case report

Skin stretchers helped close large front leg wound in dog

By Holt, David E & Runge, JeffreyĀ·Published in Veterinary surgery : VSĀ·2011Ā·Department of Clinical Studies, United StatesĀ·View original on PubMed →

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Original publication title: Use of skin stretchers to elongate a peninsular thoracodorsal axial pattern flap for antebrachial wound closure in a dog.

Species:
dog

Plain-English summary

A 7-year-old mixed breed dog with a large wound on his front leg underwent a special surgical technique to help close the injury. Four days before the surgery, the veterinarian used skin stretchers to gradually increase the amount of skin available for the procedure. This technique allowed the surgeon to successfully create a flap of skin to cover the wound. After the surgery, the flap healed well, with only a minor separation that resolved on its own without additional treatment.

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Abstract

OBJECTIVE: To describe preoperative use of skin stretchers to elongate a peninsular thoracodorsal axial pattern flap to close a large antebrachial wound on a dog. STUDY DESIGN: Case report. ANIMALS: A 21 kg, 7-year-old, male intact mixed breed dog. METHODS: Two skin stretchers were applied to the site of the thoracodorsal axial pattern flap 4 days before surgery. The elastic cables connecting the adhesive pads were tightened daily to increase the skin available for a peninsular thoracodorsal axial pattern flap, which was created and rotated 180° to cover an antebrachial defect to a level 2 cm proximal to the carpus. RESULTS: The entire flap survived; there was a small amount of incisional separation at the distal margin of the flap that healed without further treatment. CONCLUSION: Preoperative skin stretching provided additional skin for the axial pattern flap used.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21314701/