Successful treatment of a metacarpal trophic ulcer utilizing a neurovascular island flap.
A 4-year-old, neutered male, soft coated wheaten terrier mixed-breed dog was presented for evaluation of a nonhealing ulcer of the metacarpal pad of 10 to 12 weeks' duration. A diagnosis of an ulnar nerve deficit and secondary trophic ulceration was made. The ulcer was repaired using a neurovascular island flap. Postoperatively, a fiberglass clamshell splint was used to protect the healing flap. The flap healed successfully and developed a highly keratinized epithelium much like a normal footpad.
Danielson
Kelson C
KC
Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, 2015 Linden Drive, Madison, Wisconsin 53704, USA.
Kent
Marc
M
Cornell
Karen
K
D000818:Animals; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005534:Foot Diseases / Q000601:surgery / Q000662:veterinary; D008297:Male; D008663:Metacarpus; D013524:Surgical Flaps / Q000294:innervation / Q000502:physiology / Q000662:veterinary*; D016896:Treatment Outcome; D014456:Ulcer / Q000601:surgery / Q000662:veterinary*; D016474:Weight-Bearing; D014945:Wound Healing