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Pedicle digital pad transfer and negative pressure wound therapy for reconstruction of the weight-bearing surface after complete digital loss in a dog

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Abstract
A young Labrador Retriever was presented for treatment of severe distal hindlimb necrosis caused by bandage ischemia. During digit amputation at the metatarsophalangeal joints, the third and fourth digital pads were salvaged and transferred to the metatarsal stump to create a weight-bearing surface. Negative pressure wound therapy (NPVVT) was utilized for flap immobilization and to promote granulation tissue in the remaining wound defect. Sturdy adherence of the digital pads was achieved after only four days. The skin defect healed completely by second intention and the stump was epithelialized with a thin pad after three months. At the nine month follow-up examination, the stump had a thick hyperkeratinized pad. The dog walked and ran without any apparent signs of discomfort and compensated for the loss of limb length by extending the stifle and tarsocrural joints. Despite a challenging wound in a difficult anatomical location, digital pad flap transfer and NPWT proved successful in restoring long-term ambulation in an active large breed dog.
Keywords
NPVVT, negative pressure wound therapy, digital pad transfer, Digit amputation, wound, healing, VACUUM-ASSISTED-CLOSURE, DISTAL EXTREMITY, SKIN-GRAFT, MANAGEMENT, AMPUTATION, SALVAGE, LIMB, CAT

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Citation

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Chicago
Or, Matan, Bart Van Goethem, Ingeborgh Polis, Anneleen Spillebeen, Peter Vandekerckhove, Jimmy Saunders, and Hilde De Rooster. 2015. “Pedicle Digital Pad Transfer and Negative Pressure Wound Therapy for Reconstruction of the Weight-bearing Surface After Complete Digital Loss in a Dog.” Veterinary and Comparative Orthopaedics and Traumatology 28 (2): 140–144.
APA
Or, M., Van Goethem, B., Polis, I., Spillebeen, A., Vandekerckhove, P., Saunders, J., & De Rooster, H. (2015). Pedicle digital pad transfer and negative pressure wound therapy for reconstruction of the weight-bearing surface after complete digital loss in a dog. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY, 28(2), 140–144.
Vancouver
1.
Or M, Van Goethem B, Polis I, Spillebeen A, Vandekerckhove P, Saunders J, et al. Pedicle digital pad transfer and negative pressure wound therapy for reconstruction of the weight-bearing surface after complete digital loss in a dog. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2015;28(2):140–4.
MLA
Or, Matan, Bart Van Goethem, Ingeborgh Polis, et al. “Pedicle Digital Pad Transfer and Negative Pressure Wound Therapy for Reconstruction of the Weight-bearing Surface After Complete Digital Loss in a Dog.” VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY 28.2 (2015): 140–144. Print.
@article{5984346,
  abstract     = {A young Labrador Retriever was presented for treatment of severe distal hindlimb necrosis caused by bandage ischemia. During digit amputation at the metatarsophalangeal joints, the third and fourth digital pads were salvaged and transferred to the metatarsal stump to create a weight-bearing surface. Negative pressure wound therapy (NPVVT) was utilized for flap immobilization and to promote granulation tissue in the remaining wound defect. Sturdy adherence of the digital pads was achieved after only four days. The skin defect healed completely by second intention and the stump was epithelialized with a thin pad after three months. At the nine month follow-up examination, the stump had a thick hyperkeratinized pad. The dog walked and ran without any apparent signs of discomfort and compensated for the loss of limb length by extending the stifle and tarsocrural joints. Despite a challenging wound in a difficult anatomical location, digital pad flap transfer and NPWT proved successful in restoring long-term ambulation in an active large breed dog.},
  author       = {Or, Matan and Van Goethem, Bart and Polis, Ingeborgh and Spillebeen, Anneleen and Vandekerckhove, Peter and Saunders, Jimmy and De Rooster, Hilde},
  issn         = {0932-0814},
  journal      = {VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY},
  keyword      = {NPVVT,negative pressure wound therapy,digital pad transfer,Digit amputation,wound,healing,VACUUM-ASSISTED-CLOSURE,DISTAL EXTREMITY,SKIN-GRAFT,MANAGEMENT,AMPUTATION,SALVAGE,LIMB,CAT},
  language     = {eng},
  number       = {2},
  pages        = {140--144},
  title        = {Pedicle digital pad transfer and negative pressure wound therapy for reconstruction of the weight-bearing surface after complete digital loss in a dog},
  url          = {http://dx.doi.org/10.3415/VCOT-14-04-0056},
  volume       = {28},
  year         = {2015},
}

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