Vacuum-Assisted Closure Combined with a Myocutaneous Flap in the Management of Osteomyelitis in a DogReportar como inadecuado

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Case Reports in Veterinary MedicineVolume 2013 2013, Article ID 689415, 6 pages

Case Report

Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, VA 24061, USA

University of Missouri, College of Veterinary Medicine, Columbia, MO 65211, USA

Received 9 September 2013; Accepted 14 November 2013

Academic Editors: L. Espino López, N. D. Giadinis, C. M. Loiacono, F. Martinho, L. G. Papazoglou, and D. M. Wong

Copyright © 2013 Jeremy L. Shomper et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Case Description. A 2.5-year-old female spayed mixed breed dog presented to the Teaching Hospital for draining tracts on the left medial aspect of the tibia. Two years prior to presentation, the patient sustained a left tibial fracture, which was repaired with an intramedullary IM pin and two cerclage wires. Multiple antimicrobials were utilized during this time. Clinical Findings. Radiographs were consistent with left tibial osteomyelitis. The implant was removed and the wound was debrided. Treatment and Outcome. A bone window on the medial aspect of the tibia was created in order to facilitate implant removal. The wound and associated bone window were treated with vacuum assisted closure VAC in preparation for reconstructive surgery. Adjunctive VAC therapy was utilized following the caudal sartorius myocutaneous flap. Complications following this surgery included distal flap necrosis and donor site dehiscence. Clinical Relevance. This presents a difficult case of canine osteomyelitis with subsequent wound care in which VAC and a myocutaneous flap were useful adjunctive treatments for osteomyelitis. This is the first report of VAC in the management of canine osteomyelitis and management with a myocutaneous flap.

Autor: Jeremy L. Shomper, Julia V. Coutin, and Otto I. Lanz



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