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Vet Surg. 2011 Apr;40(3):352-6. doi: 10.1111/j.1532-950X.2011.00790.x. Epub 2011 Feb 11.

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

Author information

1
Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, 3900 Delancey Street, Philadelphia, PA 19104, USA. dholt@vet.upenn.edu

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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