Vacuum-Assisted Closure Combined with a Myocutaneous Flap in the Management of Osteomyelitis in a Dog

Shomper, Jeremy L.; Coutin, Julia V.; Lanz, Otto I.

Vacuum-Assisted Closure Combined with a Myocutaneous Flap in the Management of Osteomyelitis in a Dog

dc.contributor.author	Shomper, Jeremy L.	en
dc.contributor.author	Coutin, Julia V.	en
dc.contributor.author	Lanz, Otto I.	en
dc.date.accessioned	2017-09-18T09:45:59Z	en
dc.date.available	2017-09-18T09:45:59Z	en
dc.date.issued	2013-12-11	en
dc.date.updated	2017-09-18T09:45:59Z	en
dc.description.abstract	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.	en
dc.description.version	Published version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	Jeremy L. Shomper, Julia V. Coutin, and Otto I. Lanz, “Vacuum-Assisted Closure Combined with a Myocutaneous Flap in the Management of Osteomyelitis in a Dog,” Case Reports in Veterinary Medicine, vol. 2013, Article ID 689415, 6 pages, 2013. doi:10.1155/2013/689415	en
dc.identifier.doi	https://doi.org/10.1155/2013/689415	en
dc.identifier.uri	http://hdl.handle.net/10919/78984	en
dc.language.iso	en	en
dc.publisher	Hindawi	en
dc.rights	Creative Commons Attribution 4.0 International	en
dc.rights.holder	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.	en
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	en
dc.title	Vacuum-Assisted Closure Combined with a Myocutaneous Flap in the Management of Osteomyelitis in a Dog	en
dc.title.serial	Case Reports in Veterinary Medicine	en
dc.type	Article - Refereed	en
dc.type.dcmitype	Text	en