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Neovascular transplant on the metacarpal footpad of a dog (case report)
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An ulcer of the metacarpal without any healing tendency for three months was the reason for presenting this 4-year-old, neutered male, soft coated wheaten terrier mixed-breed dog in the clinic. The clinical and neurological examination shows that the cause was trophic - an ulnar nerve deficit leading to secondary trophic ulceration. A transplant is indicated - but is there a chance for its successful healing and even a little chance for the production of highly keratinized epithelium that would be required at this site?
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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.
Source: Kelson C. Danielson, Marc Kent, Karen Cornell (2009): Successful Treatment of a Metacarpal Trophic Ulcer Utilizing a Neurovascular Island Flap. In: Journal of the American Animal Hospital Association 45:176-180 (2009)
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