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Use of a Semitendinosus Myocutaneous Flap for Soft‐Tissue Reconstruction of a Grade IIIB Open Tibial Fracture in a Dog
Author(s) -
Puerto David A.,
Aronson Lillian R.
Publication year - 2004
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2004.04092.x
Subject(s) - medicine , tibial fracture , soft tissue , open fracture , surgery , tibia , orthopedic surgery
Objective To describe the clinical use of a semitendinosus myocutaneous flap for soft‐tissue reconstruction of a grade IIIB open tibial fracture. Study Design Case report. Animals A 5‐year‐old castrated male Labrador retriever with a grade IIIB open tibial fracture. Methods A myocutaneous flap was created by elevating the origin of the semitendinosus muscle and the associated overlying skin. The flap was rotated distally based on the distal vascular pedicle into a soft‐tissue defect overlying the central and distal third of the tibia. Results The flap allowed one‐stage reconstruction of a severe soft‐tissue defect overlying denuded bone in a grade IIIB open tibial fracture. The muscular portion of the flap survived; however, there was necrosis of 3 cm of skin extending distally beyond the muscular portion of the flap. Conclusion Distal rotation of the semitendinosus muscle and overlying skin can be used in the treatment of severe soft‐tissue defects of the canine crus. Clinical Relevance Complex soft‐tissue injuries to the canine crus can be treated with a myocutaneous flap as a reasonable alternative to other reconstructive techniques.