A New Flap Model in the Treatment of Non-Healing Elbow Wounds in Dogs: The Island Arterial Composite Flap Comprising the Skin Originating from the Thoracodorsal Artery, the Cutaneous Trunci Muscle and Fascia of the Latissimus Dorsi Muscle

作者：Ozer Kursat^*; Karabagli Murat; Ugurlu Kemal

来源：Kafkas Universitesi Veteriner Fakultesi Dergisi, 2016, 22(6): 829-835.

DOI：10.9775/kvfd.2016.15425

• Island flap
• Cutaneous trunci muscle
• Non-healing elbow wounds
• Dog
• Composite flap
• Latissimus dorsi muscle fascia

In the treatment of wounds with tissue loss in the elbow region, despite the most frequently used method being the tube flap of thoracodorsal artery origin, this method has the disadvantages of necrosis, opening of sutures and tension. The aim of this study is to present the results of the island arterial composite flap, containing the skin of the thoracodorsal area, the cutaneous trunci muscle and fascia of the latissimus dorsi muscle, for the reconstruction of chronic wounds in the elbow region. The material of the study consisted of 14 dogs with either non-healing wounds or wounds with tissue loss in the elbow region. Firstly, debridement of the elbow defect was carried out. Next, an elliptical incision depending on the size of the defect was made in the thoracodorsal skin. Once the thoracodorsal artery and its pedicle were exposed, this was passed through the tunnel formed in the axillary region and placed over the debrided defect in the elbow region. It was sutured using non-absorbable monofilament suture material and simple interrupted sutures and the results were evaluated. In conclusion, the skin originating from the thoracodorsal artery, muscle and fascia island artery flap may be an effective method in the reconstruction of wounds in the elbow region.

• 出版日期2016-12