Utilização de enxerto cutâneo no tratamento de ferida traumática grave associada à luxação metatarsofalangeana aberta: relato de caso* Use of cutaneous graft in the treatment of severe traumatic cutaneous wound associated with open metatarsal and falloid dislocation: case report in dogs
Objetivou-se descrever o caso de um cão com luxação traumática de cotovelo que obteve bons resultados após correção ortopédica com parafusos e poliéster trançado. O tutor referiu que animal evadiu-se de sua residência e retornou após 3 dias sem apoiar o membro torácico esquerdo. O paciente foi encaminhado a clínica veterinária Uningá após 12 dias de seu retorno. Na avaliação clínica pôde-se observar: claudicação sem apoio do membro torácico esquerdo, dor, crepitação e instabilidade da articulação do cotovelo com deslocamento lateral da cabeça do rádio e do olécrano em relação ao úmero distal. Confirmou-se o diagnóstico de luxação lateral do cotovelo pelo exame radiográfico. O paciente foi submetido à cirurgia ortopédica e após 15 dias do procedimento cirúrgico, observou-se boa cicatrização da ferida com discreta claudicação do membro operado. Após 90 dias de pós-operatório o paciente apresentava boa deambulação, sem indícios clínicos de claudicação, dor, instabilidade e crepitação do membro operado. Concluiu-se então com este relato que o uso dos parafusos associados ao fio de poliéster trançado em figura de “8” foram uma boa opção no tratamento da luxação traumática de cotovelo.
This paper describes the case of a dog with an open radial and ulnar fracture associated with radiocarpal subluxation and great loss of adjacent tissues. Radial and ulnar osteosynthesis, as well as arthrodesis, were performed with modified type I external fixator. The traumatic wound was treated daily with a mixture of crystal sugar and nitrofurazone, for second intention healing. The wound epithelialization occurred within 60 postoperative days along with fracture healing which led to the removal of the external fixator. The patient returned 7 months after surgery showing good locomotion, with no clinical evidence of lameness. The techniques used in this case presented good results with good healing, good fracture stabilization and adequate immobilization of the radiocarpal joint.
One of the most common aggravating factors of wounds is the myiasis. Flies lay their eggs on the wound, they hatch and release a larval form of the dipteran, which feeds on host tissues leading to necrosis and large production of exudate, thus, it is an extremely pleasant environment to bacterial multiplication. The aim of this study was to describe the case of a dog that displayed an infested larvae ulcerated tumor in the ocular region. Successful results were obtained when performing surgical treatment of the wound with healing by primary closure. The 13-year-old female dog, 30 kg, was brought to the Veterinary Clinic of Ingá University Center, Maringá-PR, Brazil, with the main complaint of an ulcerated left ocular tumor. The owner could not tell when the problem had started. After the patient's physical and laboratory evaluation, which were within normal parameters, enucleation was scheduled for tumor removal. On the day of surgery, the owner reported large mucopurulent secretion and foul odor at the site. The patient was taken for the larvae removal surgical procedure and later enucleation. The wound was debrided and washed with physiological solution, and then tarsorrhaphy was performed and a Penrose drain was applied. The animal returned 15 days later with the wound fully healed. As a conclusion with the current report, the primary closure treatment with the use of drain after intense debridement of a fly larvae infected wound can be a good alternative, especially when it is aimed at faster healing.
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