Chronic problem wounds of dog limbs

Biology and Diseases of Dogs

“…The compression of soft tissues between hard surfaces results in vascular occlusion, ischemia, and ultimately tissue death (Swaim and Angarano, 1990). Decubital ulcers often develop over a bony prominence such as the elbow, tuber ischii, tarsus, or carpus.…”

“…When a healthy granulation bed has formed over the entire wound, a delayed closure over a drain may be performed (Swaim and Angarano, 1990). The extent of initial wound management will largely depend on the depth of the wound.…”

“…If a cast has been applied to the area for treatment or research purposes, a hole can be cut over the wound to reduce pressure in that area and allow treatment of the wound (Swaim and Angarano, 1990). The area over the wound itself should not be heavily padded.…”

“…Clinical Signs Early lesions appear as irritated, hairless areas usually found on the distal extremities (Swaim and Angarano, 1990). The predilection for the limbs may be due to accessibility or possibly a lower threshold for pruritus in these areas.…”

“…Several direct treatments have been examined, including intralesional and topical steroids, perilesional cobra venom, acupuncture, radiation, and surgery (Swaim and Angarano, 1990;Walton, 1986). One of the most important aspects of treatment is to break the cycle of self-trauma.…”