ObjectivesTo assess if closure technique (cutaneous suture versus staples) affects occurrence of complications and to perform a risk factor analysis for complications of subdermal plexus flaps.
MethodsMedical records of dogs that had a subdermal plexus flap were retrospectively retrieved. Cases were included if they had a follow-up of at least 10 days or until a complication occurred.
A 12‐year‐old female neutered Labrador retriever was referred for treatment of a right nasal carcinoma. Surgical excision was performed and included a right unilateral planectomy with partial right rostral upper lip resection. The medial mucosa of the nasal vestibule was preserved as well as the mucocutaneous junction of the right rostral upper lip. The preserved right rostral upper lip was folded to reconstruct the entire circumference of a new nasal orifice. A dorsomedial hinged buccal mucosal flap was used to replace the lateral mucosa of the new nasal vestibule. Two weeks postoperatively, wound healing was uneventful and no stertor was observed. Nasal endoscopy confirmed patency of the nasal stoma and good mucosal healing in the new nasal vestibule. Three months postoperatively, the dog was reported bright with very mild stertor, but tumour recurrence was suspected on the nasal philtrum. This folded lip‐to‐nose flap healed successfully, providing a good cosmetic appearance.
Three dogs presented with traumatic lateral elbow luxation following road traffic accidents. Concurrent injuries included skin abrasions and coxofemoral luxation. All luxations were reduced and stabilised with bone anchors through a lateral approach to the elbow joint and had an augmented or prosthetic lateral collateral ligament placed. One elbow joint was stabilised with FASTak anchor (Arthrex, Karsfeld, Germany) and two with suture anchors by IMEX bone anchor (Veterinary, Longview, TX). Reluxation occurred in one case 24 hours after discharge requiring revision surgery. Median followup time for the three cases was 180 days (range: 49-2920) and the functional outcome was considered excellent in all cases as determined by veterinary assessment, clinical record reviews, owner communication and Liverpool Osteoarthritis in Dogs (LOAD) questionnaire. In conclusion, placement of bone anchors with augmentation of the lateral collateral ligament for management of traumatic elbow luxation in dogs is a good alternative to previously reported surgical techniques.
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