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用于15只犬远端肢体缺损重建的种子皮肤移植

Seed skin grafts for reconstruction of distal limb defects in 15 dogs.

作者信息

Crowley J D, Hosgood G, Appelgrein C

机构信息

College of Veterinary Medicine, Murdoch University, Murdoch, WA, 6150, Australia.

出版信息

J Small Anim Pract. 2020 Sep;61(9):561-567. doi: 10.1111/jsap.13187. Epub 2020 Jul 26.

Abstract

OBJECTIVES

To report the surgical technique of seed skin grafting and clinical application for reconstruction of wounds on the distal limb of client-owned dogs.

MATERIALS AND METHODS

Medical records from The Animal Hospital at Murdoch University were retrospectively reviewed for dogs requiring reconstruction using seed grafting for distal limb skin defects between January 2009 and May 2020.

RESULTS

Fifteen dogs were included. Grafting was performed on distal limb wounds at or below the carpus or tarsus, following trauma (n = 12) or neoplasia excision (n = 3). Complete epithelialisation with minimal contracture was recorded at a median of 4 weeks (range 3 to 8 weeks) after implantation. Median follow-up was 37 months (range 3 to 55 months) after grafting. Postoperative complications included epidermal inclusion cyst in two dogs. Good functional outcome with acceptable cosmesis despite sparse hair growth was achieved in all cases.

CLINICAL SIGNIFICANCE

Seed grafting is a simple technique that can be used reliably to reconstruct wounds on the distal limb in dogs where other reconstructive techniques are not suitable. Complete epithelialisation with sparse hair growth, good long-term functional outcome and minimal complications can be expected.

摘要

目的

报告籽皮移植的手术技术及其在宠物犬肢体远端伤口重建中的临床应用。

材料与方法

回顾性分析2009年1月至2020年5月间在默多克大学动物医院接受治疗的犬只病历,这些犬只因肢体远端皮肤缺损需要采用籽皮移植进行重建。

结果

共纳入15只犬。移植手术在腕关节或跗关节及以下的肢体远端伤口进行,创伤后(n = 12)或肿瘤切除后(n = 3)。植入后中位4周(范围3至8周)实现完全上皮化且挛缩最小。移植后中位随访时间为37个月(范围3至55个月)。术后并发症包括2只犬出现表皮包涵囊肿。所有病例均获得了功能良好且美容效果可接受的结果,尽管毛发生长稀疏。

临床意义

籽皮移植是一种简单的技术,在其他重建技术不适用的情况下,可可靠地用于犬肢体远端伤口的重建。预计可实现完全上皮化,毛发生长稀疏,长期功能良好且并发症最少。

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