Cormillot Sophie, Fowler David
Guardian Veterinary Centre, 5620 99th Street NW, Edmonton, Alberta T6E 1V2 (Cormillot); VCA Canada, Guardian Veterinary Centre, 5620 99th Street NW, Edmonton, Alberta T6E 1V2 (Fowler).
Can Vet J. 2025 Jan;66(1):35-39.
This case report describes metacarpophalangeal (MCP)- and metatarsophalangeal (MTP)-level amputation and reconstruction of all 4 paws of a young female domestic shorthair cat. All 4 paws, the ears, and the distal portion of the tail underwent severe frostbite injury resulting in tissue death. Following MCP and MTP amputation, weight-bearing surface reconstruction was achieved using metacarpal and metatarsal paw-pad advancement flaps. Remaining open wounds on non-weight-bearing surfaces were reconstructed using full-thickness skin grafts. All limbs healed uneventfully, allowing return to weight-bearing function. Key clinical message: Good postoperative function can be achieved with the use of metacarpal and metatarsal paw-pad advancement flaps for reconstruction of multiple-limb MCP- and MTP-level amputations.
本病例报告描述了一只年轻雌性家养短毛猫的所有4只爪子在掌指关节（MCP）和跖趾关节（MTP）水平的截肢及重建手术。4只爪子、耳朵和尾巴远端均遭受严重冻伤，导致组织坏死。在进行MCP和MTP截肢术后，采用掌骨和跖骨爪垫推进皮瓣实现了负重面重建。非负重面剩余的开放性伤口则采用全厚皮片移植进行重建。所有肢体均顺利愈合，恢复了负重功能。关键临床信息：使用掌骨和跖骨爪垫推进皮瓣重建多肢体MCP和MTP水平截肢，可获得良好的术后功能。
