Use of skin stretchers to elongate a peninsular thoracodorsal axial pattern flap for antebrachial wound closure in a dog.

Abstract

OBJECTIVE: To describe preoperative use of skin stretchers to elongate a peninsular thoracodorsal axial pattern flap to close a large antebrachial wound on a dog. STUDY DESIGN: Case report. ANIMALS: A 21 kg, 7-year-old, male intact mixed breed dog. METHODS: Two skin stretchers were applied to the site of the thoracodorsal axial pattern flap 4 days before surgery. The elastic cables connecting the adhesive pads were tightened daily to increase the skin available for a peninsular thoracodorsal axial pattern flap, which was created and rotated 180° to cover an antebrachial defect to a level 2 cm proximal to the carpus. RESULTS: The entire flap survived; there was a small amount of incisional separation at the distal margin of the flap that healed without further treatment. CONCLUSION: Preoperative skin stretching provided additional skin for the axial pattern flap used.