Author/Authors :
Weiss, Ruth Roche Pharma Research and Early Development Pharmaceutical Sciences Comparative Medicine - Roche Innovation Center, Basel, Switzerland , Wettstein, Reto Department of Plastic Reconstructive Aesthetic and Hand Surgery - University Hospital of Basel, Basel, Switzerland , Artemis Kappos, Elisabeth Department of Plastic Reconstructive Aesthetic and Hand Surgery - University Hospital of Basel, Basel, Switzerland , Jacobsen, Björn Roche Pharma Research and Early Development Pharmaceutical Sciences Toxicology and Pathology - Roche Innovation Center, Basel, Switzerland , Kalbermatten, Daniel Department of Plastic Reconstructive Aesthetic and Hand Surgery - University Hospital of Basel, Basel, Switzerland , Bergadano, Alessandra Roche Pharma Research and Early Development Pharmaceutical Sciences Comparative Medicine - Roche Innovation Center, Basel, Switzerland
Abstract :
A male cynomolgus monkey experienced extensive soft tissue trauma to the right caudal calf area. Some weeks after complete
healing of the original wounds, the monkey developed a chronic pressure sore on plantar surface of the heel of its right foot. A loss
of sensitivity in the sole of the foot was hypothesized. The skin defect was closed by a medial sensate pedicled instep flap followed
by counter transplantation of a full thickness graft from the interdigital webspace. The integrity of the tibial nerve was revised and
reconstructed by means of the turnover flap technique. Both procedures were successful. This is an uncommon case in an exotic
veterinary patient as it demonstrates a reconstructive skin flap procedure for the treatment of a chronic, denervated wound in
combination with the successful reconstruction of 2.5 cm gap in the tibial nerve.
