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Successful Treatment of a Metacarpal Trophic Ulcer Utilizing a Neurovascular Island Flap

From the Department of Surgical Sciences (Danielson), School of Veterinary Medicine, University of Wisconsin, 2015 Linden Drive, Madison, Wisconsin 53704 and the Department of Small Animal Medicine and Surgery (Kent, Cornell), College of Veterinary Medicine, The University of Georgia, Athens, Georgia 30602.

A 4-year-old, neutered male, soft coated wheaten terrier mixed-breed dog was presented for evaluation of a nonhealing ulcer of the metacarpal pad of 10 to 12 weeks’ duration. A diagnosis of an ulnar nerve deficit and secondary trophic ulceration was made. The ulcer was repaired using a neurovascular island flap. Postoperatively, a fiberglass clamshell splint was used to protect the healing flap. The flap healed successfully and developed a highly keratinized epithelium much like a normal footpad.