Chronic osteomyelitis associated with orthopedic implants and cranial cruciate repair in three dogs.
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Biomedical subjects
Publications and source records attributed to B M Kirby.
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Various types of flaps are commonly used by veterinary surgeons for reconstruction of congenital and acquired defects in the oral cavity. Specific techniques have been described and illustrated elsewhere. In this chapter the author reviews indications and common uses of oral flaps and considerations in preoperative and postoperative management of animals undergoing flap reconstructions. General principles of flap construction and handling, technical considerations, and complications are discussed, with case examples to illustrate some of the problems and pitfalls of surgical repair of oral defects.
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Nylon bands of five sizes were tested to failure using a splint circular jaw mounted on a tensile testing machine. Four treatment groups of each of the five sizes were tested: as supplied by the manufacturer, ethylene oxide sterilized, autoclave sterilized, and saline-soaked. Comparisons were made between groups and to previously reported results of similar testing of stainless steel wire of three sizes. All the bands failed at the lock mechanism. Knot strength increased with increased size of nylon band. There was no difference between untreated and ethylene oxide sterilized bands, whereas bands subjected to autoclaving or saline soaking failed at less force. The knot strength of all the treatment groups in the three smaller sizes of bands was less than twist-knotted 0.8-mm wire cerclage; and when soaked in saline for 24 hours, the knot strength of the two largest size bands dropped to less than 1.2-mm twist-knotted wire.
Colonic anastomoses were performed on two groups of 13 dogs each. Epidural anesthesia and general anesthesia were performed in one group and general anesthesia only in the other. Intraoperatively, the epidural-general anesthesia dogs tended to bleed less, making the anastomosis less difficult. Histologic comparisons showed healing to be more advanced in the epidural-general anesthesia dogs compared to the general anesthesia dogs 24 hours and 7 days postoperatively. Differences were not noticed 14 and 28 days postoperatively. Bursting pressures were determined 24 hours after surgery. Differences between the groups were not noticed. Leakage occurred at 72% of the pressure determined to cause leakage in normal colons.
Calcinosis circumscripta associated with polydioxanone suture material was diagnosed in two young dogs. In each case, the owner noticed a firm mass at the site of a previous surgical incision. Mineralization of soft tissues was visible radiographically. At excision, multiple chalky white nodular masses within the subcutis extended in a linear pattern the length of the sutured incision, but not beyond it. Polydioxanone suture was identified within the center of the nodules, which were identified histologically as calcinosis circumscripta.
Tracheal blood flow before and after division of the segmental tracheal blood supply with and without application of a polypropylene spiral prosthesis was measured in dogs by radiolabeled microsphere injection. Ischemia of the central part of the trachea, from the mid-cervical to mid-thoracic regions, was observed immediately after division of the segmental tracheal blood supply with and without polypropylene spiral prosthesis application. On day 3, tracheal blood flow was significantly decreased in the central part of the trachea with and without polypropylene spiral prosthesis application. On day 7, tracheal blood flow was significantly increased throughout the trachea, with no significant differences between animals with and without prosthesis application. There was no evidence of a collateral source of blood supply to the trachea. Surgical division of the segmental tracheal blood supply of the trachea. Surgical division of the segmental tracheal blood supply of the entire trachea is not recommended.