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Case Reports in Veterinary Medicine
Volume 2016, Article ID 4386249, 5 pages
http://dx.doi.org/10.1155/2016/4386249
Case Report

Pedicled Instep Flap and Tibial Nerve Reconstruction in a Cynomolgus Monkey [Macaca fascicularis]

1Roche Pharma Research and Early Development, Pharmaceutical Sciences, Comparative Medicine, Roche Innovation Center, Basel, Switzerland
2Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, Basel, Switzerland
3Roche Pharma Research and Early Development, Pharmaceutical Sciences, Toxicology and Pathology, Roche Innovation Center, Basel, Switzerland

Received 12 July 2016; Accepted 28 September 2016

Academic Editor: Changbaig Hyun

Copyright © 2016 Ruth Weiss et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.