Uso de placa bloqueada e pino intramedular para estabilização de fratura tibial de alta energia associada a reconstrução de defeito cutâneo por meio de enxerto de pele em malha em felino

Abstract

Occasional injuries from being run over are common causes of orthopedic and skin injuries of varying complexity. Complications of orthopedic surgeries undergo changes in the internal fixation approach of these, and the use of locked plate associated with the intramedullary nail is an effective alternative for osteosynthesis of high energy fractures. Traumatic vascular lesions can culminate in expansive skin necrosis, in which the use of skin flaps and skin grafts are recent reconstructive methods in the absolute repair of skin lesions that are not amenable to biological epithelialization. This report aimed to describe the case of a 7-year-old male, feline, with no race, diagnosed with comminuted fracture in the proximal diaphyseal region of the left tibia, in addition to expansive cutaneous necrosis due to iatrogenic cutaneous vascular lesion. Tibial osteosynthesis was performed with combined implants composed of blocked plate and intramedullary nail, in addition to skin repair through the use of mesh graft.