Sample Case Study

#6 Cat - Domestic Short Hair - Medial Tarsus (Calcaneus) - Abrasion / Shearing

Breed		Domestic Short Hair
Age		2 years
Sex		Male

Wound Age		24 hours
Wound Location		Medial Tarsus (Calcaneus)
Wound Size		5cm x 3cm

Exudate Level

Low Exudate

Was the wound treated prior to presentation?

Date of First Presentation:

22-10-2007

Presentation of Wound

The wound presented late evening following an RTA. The cat was stabilised overnight. Thorough lavage and surgical debridement were planned for the next day.

Management Plan

Prepare and manage the wound for grafting. Minimise contamination and complication and encourage healthy granulation.

General Photos (Click to enlarge)

Follow Ups

24th October 2007 Improved Exudate: Moist	Appearance at first dressing change. Wound progressing.
24th October 2007 Improved Exudate: Moist	application of honey to gauze dressing prior to application
24th October 2007 Improved Exudate: Moist	Application of tie-over dressing gauze and honey.
26th October 2007 Improved Exudate: Moderate	Appearance of tie-over dressing at 2nd day of wear prior to removal.
26th October 2007 Improved Exudate: Moderate	appearance of wound at second dressing change. Granulation tissue begining to develop at wound margins. Sloughy material removed through lavage prior to next dressing application.
26th October 2007 Improved Exudate: Moderate	Wound following debridement
30th October 2007 Improved Exudate: Moist	Appearance of wound after next dressing change, debridement and removal of stay sutures.
30th October 2007 Improved Exudate: Moist	Application of Algivon honey dressing instead of the gauze method.
5th November 2007 Improved Exudate: Moist	Granulation tissue progressing well.
9th November 2007 Improved Exudate: Moist	Mesh graft applied
11th November 2007 Improved Exudate: Moderate	Appearance of graft 2 days after placement
15th November 2007 Improved Exudate: Low Exudate	graft holding well
19th November 2007 Improved Exudate: Low Exudate	graft maturing
23rd November 2007 Improved Exudate: Low Exudate	Follow up
26th November 2007 Improved Exudate: Dry Wound	Hair growth begining at graft site. Patient discharged.

Outcome

The cat was discharged one month following RTA with full repair.

Products Used

Algivon - Honey Impregnated Alginate

Activon Tube - Manuka Honey Tube

Acknowledgement
Marek Abel MVDr MRCVS
The Grove Veterinary Group

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