In this case, submitted by a veterinarian who wished to remain anonymous, MicroLyte Vet was used on a 7-year-old female German Shepherd injured during a fight.
Clinical History
“A 7yo FI German shepherd was attacked by another dog in the household—she was presented with 3-days-old bite wounds.”
Date of First Presentation
July 5th, 2021
Wound Description
“[The] patient was attacked by another dog in the household—she was presented with 3-days-old bite wounds on [the] left elbow and left tarsus/hock region (both medial and lateral aspect of the leg). Tendons and bones were exposed. [An] X-ray revealed no fracture but mild periosteal proliferation around [the] left elbow region. [The] bandage was changed every other day for the first 3 sessions. The bite wound on the left elbow was closed on the 2nd bandage change with [a] horizontal mattress. The left hock/tarsal wounds were then changed to [a] normal bandage on the 3rd session (MicroLyte Vet, nonadhesive Telfa, cast padding, brown gauze, and vet wrap).”
Wound Location
“Left elbow and left tarsus/hock region (both medial and lateral aspect of the leg). Tendons and bones were exposed. [An] x-ray revealed no fracture but mild periosteal proliferation around left elbow region.”
Presenting Images
Inhibitors Present
“Old, contaminated bite wounds on high motion areas (elbow/hock) with bone and tendon exposure.”
Management Plan
“Concern of possible osteomyelitis. Patient was started on carprofen, clavamox and zeniquin immediately. MicroLyte Vet was applied with wet to dry bandage (diluted chlorhex solution was used for wet bandage).”
First Follow Up
July 7th, 2021
“Wet to dry bandage change. Granulation tissue noted around skin lesion. Still visible tendon and bone exposure.”
Second Follow Up
July 9th, 2021
“Wet to dry bandage change to left hock (both medial and lateral). Closed left elbow lesion- freshen skin edge with #10 blade and closed subcutaneous space with maxon 3-0 simple continuous pattern. closed skin with maxon 3-0 horizontal mattress.”
Third Follow Up
July 12th, 2021
“Wet to dry bandage change for left hock (medial and lateral). Left elbow incision healing appropriately.”
Fourth Follow Up
July 15th, 2021
“Changed to dry bandage for left hock (medial and lateral)– MicroLyte Vet, Telfa, cast padding, brown gauze and vet wrap/Elastikon. Wound on left medial hock was almost fusing and nice granulation tissue forming.”
Fifth Follow Up
July 23rd, 2021
“Bandage change– similar fashion performed as previous visit. New granulation tissue noted. Tendon is almost invisible.”
Sixth Follow Up
July 31st, 2021
“Removed bandage. Nice granulation tissue noted and no more bone/tendon exposure. No more bandage is needed. Have owner keep E-collar on for another week. Patient had no sign of lameness at this point.”
