Proud flesh Flashcards
Why is healing potential limited in distal limb wounds?
The increase in motion, decrease in vascularity, lack of tissue or muscle, proximity to contamination
The best way to preserve function and cosmetic appearance is to…
perform primary or delayed primary closure
List the treaments for proud flesh
Resection and bandage, delayed secondary closure, skin grafts
Why do horses get proud flesh?
They have an inefficient and protracted inflammatory phase, an excessive proliferaative phase, and fibroblasts never differentiate into myofibroblasts. Also they have more neutrophils that release more proinflammatory mediators.
Proud flesh most commonly occurs where in horses?
The distal limbs
How would you explain to a client hot to manage a wound with proud flesh for delayed secondary closure?
Trim excessive parts as needed
Should you put a skin graft over an infected wound?
No, only healthy flat granulation bed
list the 2 indications for skin grafts
Too large to heal, any open wound you cant suture
What thickness skin graft has best cosmesis and hair growth, full or split?
Full
What thickness skin graft is most likely to survive, full or split?
Split
How long until a skin graft is revascularized?
~4-5 days
Is general anesthesia required for Punch and Pinch grafts? How about full thickness free skin grafts?
yes and no
What are the 3 main reasons for graft failure?
Infection, motion and hemorrhage
What is the most important step in a free skin graft to ensure survival?
Proper preparation of recipient site
after a skin graft when should you change the bandage?
after 4-5 days
