Fritz is a sweet 4 year old male neutered indoor/outdoor cat who presented to us with extensive wounds on both of his hocks (ankles) of unknown cause (bite wound vs barbwire vs other trauma). He was sedated and given a general anesthetic to better evaluate the wounds. He had a small degloving injury on his left lateral hock (skin and superficial soft tissue had been removed. He also had an extensive wound over his R medial hock with a large amount of devitalized tissue over an exposed joint with leaking joint fluid. The wounds were clipped and cleaned and flushed extensively.
The wound on the L Hock was treated by placing a bed of granulated sugar over the wound and then placing a soft padded bandage over the sugar. The sugar creates an increased osmolarity which inhibits bacterial growth, naturally removes dead tissue (debrides) and allows for a non painful bandage change. This bandage was changed daily and then every other day until the wound had healed in about 10 -14 days.
The extensive wound over the right medial hock was surgically debrided into two wounds one proximal and one distal and the joint flushed extensively with saline. A 1/4" penrose drain was placed to exit below the wounds and secured with sutures. The drain will allow further d/c and infection to exit the area. The two defects were then closed with sutures and a soft padded non adherent bandage was placed which was changed daily to assess for discharge and skin viability and then every other day until healed. The drain was removed after 5 days when there was little active discharge remaining.
Fritz was placed on 2 different antibiotics due to the severity of the injury and the obvious infection into the joint. He also was sent home with pain medication for several days.
Both wounds healed very nicely, and we are happy to report that Fritz has made a full recovery.