A 4 mo old German shepherd dog was presented following an acute onset lameness and swelling of the thoracic limb.Clinical signs, surgical findings, and culture results were consistent with a diagnosis of necrotizing fasciitis. Initial managementconsisted of extensive surgical debridement, wound lavage, and bandaging. Surgical closure was achieved withan axillary fold flap and distant direct single-pedicle thoracoabdominal flap. Three mo later, following deterioration of thelameness that was associated with carpal valgus, carpal subluxation, and tendinopathy of the distal radial insertion of thebiceps brachii tendon, a closing wedge pancarpal arthrodesis and tenotomy of the biceps brachii tendon was performed.We hypothesize that extensive soft tissue trauma and subsequent fibrosis and tendon contracture following soft tissuereconstruction contributed to the complications seen. To the authors’ knowledge, this is the first report of carpal valgusdeformity and biceps brachii tendinopathy following a distant direct skin flap and axillary skin fold flap.
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