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1 June 2017 MANAGEMENT OF PODODERMATITIS WITH AN ORTHOTIC BOOT IN A SOUTHERN ISABELA GIANT TORTOISE (CHELONOIDIS VICINA)
Lynnette Waugh, Jennifer D'Agostino, Gretchen A. Cole, Alicia Hahn, Jonathan D. Day
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Abstract

A 62-yr-old male Southern Isabela giant tortoise (Chelonoidis vicina) had a 1-yr history of chronic, reoccurring pododermatitis on the palmar surface of the left forelimb. Aggressive wound management was instituted and included surgical debridement, vacuum-assisted closure, and orthotic boot support during healing. A custom fabricated, carbon fiber clamshell Charcot Restraint Orthotic Walker walking boot was utilized to reduce focal pressure over the wound during weight bearing and promote a more normal gait. Distal padding was used to distribute pressure on the palmar surface of the left forelimb, with a focal depression in the padding preventing pressure directly over the wound. The design and trim lines were adjusted to allow shoulder and elbow motion without impingement. The clamshell design allowed relatively easy removal for wound inspection and dressing changes. The wound ultimately resolved after 9 wk of management with the orthotic boot, with no reoccurrence over the next 3 yr.

Copyright 2017 by American Association of Zoo Veterinarians
Lynnette Waugh, Jennifer D'Agostino, Gretchen A. Cole, Alicia Hahn, and Jonathan D. Day "MANAGEMENT OF PODODERMATITIS WITH AN ORTHOTIC BOOT IN A SOUTHERN ISABELA GIANT TORTOISE (CHELONOIDIS VICINA)," Journal of Zoo and Wildlife Medicine 48(2), 594-597, (1 June 2017). https://doi.org/10.1638/2016-0185.1
Received: 30 January 2017; Published: 1 June 2017
JOURNAL ARTICLE
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KEYWORDS
boot
Chelonoidis vicina
orthotic
pododermatitis
total contact casting
Vacuum-assisted closure
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