Surgery of the Distal Limb

Nuss, Karl

doi:10.1016/j.cvfa.2016.05.011

Cited by 7 publications

(10 citation statements)

References 55 publications

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“…This method was chosen solely to treat cases of serofibrinous, fibrinous, and purulent tenosynovitis of the DFTS that were caused by penetrating wounds ( Figure 1 ). The affected DFTS was incised from the proximal end (approximately 10 cm proximal to the dewclaws) to the distal end at the heel [ 16 ]. In most cases ( n = 12 out of 16 in total), both the superficial and deep DFT were resected.…”

Section: Methodsmentioning

confidence: 99%

“…This method was applied where, in addition to septic tenosynovitis of the DFTS, the patient also had fibrinous or purulent arthritis of the DIP or PIP joint ( Figure 3 ). The site of amputation was, depending on the extent of infection, either the middle of the second phalanx, in the PIP joint or in the distal third of the proximal phalanx [ 16 ]. Subsequently, the DFTS was incised and both DFT were resected [ 3 , 15 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…Depending on the type of infection of the DFTS (serous, serofibrinous, fibrinous, or purulent) and the degree of involvement of adjacent structures, various surgical techniques may be used for therapy. These include irrigation of the DFTS using large bore needles [ 3 ], or an arthroscope [ 4 , 14 ], and opening the DFTS to resect one or both DFT [ 10 , 15 , 16 ]. Affected soft or bone tissue of adjacent structures must be removed, and occasionally the amputation of the digit becomes necessary to successfully treat and cure the condition [ 10 , 11 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Septic Tenosynovitis of the Digital Flexor Tendon Sheath in 83 Cattle

Hund

Senn

Kofler

2020

Animals

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Septic tenosynovitis of the digital flexor tendon sheath (DFTS) is the second most prevalent infection of deeper structures of the distal limb in cattle, after septic arthritis of the distal interphalangeal (DIP) joint. Depending on the type of infection and the involvement of adjacent anatomical structures, various surgical techniques may be used for therapy: Incising the DFTS to resect one or both digital flexor tendons (RDFT), additional resection of the DIP joint (RDIP) or additional digital amputation (RAMP). Our goal was to describe clinical findings and outcome in cattle patients (euthanasia vs. treatment) and the success of surgical methods including improvement of locomotion and postoperative survival time (POST). Data of eighty-three cattle with a mean age of 4.3 years were reviewed in this retrospective study. Overall, 57.7% of tenosynovitis cases were in the lateral DFTS of a hind limb. Fifty-five cattle were treated surgically; the remaining 28 cattle were euthanized following diagnosis. The median cumulative POST was 17.3, 83.1, and 11.9 months for RDFT, RDIP, and RAMP, respectively. Fatal postoperative complications occurred in three cattle. We conclude that the applied methods were successful and allowed the animals to almost reach the average life expectancy of an Austrian dairy cow.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Septic Tenosynovitis of the Digital Flexor Tendon Sheath in 83 Cattle

Hund

Senn

Kofler

2020

Animals

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“…Thorough post-operative aftercare, dry and clean housing conditions and effective pain management is essential for success of all surgical procedures [7,8,24,29]. A wooden or rubber block has to be glued on the healthy partner claw to prevent weight bearing of the operated and painful claw and to support the lesion healing [8,16,19,21,23,24]. Wound care and clinical examination of the lesion healing progress is done during regular bandage changes.…”

Section: Introductionmentioning

confidence: 99%

“…Wound care and clinical examination of the lesion healing progress is done during regular bandage changes. Depending on the healing progress and surgeons`preferences, the first bandage change should be done 2 to 3 days after surgery, followed by further bandage changes every 3 to 4 days until the wound is completely covered with healthy granulation tissue [21,24]. The long-term success will also depend on early detection of new claw lesions and complications in the partner claw or in the claws of the contralateral limb [16,25,27].…”

Section: Introductionmentioning

confidence: 99%

Objective assessment of lameness in cattle after foot surgery

Buisman¹,

Alsaaod²,

Bucher³

et al. 2018

PLoS ONE

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Assessment of lameness in cattle after foot surgery is important to monitor the recovery period, to improve the long-term success and the cows` welfare. This longitudinal multicenter retrospective study was carried out to evaluate the usefulness of automated tools of weight bearing and gait analysis following foot surgery to support the clinician to monitor lameness in cattle. For this purpose, the effect of involvement of different anatomical structures and the use of different surgery methods on gait parameters of post-operative recovery was assessed. The study consisted of 2 experiments and included cattle with unilateral foot pathologies located in the digital region which needed 1 (experiment 1; n = 30) or 2 (experiment 2; n = 4) surgical interventions. The surgical techniques were debridement, joint lavage, partial resection of bones, tendons or synovial structures, total resection of the sesamoid bone and digit amputation. Two accelerometers (400 Hz; kinematic outcome = stance phase duration; kinetic outcome = foot load and toe-off), a 4-scale weighing platform (difference of mean weight distribution across the limbs; Δweight) and a subjective locomotion score were used to evaluate gait parameters every 3 to 4 days after surgery. A repeated measures ANOVA was used in experiment 1 and a receiver operator characteristic analysis was used to determine the optimal cutoff values in experiment 2. Results showed that the differences across limbs for the pedogram variables of stance phases and peaks of foot load and toe-off, Δweight and the locomotion score were highest if joints or sesamoid bones were involved, suggesting that these cattle were more severely lame compared to cattle with more superficial foot pathologies. There was a significantly lower degree of lameness after surgical debridement and after digit amputation compared to partial and total resection of anatomical structures of the foot. The use of accelerometers and a 4-scale weighing platform represent promising objective tools for post-operative monitoring of lameness and can support the clinician in gait assessment to improve the long-term success of surgical interventions in the area of the foot.

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Septic Arthritis of the Distal Interphalangeal Joint

Nuss

2022

Comparative Veterinary Anatomy

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Surgery of the Distal Limb

Cited by 7 publications

References 55 publications

Septic Tenosynovitis of the Digital Flexor Tendon Sheath in 83 Cattle

Septic Tenosynovitis of the Digital Flexor Tendon Sheath in 83 Cattle

Objective assessment of lameness in cattle after foot surgery

Septic Arthritis of the Distal Interphalangeal Joint

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