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Fenestration of the abaxial hoof wall and implantation of gentamicin-impregnated collagen sponges for the treatment of septic arthritis of the distal interphalangeal joint in cattle
  1. M. Zulauf, MedVet1,
  2. A Steiner, DrMedVet, FVH,MS, Drhabil, DiplECVS1 and
  3. P. Jordan, DrMedVet2
  1. 1 Clinic for Ruminants, Department of Clinical Veterinary Medicine, University of Berne, Bremgartenstrasse 109a, 3012 Berne, Switzerland
  2. 2 Clinic for Large Animal Surgery, University of Zurich, Winterthurerstrasse 260, 8057 Zurich, Switzerland

Abstract

A novel surgical approach to the distal interphalangeal joint of cattle, through the abaxial hoof wall, for the treatment of septic arthritis is described. In seven cattle a rectangular piece of horn (15 × 40 mm) was excised from the abaxial hoof wall and the joint was lavaged with Ringer's solution. Infected and/or necrotic tissue was removed from the joint and gentamicin-impregnated collagen sponges were introduced. The piece of horn was reattached, a rubber block was glued to the contralateral claw, and a bandage applied. Aftercare consisted of changes of bandage, systemic administration of antimicrobial drugs and box rest. At follow-up, six of the cattle were sound but one cow which had been slaughtered five months after surgery had remained slightly lame.

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