title: 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.
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 x 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.
authors.affiliation: Clinic for Ruminants, Department of Clinical Veterinary Medicine, University of Berne, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Zulauf
authors.forename: P
authors.initials: P
authors.lastname: Jordan
authors.forename: A
authors.initials: A
authors.lastname: Steiner
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000662:veterinary*; D002417:Cattle; D002418:Cattle Diseases / Q000188:drug therapy* / Q000473:pathology; D003094:Collagen; D005534:Foot Diseases / Q000188:drug therapy / Q000601:surgery / Q000662:veterinary*; D005839:Gentamicins / Q000008:administration & dosage*; D006724:Hoof and Claw / Q000601:surgery*; D007794:Lameness, Animal / Q000209:etiology; D009336:Necrosis; D015503:Surgical Sponges; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D003094:Collagen