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Septic Tenosynovitis of the Digital Flexor Tendon Sheath in 83 Cattle.
Animals ( IF 2.7 ) Pub Date : 2020-07-30 , DOI: 10.3390/ani10081303
Alexandra Hund 1 , Markus Senn 1 , Johann Kofler 1
Affiliation  

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.

中文翻译:

83头牛的数字屈肌腱腱鞘败血症性腱鞘炎。

指屈肌腱鞘(DFTS)的败血性腱鞘炎是继牛指间远端(DIP)败血症性关节炎之后第二个最普遍的感染。根据感染的类型和邻近解剖结构的参与,可以使用各种外科手术技术进行治疗:切开DFTS以切除一个或两个指状屈肌腱(RDFT),DIP关节的附加切除(RDIP)或其他的截肢(RAMP)。我们的目标是描述牛患者的临床发现和结果(安乐死与治疗),以及包括改善运动能力和术后生存时间(POST)在内的手术方法的成功。这项回顾性研究回顾了平均年龄为4.3岁的83头牛的数据。总体而言,57。腱鞘炎病例的7%位于后肢外侧DFTS中。手术治疗了55头牛。诊断后对其余28头牛实施安乐死。RDFT,RDIP和RAMP的中值累积POST分别为17.3、83.1和11.9个月。三头牛发生致命的术后并发症。我们得出的结论是,所应用的方法是成功的,并使动物几乎可以达到奥地利奶牛的平均寿命。
更新日期:2020-07-30
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