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切除远端籽骨以治疗小母牛手指感染。

Excision of the distal sesamoid bone for treatment of infection of the digit in a heifer.

作者信息

Blikslager A T, Baines S J, Bowman K F

机构信息

Department of Food Animal and Equine Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606.

出版信息

J Am Vet Med Assoc. 1992 Dec 15;201(12):1905-6.

PMID:1483913
Abstract

An 8-month-old Holstein heifer was evaluated for right hind limb lameness of 3 weeks' duration. Diagnoses were osteomyelitis and fracture of the distal sesamoid bone, septic arthritis of the distal interphalangeal joint, and osteomyelitis of the third phalanx. After excision of a section of tissue from the plantar aspect of the digit and partial section of the deep digital flexor tendon, the distal sesamoid bone was excised. The third phalanx was curetted, and the surgical wound was lavaged. Twenty months after surgery, the heifer was fully weightbearing on the affected digit. Surgical exploration of the digit should be considered an alternative to claw amputation in cattle that have severe digital infections.

摘要

一头8个月大的荷斯坦小母牛因右后肢跛行3周前来评估。诊断结果为籽骨远端骨髓炎和骨折、远侧指间关节化脓性关节炎以及第三指骨骨髓炎。从趾跖侧切除一段组织并部分切断指深屈肌腱后,切除籽骨远端。刮除第三指骨,冲洗手术伤口。术后20个月,小母牛患趾完全负重。对于患有严重指部感染的牛,趾部手术探查应被视为替代爪部截肢的一种选择。

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