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29头牛脓性跟腱下囊炎的回顾性评估

Retrospective Evaluation of Septic Subtendinous Calcaneal Bursitis in 29 Cattle.

作者信息

Kofler Johann, Sullmann Florian

机构信息

University Clinic for Ruminants, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, 1210 Vienna, Austria.

出版信息

Animals (Basel). 2021 May 18;11(5):1446. doi: 10.3390/ani11051446.

Abstract

Septic subtendinous calcaneal bursitis in cattle commonly results from hock lesions, and less commonly from penetrating wounds. The goal of this retrospective study was to describe clinical and diagnostic imaging findings, outcomes, postoperative complications and postoperative survival times (SURV-T) in cattle with this condition. Clinical data from 29 cattle with a mean age of 4.1 years were included. Twelve (41.4%) cattle were assigned to group 1 (septic bursitis only) and 17 (58.6%) to group 2 (septic bursitis, concurrent bone infection at the calcaneal tuber (CT) and lesions of the superficial digital flexor tendon. Eleven cattle (37.9%) with comorbidities were euthanized after diagnosis due to poor prognosis. Surgical treatment was performed in 18 (62.1%) patients of which 15 showed full recovery and a median cumulative SURV-T of 23.0 months. The success rate of surgically treated patients was 100% (8/8) in group 1 and 70% (7/10) in group 2. There was no statistically significant association ( > 0.05) between the duration of septic bursitis and concurrent bone infection at the CT with occurrence of postoperative complications and SURV-T. However, there was a clear trend favoring more postoperative complications and shorter SURV-T in cattle with concurrent CT bone infection. In conclusion, cattle with septic subtendinous calcaneal bursitis exclusively have a good prognosis, provided adequate surgical treatment is performed.

摘要

牛的化脓性跟腱下囊炎通常由跗关节损伤引起,较少由穿透性伤口导致。这项回顾性研究的目的是描述患有这种疾病的牛的临床和诊断影像学表现、结果、术后并发症及术后存活时间(SURV-T)。纳入了29头平均年龄为4.1岁的牛的临床数据。12头(41.4%)牛被分配到第1组(仅化脓性滑囊炎),17头(58.6%)被分配到第2组(化脓性滑囊炎、跟骨结节(CT)并发骨感染和指浅屈肌腱损伤)。11头(37.9%)患有合并症的牛在诊断后因预后不良而被安乐死。18例(62.1%)患者接受了手术治疗,其中15例完全康复,中位累积SURV-T为23.0个月。手术治疗患者的成功率在第1组为100%(8/8),在第2组为70%(7/10)。化脓性滑囊炎持续时间和CT处并发骨感染与术后并发症的发生及SURV-T之间无统计学显著关联(>0.05)。然而,并发CT骨感染的牛术后并发症更多且SURV-T更短的趋势明显。总之,只要进行充分的手术治疗,单纯患有化脓性跟腱下囊炎的牛预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6416/8157543/bb11c3a94c3b/animals-11-01446-g001.jpg

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