Oral and Poster Abstracts
Oral and Poster Abstracts
Oral and Poster Abstracts
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multiple fracture (n=1, 1.3%). The animals were treated<br />
conservatively with a walking cast b<strong>and</strong>age (n=40, 55.5%),<br />
intramedullary pinning (n= 12, 16.6%) plate fixation (n= 1,<br />
1.3%)amputation (n=3, 4.1%). Sixteen owners (18%) did not appliy<br />
for a treatment.<br />
Conclusions: Accurate application must necessary for concerning<br />
fracture prophylaxis in newborn <strong>and</strong> young calves during parturition,<br />
especially proper practice of forced extraction. Succes of fracture<br />
healing depend on timing <strong>and</strong> proper selection of treatment. This<br />
study shows that intramedullary pinning fixation give a satisfactory<br />
results of calves with fracture. But, final decision of the<br />
intramedullary pinning is depend on patient condition <strong>and</strong> fracture<br />
types.<br />
Key words: calves, fracture, intramedullary pinning<br />
310 Evaluation of the Treatment of Septic Arthritis by<br />
Arthrotomy in Calves<br />
A. Sartelet, K. Touati<br />
University of Liege, Clinical Department of Food Animals, Liege,<br />
Belgium<br />
The objectives of this study are to evaluate the effectiveness of the<br />
treatment of chronic septic arthritis of the tarsus, stifle or elbow<br />
joints by arthrotomy in calves. This study included 29 Belgian blue<br />
calves suffering from chronic septic arthritis (CSA) of the elbow,<br />
the stifle or the tarsus referred to the Clinic for ruminants of Liege.<br />
For the arthrotomy, after an induction (xylazine), an intravenous<br />
general anaesthesia (triple drip) was used associated with a high<br />
epidural anaesthesia for the fore limbs. A single incision on the<br />
lateral side of the joint was performed except for the tarsal joint<br />
where a second incision on the medial side was also performed. The<br />
joint capsule <strong>and</strong> the cartilage were curetted. The joint was flushed<br />
with 2 l of chlorhexidine diluted solution. The incision was sutured<br />
except for the tarsus. Penicillin (20.000 UI/kg, IM, SID for 15<br />
days), gentamicine (6 mg/kg, IV, SID for 5 days), flunixine (2.2<br />
mg/kg, IV, SID) <strong>and</strong> cefalexine (5 ml, SID, intra-articular) were<br />
administered. Telephone follow up 3 months after surgery was<br />
performed. All the calves had been previously treated for 10-13<br />
days with antibiotics <strong>and</strong> anti-inflammatory drugs in farm, without<br />
success. Thirteen tarsal septic arthritis including 10 with signs of<br />
osteomyelitis, 11 of the stifle including 6 with osteomyelitis <strong>and</strong> 5<br />
of the elbow including 3 with osteomyelitis were diagnosed. Eight<br />
calves suffering from tarsal CSA were treated by arthrotomy <strong>and</strong> 5<br />
had a good surgical outcome. Five calves were euthanatized for<br />
economic reasons. Seven calves suffering from CSA of the stifle<br />
were treated by arthrotomy <strong>and</strong> the others were treated medically.<br />
Four had a good surgical outcome. Two calves suffering from CSA<br />
of the elbow were treated surgically with success, 1 was<br />
euthanatized <strong>and</strong> 2 were treated medically. CSA in calves represents<br />
25.2 % of the consultations for lameness in cattle. CSA of the stifle,<br />
elbow <strong>and</strong> tarsus represent 31 % of all the cases of arthritis. Eleven<br />
of the 17 (65 %) treated calves had a good surgical outcome. These<br />
animals were fattened or used for breeding. Arthrodesis being<br />
unrealizable on these joints, the arthrotomy seems to be a<br />
reasonable option for calves suffering from CSA when medical<br />
treatment <strong>and</strong> joint lavage were ineffective <strong>and</strong> given the poor<br />
prognosis of the disease.<br />
Key words: calves, lameness, arthritis, arthrotomy<br />
341 Chronic Septic Arthritis of the Carpus: Surgical Approach<br />
K. Touati, A. Sartelet<br />
University of Liege, Clinical Department of Food Animals, Liege,<br />
Belgium<br />
The objective of this study was to evaluate the effectiveness of<br />
arthrodesis in surgical treatment of carpal septic chronic arthritis in<br />
calves. This study included Belgian Blue calves presented to the<br />
University of Liege for lameness. The diagnosis was based on<br />
general <strong>and</strong> orthopaedic exams <strong>and</strong> confirmed by radiography <strong>and</strong>/or<br />
ultrasonography. For arthrodesis, sedation with xylazine was<br />
performed followed by a loco regional intravenous anaesthesia with<br />
a tourniquet. A dorsal circular incision from the lateral to the medial<br />
side of the joint was performed. Tendons, ligaments <strong>and</strong> synovial<br />
membrane were incised. The 3 articular levels of the carpus were<br />
opened. All the cartilage <strong>and</strong> the damaged subchondral bone were<br />
256 XXV. Jubilee World Buiatrics Congress 2008<br />
curetted. The joint was flushed with a chlorhexidine diluted solution.<br />
A cannula was placed in the joint before suturing the skin with<br />
mattress sutures using a synthetic absorbable suture material. A cast<br />
including the elbow joint was performed. Penicillin, gentamicine,<br />
flunixine <strong>and</strong> cefalexine (5 ml, SID, intra-articular) were<br />
administered. The cast was removed 5 days postoperatively <strong>and</strong> the<br />
surgical site was checked. If evolution was good, a new cast was<br />
placed <strong>and</strong> the calf was discharged. The cast was changed again 3<br />
weeks after the first recheck <strong>and</strong> a new one was placed for another 3<br />
weeks. If evolution was not satisfactory, the decision to continue the<br />
treatment or not was taken with the farmer. Telephone follow up was<br />
performed 3 months after surgery. Septic chronic arthritis was<br />
diagnosed in 97 calves. The mean age SD was 2 1.2 months <strong>and</strong> the<br />
mean body weight SD was 74 ± 29 kg. Twenty nine septic chronic<br />
arthritis of the carpus, 21 of the fetlocks, 13 of the tarsus, 11 of the<br />
stifle, 5 of the elbow, 3 of the hip, 2 of the intervertebral joint, 1 of<br />
the distal interphalangeal joint, 1 epiphysitis <strong>and</strong> 11 polyarthritis<br />
were diagnosed. Twenty two arthrodesis of the carpus were<br />
performed of which 15 had a good surgical outcome. Ten calves<br />
were fattened <strong>and</strong> 5 were used for breeding. Arthritis of the carpus<br />
represented 30 % of all cases of arthritis in calves in this study.<br />
Seventy percent of the cases of carpal arthrodesis had a good<br />
surgical outcome. Arthrodesis is the best treatment for arthritis of the<br />
carpus when medical treatment <strong>and</strong> joint lavage are ineffective.<br />
Arthrodesis improves prognosis <strong>and</strong> decreases economic losses<br />
related to this disease.<br />
Key words: cattle, calves, arthritis, arthrodesis<br />
342 Inflammatory Response after Surgical Correction of Left<br />
Displaced Abomasum using Different Techniques<br />
T. Wittek 1 , A. Grosche 2 , M. Fürll 1<br />
1 University of Leipzig, Medizinische Tierklinik, Leipzig, Germany<br />
2 University of Florida, Department of Large Animal Clinical<br />
Sciences, Gainesville, United States<br />
Objective: Left displacement of the abomasum (LDA) is a<br />
frequently occurring condition in lactating dairy cows. Different<br />
techniques have been developed for surgical correction of LDA that<br />
do (abomasopexy) or do not (omentopexy) require perforation of the<br />
abomasal wall. The objective of this study was to compare the<br />
inflammatory response within the peritoneal cavity <strong>and</strong> in the leukon<br />
between three surgical methods.<br />
Material <strong>and</strong> Methods: The study comprised 45 lactating dairy cows<br />
with LDA which were alternately allocated into 3 groups (n=15). The<br />
surgical techniques were laparotomy <strong>and</strong> omentopexy in right flank<br />
(group RFO), left flank laparotomy <strong>and</strong> right ventral omentopexy<br />
(group LFO) <strong>and</strong> laparoscopic abomasopexy (group LA). Only the<br />
laparoscopic method requires perforation of the abomasal wall. A<br />
physical examination was performed daily. Blood <strong>and</strong> peritoneal fluid<br />
samples were obtained before <strong>and</strong> for 3 consecutive days after surgery.<br />
White <strong>and</strong> red blood cell count, <strong>and</strong> biochemical analysis (total protein,<br />
albumin, glucose, urea, creatinine, cholesterol, fibrinogen<br />
concentration; AST, CK, ALP, LDH activities) were measured in<br />
blood <strong>and</strong> peritoneal fluid.<br />
Results: Cows after laparoscopic abomasopexy had higher post<br />
operative food intake <strong>and</strong> increased rate of rumen contractions in<br />
comparison to cows undergoing laparotomy. Number of leukocytes<br />
in peritoneal fluid increased after surgery in all groups (RFO: from<br />
3.3 ± 1.8 to 17.4 ± 13.8 G/L; LFO: from 2.9 ± 1.2 to 14.7 ± 10.0<br />
U/L; LA: from 3.3 ± 2.0 to 38.9 ± 23.6 G/L). The leukocyte<br />
concentration in peritoneal fluid was significantly higher after<br />
laparoscopy than laparotomy. Serum CK activity increased<br />
significantly after surgery in cows after laparotomy (RFO: from 370<br />
± 228 to 633 ± 470 U/L; LFO: from 487 ± 294 to 752 ± 325 U/L) but<br />
not after laparoscopy (LA: from 432 ± 301 to 280 ± 187 U/L). CK<br />
<strong>and</strong> LDH activities in peritoneal fluid were also significantly<br />
increased only after laparotomy.<br />
Conclusions: Surgical correction of LDA by laparoscopic<br />
abomasopexy produced a faster rate of clinical convalescence (based<br />
on post operative food intake <strong>and</strong> rumen motility). Laparoscopy did not<br />
result in skeletal tissue damage, compared to laparotomy (based on<br />
changes in CK <strong>and</strong> LDH activity). The increased peritoneal fluid<br />
leukocyte concentration after laparoscopy is most likely due to<br />
perforation of the abomasal wall.<br />
Key words: left abomasal displacement, laparotomy, laparoscopy,<br />
peritonela fluid, inflammation