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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

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