Septic arthritis of the distal interphalangeal joint in cattle: comparison of digital amputation and joint resection by solar approach

Vet Surg. 2007 Jun;36(4):350-9. doi: 10.1111/j.1532-950X.2007.00257.x.

Abstract

Objective: To determine in cattle with septic arthritis of the distal interphalangeal joint (SADIJ) the efficacy of resection of the distal interphalangeal joint (JRES) as a digit salvage technique compared with digital amputation (DAMP).

Study design: Prospective, randomized clinical study.

Animals: German Holstein-Friesian dairy cattle with SADIJ of 1 hind limb (n=52).

Methods: SADIJ diagnosis was based on clinical examination and radiography. Cows were randomly assigned with owner consent to DAMP (n=26) or JRES (n=26). After JRES, a wooden block was fixed to the partner claw in combination with a tipping claw prophylaxis.

Results: After surgery, degree of lameness improved significantly faster after DAMP than after JRES. New claw diseases in the opposite limb occurred more frequently after JRES (n=6) than after DAMP (n=1). New claw defects developed in the partner claw on the operated limb in 6 cows after DAMP compared with 1 after JRES. Tipping claw was observed in 50% of JRES cows at day 180. Mean life span between groups was not significantly different (DAMP=13.5 months, JRES=10.9 months).

Conclusion: Higher surgical and postsurgical expenditures for JRES were not counterbalanced by a longer productive life; however, frequent disease of the partner claw of cows after DAMP should be considered a critical point, as this generally leads to culling.

Clinical relevance: The higher expenditure for JRES can be justified only for young, valuable cattle.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Amputation, Surgical / methods
  • Amputation, Surgical / veterinary*
  • Animals
  • Arthritis, Infectious / mortality
  • Arthritis, Infectious / surgery
  • Arthritis, Infectious / veterinary*
  • Cattle
  • Cattle Diseases / mortality
  • Cattle Diseases / surgery*
  • Cost-Benefit Analysis
  • Female
  • Hoof and Claw / surgery*
  • Lameness, Animal / pathology
  • Lameness, Animal / surgery
  • Limb Salvage / veterinary
  • Postoperative Complications / economics
  • Postoperative Complications / epidemiology
  • Postoperative Complications / veterinary
  • Prospective Studies
  • Survival Analysis
  • Toe Joint / surgery*
  • Treatment Outcome