Use of multifenestrated indwelling lavage system for treatment of septic digital tenosynovitis in cattle

By Allen, D. and Anderson, D. E. and Parks, A. H. and St Jean, G., Australian Veterinary Journal, 1997
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Description
Seven cattle, admitted to a veterinary hospital in the USA, between January 1989 and August 1995, with infection of the digital flexor tendon sheath of a hind limb, and with varying degrees of lameness, were diagnosed with septic tenosynovitis. Open wounds were present in 6, the seventh had a nail penetrating the heel bulb. A multifenestrated lavage system was placed in each affected tendon sheath and a wooden block on a healthy digit (blocks were not used in 2 bulls with biaxial infection). Sterile saline was infused under pressure, daily (n=5), twice daily (n=1) or every other day (n=1) for 5-9 days. Antibiotics were administered to all cattle for 5-41 days, including penicillin, ceftiofur, gentamicin, oxytetracycline, ampicillin and sulfadimethoxine. Lameness was substantially reduced in all cattle, except a bull with deep digital flexor muscle disruption, 48 h after the start of treatment. 1 bull was culled a year after surgery, 1 had an enlarged limb 14 months after surgery and 5 were walking soundly and were productive up to 26 months after treatment
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