Digit Amputation Flashcards
What are some causes of sepsis of the distal interphalangeal joint?
Extension of solar abscess Pododermatitis White line disease Peri-articular wound Interdigital wound Interdigital necrobacillosis
What are the structures involved with sepsis of the distal interphalangeal joint?
P3,P2
Navicular bursa/bone
DDFT/Sheath
PIJ
What are some CS of sepsis of the DIJ?
Swelling, draining tract and laceration/puncture
What is the first thing that should be done when suspecting sepsis of the DIJ?
Hoof trim and then rads
What are the treatment options for sepsis of DIJ?
Digit amputation or sx arthrodesis
Chronic septic arthritis: facilitated ankyloses, amputation and culling
What should be left on the limb when taking a patient into surgery for sepsis of DIJ to ensure the area stays locally blocked?
Leave the tourniquet on to keep the local around the digit
How long can a tourniquet be left on intra-op?
Two hours
Why should padding be used underneath the tourniquet?
Prevention of neuropraxia (Esmarch tourniquet)
How can you check that your block is working correctly before performing surgery?
Use hoof testers to test
What is the main advantage of digit amputation?
Rapid return to production
What are the different digit amputation procedures?
Skin flap procedure (amputation closed technique)
No skin flap (amputation open technique)
What is the average post-op amputation survival time?
2 years average
Why do some cattle never recover from digit amputation?
Rapid breakdown of supporting structures on same limb
Which areas are less successful during digit amputation?
Medial digit of thoracic limb
Lateral digit of the pelvic limb
T/F: There is a negative relationship between success and increased weight
TRUE
