WARNING:
JavaScript is turned OFF. None of the links on this concept map will
work until it is reactivated.
If you need help turning JavaScript On, click here.
This Concept Map, created with IHMC CmapTools, has information related to: Septic Arthritis Case 2, Possible compliations May include 1.Excessive hemorrhage due to poor surgical technique 2.Persistent lameness if sugery was not successful or iff all infected tissue was not removed 3. Ascending infection., Septic arthritis Involves Anatomy (See main map), Post Operative Considerations Observation ឈh, Reason for failure May Include Poor candidate selection. Wound breakdown. Failure to remove diseased tissue. Failure to provide adequate post-operative care., Septic arthritis Involves Pre-Operative Considerations, Post Operative Considerations Risk Reason for failure, Intra -Operative COnsideration What to look out for Pre cautions, Digital Amputation Has Advantages, Client Information Consider The farmer should know that after this process, the cows production would decrease. Depending on the limb the animal may not be able to breed again. The farmer should be advised to keep the patient in a dry area for 1 to 2 weeks post-op. Do routine bandage changes and keep the area the animal is in clean., Pre cautions to consider include 1.Serverity of the infection and possible spread to other digits, joints or tendons 2. The “healthy claw” should to access to determine if it can handle the function of both claws. 3. Larger animals have a poorer prognosis, Intra -Operative COnsideration What to do Surgical procedure, Anti-septic Techniques and Consideration Involves 1.Clip hair with 2.Wash hair off with saline. 3.Scrub area with 3.75% povidone iodine surgical scrub OR chlorhexidine, followed by 70% methylated spirits. This is repeated three times then finally again with 3.75% povidone iodine surgical scrub. The healthy claw is placed on a block to elevate the surgical wound off the ground., Septic arthritis Involves Post Operative Considerations, Post Operative Considerations Prognosis Prognosis 1.Good: low incidence of complications if the appropriate candidate is selected for surgery and all infectious tissue is adequately removed or managed correctly. 2. Lameness should improve within hours of surgery. 3. The animal should be using the limb normally within 3 weeks of the surgery. 4. Animals rarely remain in the herd from more than 1.5 to 2 years., Digital Amputation Has Disadvantages, Septic arthritis Involves Intra -Operative COnsideration, History Consider Look for evidence of trauma common in young calves, Secondary to Navel infection, Pre-Operative Considerations Drugs Pre- Operative drugs, Septic arthritis Etiology Infection can enter the distal interphalangeal joint via 1) the dorsal commissure of the interdigital space, penetrating trauma or complicated footrot; 2) sandcracks; or 3) white line disease or retroarticular abscess., Advantages Include Cosmetically unappeal If the Infection is proximal to the amputation site may result in persistent infection and pain affecting the animal's welfare.