Digit amputation is a commonly performed surgery in cattle practice. The most frequent reason for digit amputation is septic pedal arthritis, but other indications include severe trauma, pedal osteitis, non-healing sole, wall or toe ulcers, osteomyelitis of P2, septic tenosynovitis of the distal digital flexor tendons and other infectious processes of the deep digital structures. The procedure is considered a salvage procedure, but good rates of success are reported. The size of the patient is one of the key determinants of prognosis, with reported success rates varying between bulls, cows and calves. Reported complications include haemorrhage, avascular necrosis of the phalangeal fragments, wound infection and fracture of the partner claw. In this case report the authors describe digit amputation under regional and general anaesthesia for the treatment of proximal interphalangeal septic arthritis and the subsequent wound management in the face of a multidrug resistant Pseudomonas aeruginosa infection.
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