Buzağılarda Konjenital Fleksural Deformitelerin Tanı, Prognoz ve Tedavisi Üzerine Bir Araştırma

Konjenital fleksural deformiteler buzağılarda sıkça rastlanır ve hastalığın konjenital ve edinsel tiplerivardır. Bu çalışmada, kongenital fleksor tendo kontraktürü bulunan toplam 5 aylığa kadar yaşlı 45buzağıda teşhis ve sağaltım yöntemlerinin karşılaştırılması amaçlanmıştır. Buzağılar muayeneesnasında artan derecede 1, 2 ya da üçüncü derece tendo kontraktürü olarak sınırlandırılmışlardır.Birinci ve 2. derece tendo kontraktürü saptanan buzağılar (n=35) sadece Polivinil klorür (PVC) bandaj ve oksiterasiklin uygulanarak tedavi edilirken 3.derece tendo kontraktürü bulunanbuzağılar(10 buzağı) tenetomi sonrası PVC bandaj uygulanarak sağaltıldı. Tenotomi ise m. ulnarislateralis and flexor carpi ulnaris tendolarına uygulandı. Üç ay sonra hasta sahipleri telefonlaaranarak hastaların son durumları hakkında bilgi alındı. 1. ve 2. derece karpal fleksural deformitelihayvanlara uygulanan PVC bandaj ve oksitetrasiklin uygulaması sonucu carpal palmar açıdadüzleşme ve mükemmel bir iyileşme gözlendi. 3. derece karpal fleksural deformiteli hayvanlarauygulanan cerrahi tedavi soncunda ise prognoz şüpheli olarak kabul edilmiştir. Bu çalışmanınsonuçları, veteriner hekimlerin konjenital fleksural deformiteli buzağıların konservatif ve cerrahitedavisi ile ilgili öngörüde bulunmasına yardımcı olacaktır.

A Survey on the Diagnosis, Prognosis and Treatment ofCongenital Flexural Deformities in Calves

Congenital contracture of the flexor tendons (CCFT) are frequently encountered in calves, withboth congenital and acquired forms described. It was reported that the diagnoses, and outcome oftreatment of flexural deformity of the carpus in 45 calves up to 5 months of age. Information wasobtained from the medical records of calves treated for CCFT and through follow-up contact withowners. At the time of examination, each case was graded based on the severity of the flexuraldeformity as grade I, II, or III, in order of ascending severity. In grade I and II, the calves (n=35)were treated with Polivinil klorür (PVC) bandage and oxytetracycline administration. In grade III, thecalves (n=10) were treated surgically. Surgical treatment consisted of tenotomy of the ulnarislateralis and flexor carpi ulnaris tendons. Follow-up was obtained at least 3 months after thetreatment via telephone contact with owners and/or breeders. Conservative treatment with PVCbandage and oxytetracycline administration of grade I and II CCFT's had an excellent prognosis forrestoration of a straight palmar carpal angle. In cases of grade III CCFT, the prognosis followingsurgery is guarded, especially in neonates. The results of this study will help veterinarians to makerecommendations regarding the conservative and surgical treatment of CCFTs.

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