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This Concept Map, created with IHMC CmapTools, has information related to: Digit Amputation, Nerve Blocks USE OF SIMPLE RING BLOCK, Post- Operative Care and Considerations For The Client, Claw Removal/ Amputation Contraindications for use..... DO NOT USE: * Sepsis of fetlock joint, * Involvement of both digits on same foot, * Heavy bulls /cows, * If animal is experiencing extreme difficulty walking, * If animal is no longer ambulatory., Disarticulation Method ???? ????, Client education Withdrawal Intervals for the drugs given i.e. when the animal can return to the production system, Animal include Changing bandage every five days until the wound has healed., Remove deep flexor tendon of surgical side proximally, especially if pustular discharge is seen at disarticulation site. Deep Digital Flexor Tenotomy 2. Locate deep flexor tendon by cutting through tendon sheath. Pull the correct tendon out and transect the tendon at the incision site., Let the client know the pros and cons, and cost attached to each therapeutic option prior to starting. Client may decide to cull animal instead. Cons * Amputation results in early culling, * Many contraindications, *Persistently poor gait may be seen in cases post op, * Shorter productive life and poor cosmectis results; heavy individuals do poorly; much more difficult for animals to walk on hilly, rocky or slatted floors with amptuated digit. * Better for animals with a short production life or it is coming to an end. (eg. Beef cattle), Claw Removal/ Amputation Location for amputation... High Amputation: Performed through the middle phalanx when coffin joint, distal phalanx, pastern joint and middle phalanx are diseased., Pre- operative Care and Considerations includes SIGNALMENT, PRESENTING COMPLAINT, HISTORY (OF LAMENESS), DECREASED PRODUCTION AND ECONOMIC GAIN., Determine route of therapy to help resolve the issue. For the Client Let the client know the pros and cons, and cost attached to each therapeutic option prior to starting. Client may decide to cull animal instead., Remove deep flexor tendon of surgical side proximally, especially if pustular discharge is seen at disarticulation site. Deep Digital Flexor Tenotomy 1.Make an incision 1 1/2 " parallel to tendon and in midline to dewclaw, ADMNISTRATION OF ANALGESIA using 1mg/kg Flunixin, Animal include Using parenteral antibiotics (Pen/Strep) 5 to 7 days post- operation., Method 2: Disarticulation (between P1 and P2) involves Intra- operative Procedure, THE FOLLOWING..... Use Indications and Contraindications of Digit Amputation, Intra- operative Procedure 5. Remove excess interdigital adipose tissue and all necrotic tissue. Ligate the digital artery., Method 2: Disarticulation (between P1 and P2) involves Post- Operative Care and Considerations, SURGICAL THERAPY INVOLVES THE ADMNISTRATION OF ANALGESIA, Intra- operative Procedure 2. Make an incision with a knife or scalpel straight up between the toes 3/4 of an inch in length. Continue incision 3/4 inch around, above and parallel to the coronary band.Connect these two incisions to one another.