{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T21:28:10Z","timestamp":1778880490989,"version":"3.51.4"},"reference-count":21,"publisher":"American Veterinary Medical Association (AVMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>CASE DESCRIPTION<\/jats:title>\n<jats:p>4 calves were evaluated because of lameness and an angular limb deformity of the metatarsophalangeal region.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>CLINICAL FINDINGS<\/jats:title>\n<jats:p>3 calves (ages, 5 days, 10 days, and 1 month) had a congenital varus deformity of the metatarsophalangeal region characterized by medial subluxation of the first phalanx of digits 3 and 4 at the metatarsophalangeal joints. A 6-month-old heifer had a valgus deformity of the metatarsophalangeal region secondary to a malunion of a Salter-Harris type II fracture. The degree of deformity angulation ranged from 16\u00b0 to 54\u00b0 for the 4 patients.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>TREATMENT AND OUTCOME<\/jats:title>\n<jats:p>A closing wedge ostectomy with transfixation pin\u2013cast application was performed on the affected limb of all 4 patients. The ostectomy healed with only minor complications (disuse osteopenia distal to the transfixation pins [n = 4] and cast sores [1]) that were easily resolved with no long-term adverse effects. Duration of follow-up for the 4 patients ranged from 6 to 17 months, and the owners reported satisfactory ambulation with no (n = 2) or only mild (2) residual lameness in the affected limb.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Results suggested that a closing wedge ostectomy with transfixation pin\u2013cast stabilization is an alternative for management of angular limb deformities of the metatarsophalangeal region in cattle. Such treatment improved the quality of life for all 4 patients. However, 2 of the 4 patients had congenital deformities confirmed to be heritable. There are ethical concerns associated with treating animals with heritable disorders, and exhibition and breeding of such animals should be avoided.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.255.9.1047","type":"journal-article","created":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T14:55:38Z","timestamp":1571237738000},"page":"1047-1056","source":"Crossref","is-referenced-by-count":3,"title":["Closing wedge ostectomy with transfixation pin\u2013cast stabilization for correction of angular limb deformities of the metatarsophalangeal region in four cattle"],"prefix":"10.2460","volume":"255","author":[{"given":"Joseph W.","family":"Lozier","sequence":"first","affiliation":[{"name":"1Hospital for Farm Animals, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Niehaus","sequence":"additional","affiliation":[{"name":"1Hospital for Farm Animals, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Austin","family":"Hinds","sequence":"additional","affiliation":[{"name":"1Hospital for Farm Animals, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Am J Vet Res","first-page":"1327","article-title":"In vitro comparison of the effect of parallel and divergent transfixation pins on breaking strength of equine third metacarpal bones","volume":"55","author":"McClure","year":"1994"},{"key":"ref2","series-title":"Vet Clin North Am Food Anim Pract","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/S0749-0720(15)30053-0","article-title":"Lameness examination in cattle","volume":"17","author":"Desrochers","year":"2001"},{"key":"ref3","series-title":"Farm animal surgery","first-page":"523","article-title":"Surgery of angular and rotational limb 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Surg","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1111\/vsu.12588","article-title":"Corrective osteotomy of a metacarpal deviation caused by fracture in a 9-month-old German Fleckvieh heifer","volume":"46","author":"Tschoner","year":"2017"},{"key":"ref9","series-title":"J Am Vet Med Assoc","first-page":"422","article-title":"Congenital maldevelopment of the tibia in two calves","volume":"204","author":"Baird","year":"1994"},{"key":"ref10","series-title":"Zentralbl Veterinarmed A","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1111\/j.1439-0442.1996.tb00488.x","article-title":"Management of malunion of metacarpus III\/IV in two calves","volume":"43","author":"Steiner","year":"1996"},{"key":"ref11","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1111\/j.1532-950X.2014.12186.x","article-title":"Surgical correction of angular and torsional metatarsal deformity with cylindrical osteotomy and locking compression plates in a 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