PMC9042595_01
Clinical presentation, management of upper fixation of the patella, and its outcome. (a) Locked stifle joint and dragging right hoof. (b) Stab skin incision for medial patellar desmotomy. (c) After the closure of the skin incision. (d) Cow walking normally just after the procedure.
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Clinical findings revealed good body condition, defensive behavior since she has calved, difficult mobilization of the right hind limb as it was locked in extension at stifle joint, and the tip of the hoof was dragging on the floor (Figure 1(a)). To perform this, a stab skin incision of about 2 cm long was made immediately at the lateral border of the medial ligament, 3 cm proximal to the tibial crest (Figure 1(b)). To prevent secondary infection, fortified procaine penicillin powder was added into the stab incision and closed with one simple interrupted suture (Figure 1(c)). Immediately after the patient was allowed to stand, she was able to walk normally by flexing her stifle joint (Figure 1(d)), with a slight crippling which gradually disappeared as she continued walking.