Lj. Gage et al., SURGICAL REMOVAL OF INFECTED PHALANGES FROM AN ASIAN ELEPHANT (ELEPHAS-MAXIMUS), Journal of zoo and wildlife medicine, 28(2), 1997, pp. 208-211
A 40-yr-old female Asian elephant (Elephas maximus) developed cellulit
is and became lame in her left front leg. A draining tract behind the
lateral nail of her left front foot was discovered. This lesion was tr
eated by aggressive irrigation using a variety of disinfectant solutio
ns. Radiographically, there was degeneration and fragmentation of the
distal phalanx of the fifth digit and patterns suggestive of osteomyel
itis of the second (middle) phalanx. The fragments of the distal phala
nx and the affected portion of the second phalanx were removed surgica
lly. Six months after surgery the incision had healed but a fistulous
tract remained on the palmar surface of the foot. The tract extended t
o the second phalanx, and there was radiographic evidence of osteomyel
itis in the second phalanx and the distal portion of the proximal phal
anx. The remainder of the second phalanx and the distal portion of the
proximal phalanx were surgically removed. Aggressive aftercare allowe
d complete wound closure by second intention.