Chronic Omphalogenic Arthrosynovitis of the Carpus

A Piedmontese calf approximately 2 months old, despite having previously received antibiotic treatment prior to the clinical examination, presents with evident polyarthritis, involving the left carpus and both tarsi. The presence of a concurrent umbilical pathology confirms the omphalogenic origin of the joint infection.
The left carpal joint remains in flexion and allows only partial weight-bearing on the toe of the corresponding limb. On palpation, the joint is not warm or painful and shows no areas of softening or distension at the level of the joint pouches. Forced extension of the limb does not allow proper alignment of the limb's long bones, due to a tenacious tendon contracture, partial articular bone deformation, and thickening and calcification of the peri- and intra-articular soft tissues.
The prognosis is guarded and would require surgical treatment for both the omphalitis and the carpal arthritis.
The owner intends to save the animal, aiming to restore it to functional soundness as well.
Umbilical surgery