Associations between types of lameness and fertility

Four hundred and twenty-seven cases of first-reported foot lameness were recorded in 17 dairy herds in Somerset during the winter housing period. Lameness was classified into three categories: sole ulceration, digital disease (white line abscess, foreign bodies in the sole and pricked or punctured sole), and interdigital disease (lesions of the skin between claws and heel including foul in the foot, interdigital fibroma and dermatitis). In addition, a 'clinical effect score' was calculated to take account of the severity of lameness, the structures involved and the time for which the cows were clinically affected. The fertility records of lame cows were compared with those of the healthy cows nearest in parity and stage of lactation. In the lame cows the interval from calving to first service was four days longer, and the interval from calving to conception was 14 days longer than in the control cows, the pregnancy rate to first service was 46 per cent (controls 56 per cent), 2.14 services were required per conception (controls 1.72) and 16 per cent of lame cows were culled (controls 5 per cent). Lameness, first reported in the period 36 to 70 days after calving, was associated with a significant (P less than 0.01) increase in the interval from calving to first service of eight days; and sole ulceration, in the period 71 to 120 days after calving, was associated with an increase of 11 days (P less than 0.05). Lameness in all periods up to 120 days after calving was associated with significantly increased intervals from calving to conception (P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)     

Associations between sole ulcer, white line disease and digital dermatitis and the milk yield of 1824 dairy cows on 30 dairy cow farms in England and Wales from February 2003-November 2004

The milk yields of 1824 cows were used to investigate the effect of lesion-specific causes of lameness, based on farmer treatment and diagnosis of lame cows, on milk yield. A three-level hierarchical model of repeated test day yields within cows within herds was used to investigate the impact of lesion-specific causes of lameness (sole ulcer, white line disease, digital dermatitis and other causes) on milk yield before and after treatment compared with unaffected cows. Cattle which developed sole ulcer (SU) and white line disease (WLD) were higher yielding cattle before they were diagnosed. Their milk production fell to below that of the mean of unaffected cows before diagnosis and remained low after diagnosis. In cattle which developed digital dermatitis (DD) there was no significant difference in milk yield before treatment and a slightly raised milk yield immediately after treatment. The estimated milk loss attributable to SU and WLD was approximately 570 and 370 kg, respectively. These results highlight that specific types of lameness vary by herds and within herds they are associated with higher yielding cattle. Consequently lesion-specific lameness reduction programmes targeting the cow and farm specific causes of lameness might be more effective than generic recommendations. They also highlight the importance of milk loss when estimating the economic impact of SU and WLD on the farms profitability.     

The association between lameness and fertility in dairy cows

One thousand, four hundred and ninety-one lactations in 770 Friesian, Holstein and Ayrshire crossbred cows have been used to study the associations between lameness and fertility. Lameness was associated with a longer interval between calving and first service and a longer interval between calving and conception. The largest increases in these intervals, of 17 and 30 days, respectively, occurred in cows with either sole or white line lesions occurring between 36 and 70 days after calving. The conception rate during the 63 days before a diagnosis of lameness was made was lower (31 per cent) than at other times (40 per cent).     

Effects of stage of lactation, month, age, origin and heart girth on lameness in dairy cattle

Lameness in herds during one year was commonest in the first month of lactation (15 per cent of all cases). Leg lesions were particularly common at this time (24 per cent of all cases of leg lesions) but white line abscess and sole ulcer were more common a month later. Foul-in-the-foot was one of the two most common lesions at all stages of pregnancy and lactation, and white line abscess the most common (20 per cent of all lesions) in late lactation. Both sole ulcer and underrun heel had lower incidence in the second half of the year than the first. White line abscess was particularly common in March and November although there were significant interactions between month and veterinary practice; foul-in-the-foot was most common in October. Susceptibility to lameness increased with age; 10-year-old cows were over four times more likely to develop lameness than three-year-old cows. This was due particularly to increased incidence with age of white line abscess and sole ulcer and, to a lesser extent, underrun heel. In contrast, foul-in-the-foot and leg lesions showed little change with age. Whereas these lesions accounted for 68 per cent of the total in cows up to two years old, they accounted for only 15 per cent of all lesions in cows over 10 years old. White line abscess was slightly commoner in cows with large heart girths.     

A mixed-effects time-to-event analysis of the relationship between first-lactation lameness and subsequent lameness in dairy cows in the UK

Data for 611 second-lactation and 251 third-lactation cows were examined using mixed-effects time-to-event models to determine the shape of the hazard, quantify relative risk and estimate herd- and sire-level variation in time to lameness. The semi-parametric Cox and fully parametric Weibull models were suggested from univariable Kaplan-Meier plots. Time to all-lameness, claw-horn lameness and skin lameness were modelled. Explanatory variables were season of current-lactation calving, age at first calving and first-lactation lameness history (whether all-lameness or claw-horn and skin lameness).In mixed-effects models of lactation-2 lameness, previously lame cows had a significantly increased hazard (hazard ratio (HR)=2.0 for all types of lameness and HR=3.2 for claw-horn lameness) compared to those not previously lame. These relationships were less marked in the third lactation. There was little evidence for an effect of age at first calving, whilst possible differences between calving seasons were observed. The hazard function suggested that the rate of lameness was roughly flat across each lactation. Herd-level variation was more evident for infectious foot diseases. The contribution of the sire increased with parity and might be important for sole ulcer and white-line disease.     

Temporal associations between low body condition,lameness and milk yield in a UK dairy herd

Previous work has hypothesised that cows in low body condition become lame. We tested this in a prospective longitudinal study. Body condition score (BCS), causes of lameness and milk yield were collected from a 600-cow herd over 44-months. Mixed effect binomial models and a continuous outcome model were used to investigate the associations between lameness, BCS and milk yield. In total, 14,320 risk periods were obtained from 1137 cows. There were 1510 lameness treatments: the most common causes of lameness were sole ulcer (SU) (39%), sole haemorrhage (SH) (13%), digital dermatitis (DD) (10%) and white line disease (WLD) (8%). These varied by year and year quarter. Body condition was scored at 60-day intervals. BCS ranged from 1 to 5 with a mean of 2.5, scores were higher in very early lactation but varied widely throughout lactation; approximately 45% of scores were <2.5. The key finding was that BCS < 2.5 was associated with an increased risk of treatment for lameness in the following 0–2 months and >2–4 months for all causes of lameness and also specifically for SU/WLD lameness. BCS < 2.5 was associated with an increased risk of treatment for SH in the following 0–2 months but not >2–4 months. There was no such association with DD. All lameness, SU/WLD, SH and DD were significantly more likely to occur in cows that had been lame previously, but the effect of BCS was present even when all repeat cases of lameness were excluded from the analysis. Milk yield was significantly higher and fell in the month before treatment in cows lame with SU/WLD but it was not significantly higher for cows that were treated for DD compared with non-lame cows. These findings support the hypothesis that low BCS contributes to the development of horn related claw lameness but not infectious claw diseases in dairy cows. One link between low BCS and lameness is a thin digital cushion which has been proposed as a trigger for claw horn disease. Cows with BCS 2 produced more milk than cows with BCS 2.5, however, this was only approximately 100 kg difference in yield over a 305-day lactation. Given the increased risk of lameness in cows with BCS 2, the direct costs of lameness and the small variability in milk yield by BCS, preventing cows from falling to BCS < 2.5 would improve cow welfare and be economically beneficial.     

Abnormally terminated pregnancies in a Tanzanian dairy herd: consequences and clinical management

Of 314 calvings, there were 67 (21.4%) abnormally terminated pregnancies (ATP), 37 of which were abortions, 19 stillbirths and 11 premature calvings. Forty-nine cows with ATP were matched to normally calving herd mates and their milk production data and fertility indices were compared. The ATP were associated with complete failure of lactation in 21 (42%) cases and with short lactation lengths of less than 200 days in nine (18.3%) cases. Lactation in the remaining 19 (38.7%) cows was characterized by a low lactation yield of 2318 ± 211 kg and lactation length 296 ± 13 days. Corresponding parameters for the control herd mates were 3250 ± 190 kg and 314 ± 12 days, respectively. The number of days to first service services per conception and calving interval cows with ATP were 139 ± 17 days, 2.29 ± 0.15 and 465 ± 23,days, respectively. Corresponding fertility indices in the control group were 107 ± 9 days, 1.83 |+- 4.18 and 407 ± 12 days, respectively. Also 11 of 49 (22.3%) cows, with ATP were culled because of infertility witcompared with only five (10.2%) in the controls.

Twenty-six other cows with ATP were randomly difided into two groups. In Group 1, 14 cows were treated with 100 ml of 6% colloidal iodine (Merckojod®, Bayer, Leverkusen, Germany), 40–50 days after calving followed by a prostaglandin F₂ analogue (Estrumate®, ICI, Cheshire, UK) 20 days later. In Group 2, 12 cows were left untreated and served as a control. Treatment reduced the interval to First service by 63 days and the calving interval by 79 days and it increased services per conception by 0.38. No culling was recorded from this group. ATP not only denied a calf to the farm but also reduced milk production. Intrauterine administration of colloidal iodine coupled with PGF₂ could bring ATP animals to near normal fertility.     

A pilot study to determine the production and health benefits of milking visibly lame cows twice daily compared with three times daily

A randomized clinical trial was conducted on lame cows to study the effect of milking frequency on milk production, lameness prevalence, and body condition score (BCS). At the beginning of the study, the entire herd of lactating Holstein dairy cows was visual locomotion scored (VLS) by 2 trained veterinarians. Lame cows (VLS > 2) were eligible for the study. The initial study population consisted of 270 cows randomly allocated to the three-times-daily milking frequency group (MFG) and 230 cows randomly allocated to the twice-daily MFG. Milking frequencies did not significantly affect average milk production. Cows in the twice-daily MFG had a significant increase in BCS, however, compared with cows in the three-times-daily MFG (P-value < 0.001). In addition, the probability of lameness in cows in the three-times-daily MFG was 36% higher than for cows in the twice-daily milking routine (P-value = 0.006).     

Prevalence of foot lesions in Danish Holstein cows

In a cross-sectional study of 6240 Danish Holstein cows in 55 herds using loose-housing systems, sole haemorrhages and heel horn erosions occurred frequently in almost all the herds. Digital dermatitis occurred in 47 of the 55 herds (85 per cent). Spearman correlation coefficients revealed relationships between lameness and sole ulcer (0.36), between heel horn erosion and sole haemorrhage (0.39), between heel horn erosion and interdigital dermatitis (0.29) and between sole ulcer and double sole (0.26). The prevalence of heel horn erosion, sole haemorrhage, interdigital dermatitis and digital dermatitis appeared to be most affected by herd-level factors. The associations between individual foot trimmers and all the foot lesions were statistically significant. The risk of interdigital dermatitis increased with decreasing amounts of bedding. Cows housed throughout the year had a marginally higher risk of sole haemorrhage.     

Prevalence and interrelationships of hoof lesions and lameness in Swedish dairy cows

The prevalence of hoof lesions and lameness in 4899 heifers and cows was determined at claw trimming one time in a cross-sectional study on 101 Swedish dairy farms, 1996-1998. The percentage of affected animals was 41% for heel-horn erosion, 30% for sole haemorrhages, 27% for erosive dermatitis, 21% for abnormal claw shape, 14% for white-line haemorrhages, 8.8% for white-line fissures, 8.6% for sole ulcers, 3.3% for double soles, 2.3% for verrucose dermatitis, and 1.8% for interdigital hyperplasia (IH). Seventy-two percent of all animals had at least one hoof lesion. The prevalence of lameness was 5.1%; most hoof lesions did not cause lameness. Differences between herds were substantial; the herd-specific, animal-level prevalence of lesions ranged from 25 to 98% and of lameness from 0 to 33%. Sole haemorrhages were found in all herds. The proportion of variance at the between-herd level was particularly high for heel-horn erosion (62%) and abnormal claw shape (54%). Strong correlations between lesions were found within hooves (and animals), e.g. for heel-horn erosion and dermatitis (Spearman's rank correlation, r(s)=0.36 and 0.37, respectively) and for sole and white-line haemorrhages (r(s)=0.25 and 0.28). Most hoof lesions affected hind and front hooves bilaterally, whereas the correlation between hind and front hooves generally was lower. Herds that ranked high for prevalence of sole ulcer also ranked high for sole haemorrhages and for abnormal claw shape and herds that ranked high for dermatitis also ranked high for heel-horn erosion, verrucose dermatitis and IH. Abnormal claw shape was strongly associated with sole ulcer (r(s)=0.41 at cow level)-suggesting the importance of maintaining a correct claw shape for the prevention of hoof-horn lesions.     

Interval between detection of lameness by locomotion scoring and treatment for lameness: A survival analysis

Estimates of point prevalence suggest that locomotion scoring identifies three times as many lame cows than when estimated by farmers. The aim of this study was to ascertain the impact of this under-recognition on the interval between identification of lameness (using locomotion score) and treatment. The study was undertaken on a 463-cow, spring-calving, pasture-fed herd in the lower North Island of New Zealand. All cows were locomotion scored (using a 1-5 scale) weekly during one milking season (July 2008 to May 2009). Survival analyses were then used to quantify the number of days between identification of a specific locomotion score and presentation, by farm staff, of a cow for lameness treatment. All cows which had a locomotion score of >3 were presented for lameness treatment subsequently, although >40% were treated more than 3weeks after being identified. Only 75% of events where cows had a locomotion score of 3 were followed by treatment with >65% of those treatments occurring >3weeks after the first score of 3. Improving the recognition of lameness by farm staff is thus likely to appreciably reduce the interval between reduced mobility and lameness treatment.     

Pregnancy rate of cows given synthetic gonadotrophin-releasing hormone at the time of service

A trial involving 25 herds was conducted in the Maffra area of Victoria to study pregnancy rates after injection of synthetic Gn-RH at service. Of 3502 cows having a first service, 674 cows were injected by the farmer at first service with a single intramuscular injection of 250 micrograms of synthetic Gn-RH, while the remaining 2828 cows acted as untreated controls. First service pregnancy rates were 58.8% in the group treated with Gn-RH and 54.1% in the untreated group, a 4.7% increase or an odds ratio of 1.21 (P less than 0.05). However, adjustment for the potentially confounding variables calving to first service interval and herd reduced the odds ratio to 1.07 (P less than 0.4). Treatment with Gn-RH at second or third service did not alter pregnancy rate to that service compared to untreated services. There was no interaction of treatment with Gn-RH at first service with calving to service interval. It is concluded that injection of 250 micrograms of synthetic Gn-RH at the time of service does not increase pregnancy rate to that service.     

Relationships between endometrial cytology and interval to first ovulation, and pregnancy in postpartum dairy cows in a single herd

The objectives were to investigate the relationships between endometrial cytology (EC) and interval from calving to first ovulation, and pregnancy in dairy cows, and that between uterine fluid and EC. On day 25 postpartum, 39 dairy cows were grouped based on EC, as having low (?8%) or high (>8%) polymorphonuclear cells (PMN), and the quantity of uterine fluid was assessed by ultrasound. The interval from calving to first ovulation was shorter in low, than in high PMN cows (32 vs. 45 d). A greater proportion of cows with uterine fluid had high PMN (64% vs. 21%), and the PMN increased from 14% to 34% as the quantity of uterine fluid increased. The mean interval from calving to ovulation was longer in primiparous cows with high PMN (49 d) compared to that of primiparous and multiparous cows with low PMN (28 and 29 d, respectively). Although the conception rate to first service at 92 d postpartum was not different between PMN groups, the cumulative pregnancy at 270 d tended to be higher in low than in high PMN (80% vs. 58%) multiparous cows. Also, cows that had uterine fluid on day 25 postpartum had a shorter interval from calving to pregnancy than those with no uterine fluid (161 vs. 208 d). In conclusion, combining transrectal ultrasonography with endometrial cytology on day 25 postpartum has diagnostic value in the assessment of uterine inflammation.     

The effect of claw trimming on the hoof health of Swedish dairy cattle

A 2-year experiment on the effect of claw trimming on hoof health was performed in 77 Swedish dairy herds (3444 dairy cattle) selected on herd size, breed composition and membership in the official milk-recording scheme. In the autumn, cows within each herd were blocked according to breed, parity and stage of lactation and allocated to two treatments: autumn trimming (AT) or no autumn trimming (NAT). Outcome variables were claw measurements and prevalence of hoof lesions and lameness (measured at spring trimming) and the need for hoof treatments between scheduled trimmings. At spring trimming, NAT cows had longer and shallower claws than AT cows. The average net growth of the toe wall was greater for AT than for NAT cattle, with a marked variation between housing systems. Most hoof lesions present at AT had disappeared at the subsequent spring trimming. Controlled for clustering by herd-within-year and for the effects of individual-and herd-level covariates, AT cattle at spring trimmings had significantly lower odds of lameness (OR=0.66) and of haemorrhages of the sole or white-line (OR=0.86), sole ulcer (OR=0.59) and white-line fissure or double sole (OR=0.71)-but not of moderate-to-severe heel-horn erosion or dermatitis (OR=0.96). Acute hoof treatments between claw trimmings were more common in the NAT group (OR=2.02).     

Associations of sole ulcer at claw trimming with reproductive performance, udder health, milk yield, and culling in Swedish dairy cattle

The association between sole ulcer found at routine claw trimming 2–6 months after calving and reproductive, health and productive traits in the same lactation, was investigated in an observational study of 2368 dairy cows in 102 Swedish herds. The data were analysed by mixed multivariable linear-, logistic- and Poisson-regression modelling at the cow level, accounting for clustering within herd. Associations were found between sole ulcer and first-service conception risk in the first study year (OR 0.59), calving interval (2% longer), treatment for anoestrus (OR 1.61), and 305-day milk yield (479 kg ECM higher). No associations could be shown between sole ulcer and first-service conception risk in the second study year, the number of services per conception, clinical mastitis, high milk somatic-cell counts or culling.     

早期妊娠诊断技术在夏南牛生产中的应用研究

摘 要：【目的】缩短母牛产犊间隔,提高母牛繁殖效率,探索母牛一年一胎的实现路径。【方法】随机挑选21头4-6岁,产后2--3个月未发情的空怀母牛,采取以下同期发情处理程序：第1d肌肉注射GnRH 100μg/头（戈那瑞林）,第8d肌肉注射PG 0.33mg/头（氯前列醇）,第10d肌肉注射GnRH 100μg/头,第11d配种,配种后30d左右采血样送检,检测孕情状况。【结果】经早孕检测,21头送检血样中大于或临近OD值弱阳性对照（0.315）的有14头,小于OD值弱阳性对照（0.315）有7头,检测怀孕率达到66.7%。随后经直肠检查和产犊验证,实际怀孕率66.7%、怀孕牛产犊率100%。【结论】(1)早期妊娠诊断技术已经成熟,该批次血样检测正确率达100%。（2）早期妊娠诊断技术在肉牛生产中的应用可有效解决母牛的隐性发情,缩短母牛产犊间隔,提高母牛繁殖效率。（3）为夏南牛一年一胎技术的实施探索了新途径。     

The effects of calving to first service interval on reproductive performance in normal cows and cows with postpartal disease

The relationships between the calving to first service interval and several measures of reproductive performance were evaluated in 1738 lactation records from cows in 32 southern Ontario Holstein herds. Lactation records were divided into three mutually exclusive health categories based on the cows' postpartal disease histories.

Relationships between the calving to first service interval and the first service conception rate, number of services per conception and open interval were similar for all three health categories. The first service conception rate was lower and the average number of services per conception higher in cows first bred before 60 days when compared to cows first bred after 60 days. The relationship between the calving to first service interval and the open interval indicated that for each day that breeding was delayed the open interval was extended by 0.86 days.

It appeared that overall conception rates may be lower for cows first bred very early or very late, but differences in the overall conception rate were only significant for cows experiencing a reproductive tract infection. Unless very expensive semen is being used, it is suggested that disease free cows be bred at the first heat occurring after 40 days postpartum, and that cows experiencing postpartal disease be bred at the first heat occurring after 60 days postpartum.

     

Synchronization of ovulation (OVSYNCH) in high-producing dairy cattle herds. I. Fertility parameters, body condition score and plama progesterone contration

A method for synchronization of ovulation (OVSYNCH) was evaluated for its practical use in seven North German dairy cattle herds. The original procedure of PURSLEY et al. (1995) was applied, i.e. cows were injected Gonadotropin Releasing Hormone (GnRH) at a random stage of the estrous cycle, followed by an injection of a prostaglandin F2 alpha (PGF2 alpha)-analogon seven days later and another injection of GnRH two days after PGF2 alpha. Cows were inseminated 24 h after the last injection by artificial insemination. Control animals were assigned by corresponding lactation number and stage of lactation (month of partus). Cows from the OVSYNCH group returned to the conventional reproductive management after the OVSYNCH treatment, which was the same management as that for the control group. The average milk yield in 1997 and 1998 was 8128.6 +/- 637.0 kg and 8688.3 +/- 665.0 kg per year, respectively. First service conception rate (FSC) in the OVSYNCH group (n = 187) (39.77%) was lower than in the controls (n = 175) (54.34%; P < 0.01). In 1997, FSC for the OVSYNCH group did not differ from controls (48.94% vs. 55.45%; P > 0.05), whereas in 1998, FSC for the OVSYNCH group (29.27%) was significantly lower than in the control group (29.27% vs. 52.78%) and the OVSYNCH group in 1997 (each time P < 0.01). First service conception rate of first lactation cows in the OVSYNCH group was significantly lower than in the control group (37.84% vs. 71.05%; P < 0.01), whereas no difference was found for the other lactation groups. The mean interval calving to first service was shortened in the OVSYNCH group by about 14 d as compared with the controls (P < 0.01). However, mean days open only differed by 2.92 d (P > 0.05). Proportion of cows in each class of lactation number (1., 2. and > 2. lactation number) with days open < or = 115 d in the OVSYNCH group were similar to controls (P > 0.05). There was a great influence of body condition on the success of OVSYNCH. Cows with a body condition score (BCS) of 3.00 had a significant better FSC than cows with a BCS < 3.00 (P < 0.05). First service conception rate was lower for cows with a BCS > 3.25 and < 2.75 (cows in good and poor condition taken together) than for cows with a BCS of 3.00 (P < 0.05). A positive effect of OVSYNCH was found in acyclic cows as determined by progesterone concentration in blood plasma. Nine out of eleven cows reacted with the resumption of ovarian activity. Two cows became pregnant after first insemination.     

Comparison of milk yield in dairy cows with different degrees of lameness

OBJECTIVE: To compare milk yield among cows classified as nonlame, moderately lame, and lame and to examine the relationship between severity of lameness and milk yield in cows classified as lame during the first 100 days after parturition. DESIGN: Longitudinal study. ANIMALS: 465 Holstein cows. PROCEDURE: Cows were examined weekly during the first 100 days after parturition and assigned a lameness score by use of a 6-point locomotion scoring system (ie, 0 to 5). Milk yield was compared among cows classified as nonlame, moderately lame, and lame. Among cows classified as lame (locomotion score > or = 4), milk yield was compared for cows with low, medium, and high cumulative locomotion scores. Cows classified as lame were further examined on a tilt table for diagnosis and treatment of lameness. RESULTS: 84 (18%), 212 (46%), and 169 (36%) cows were classified as nonlame, moderately lame, and lame, respectively. Among cows in their second or later lactations, milk yield in lame cows was significantly lower than that in moderately lame and nonlame cows. In addition, among cows classified as lame, milk yield was significantly lower in cows with high locomotion scores during the first 100 days after parturition, compared with cows with low scores. Most (58%) cows classified as lame had laminitis. CONCLUSIONS AND CLINICAL RELEVANCE: Results indicate a linear relationship between increasing degree of lameness and decreasing milk yield among cows in their second or later lactations. The locomotion scoring system used in this study may be a useful management tool that veterinarians and dairy farmers could adopt for early detection of lameness in dairy cows.     

Effect of lameness on the calving-to-conception interval in dairy cows

OBJECTIVE: To examine the relationship between lameness and the duration of the interval from calving to subsequent conception in lactating dairy cows. DESIGN: Cohort study. ANIMALS: 837 dairy cows. PROCEDURE: Cows affected with lameness were classified into 1 of 4 groups on the basis of types of disease or lesions observed, including foot rot, papillomatous digital dermatitis, claw lesions, or multiple lesions. Cows not affected with lameness were classified as healthy. Time from calving to conception was compared between lame cows and healthy cows. RESULTS: 254 (30%) cows were affected with lameness during lactation. Most lame cows (59%) had claw lesions. Lame cows with claw lesions were 0.52 times as likely to conceive as healthy cows. Median time to conception was 40 days longer in lame cows with claw lesions, compared with healthy cows. Number of breedings per conception for lame cows with claw lesions was significantly higher than that for healthy cows. CONCLUSION AND CLINICAL RELEVANCE: Claw lesions were the most important cause of lameness, impairing reproductive performance in dairy cows, as indicated by a higher incidence of affected cows and a greater time from calving to conception and a higher number of breedings required per conception, compared with healthy cows.