7.4.2. Hoof cut wound
1. Author of texts and photographs: Martin Skála, MVDr. Zdenek Zert, CSc. dipl. ESVC (Slovakia)
2. Literary review: Horseshoeing, Hoof wounds, ISBN: 978-80-7490-052-5, Tisk Pálka 2015
3. Patient data No. 7.4.2.
-
Breed: Slovak Warmblood
-
Sex: Mare
-
Age: 10 years
-
Color: Sorrrel
-
Work use: Breeding mare 7 month pregnant
Problems complained of by the owner: A mare acutely injured in the paddock.
Duration of the problem: After 3 hours brought to the clinic.
Fig. 1 and 2:
Torn coronary band and the beginning of the hoof wall
4. Anamnesis
Fig. 3 to 7: 18.9.2018
We cleaned and disinfected the wound with a mild Betadine solution. We decided to try to stitch the torn crown and the beginning of the hoof wall. We applied a pressure fixation bandage to the rest of the detached hoof wall.
Fig. 8 to 12: 4.10.2018
First re-dressing with the ablation of the dead part of the coronary band. After an unsuccessful attempt to join the detached part of the hoof, it was removed. Using an oscillating saw, the hoof wall was cut up to the lateral part of the hoof at the point of a healthy connection of the hoof wall with the corium. The bleeding wound was disinfected and a pressure bandage was applied.
Fig. 13 and 14: 18.10.2018
In the second re.-dressing after ablation, the edges of the wound began to cover the horn. Due to the long interval between the dressing, the bandage lost its pressure ability and granulation grew on the corium in the middle of the wound. It had to be removed with a scalpel. After disinfection, the pressure bandage was applied again.
Fig. 15: 26.10.2018
The third dressing. The corium of the hoof begins to heal and a new horn is formed around the wound from all sides. We re-dress the hoof with a pressure bandage.
Fig. 16: 6.11.2018
The fourth re-dressing. The area of the wound shrank by more than half and the hoof wall grew almost 2 cm from the coronary band edge. The corium in the middle of the wound was still bleeding and the hoof was re-dressed with a pressure bandage.
Fig. 17: 15.11.2018
Fifth re-dressing. I performed these last re-dressings every 7-10 days.
You can see in the photos how the corium heals after each treatment.
Fig. 18 - left: 3.12.2018
Seventh dressing.
Fig. 19. - right: 13.12.2018
Eighth dressing. The corium healed and a healthy horn began to grow from the coronary band. I trimmed the hoof and decided to apply shoe.
Fig. 20. - 25 .: 27.12.2018
After the hoof wound healed, I proceeded to shoe the hoof to ensure even loading and at least partially secured balance of the hoof while protecting the damaged horn. For this purpose, I used a horseshoe with a spider plate bar on which I forged a rocker to improve breakover. I replaced the missing horn with methacrylate resin mixed with a laminating cloth. I poured the whole foot with an M15 hoof packing to ensure even pressure on the whole sole.
Currently, this horse works regularly and shows no signs of lameness.
5. Solution