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Discussion on Hock wound
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Member:
ponymom4
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Posted on Friday, Nov 9, 2007 - 4:09 pm:
Dr O,
this board is a great idea! My first time posting...
My daughter's mare sustained an injury while competing this summer- luxation of SDFT L hock, torn at the medial attatchment. There was no injury to the bone or joint capsule, minimal soft tissue injury and it was a closed wound. We opted to do surgery- standing under sedation- to re-attatch the ligament, after which she was bandaged, placed in a 1/2 cast splint, and sent home on day 5. Well, it luxated again on day 6, causing much localized edema to that site; bandaging continue- changed by vet every 3 days; sutures were removed on day 15, and the next day, the incision dehissed; open wound was debrided, dressed with topical silver sulfazine cream, until recently when it mostly receives topical dermalog and a telfa dressing;
one vet feels it will not progress in its healing with out pinch or punch grafts (about 30 needed); As she will not be able to return to competition, and broodmare career won't happen as her endometrial bx came back grade 3, and she is not insured at this time, we are trying to provide the best care for her in the most efficient/ecconomical economical way; IF grafts ARE needed, then they are needed. If not, what would be reasonable to expect? some more recent pix are included. Would love your input.
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Member:
ponymom4
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Posted on Friday, Nov 9, 2007 - 4:19 pm:
This is her wound soon after the re-injury post op.
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Member:
ponymom4
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Posted on Friday, Nov 9, 2007 - 4:19 pm:
This is her wound soon after the re-injury post op.
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Moderator:
DrO
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Posted on Friday, Nov 9, 2007 - 6:56 pm:
Karen I cannot make out much detail from the photo which is blurry and lacks detail so I am not sure exactly what type tissues I am looking at and how they are arranged. Do you have better images from more angles? Including one further back so we can see the whole leg.
You should note that corticosteroids, which I believe are in the Dermalog, can retard healing. For our recommendations on taking care of open wounds long term see the article associated with this discussion.
DrO
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