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Discussion on Yearling with large open laceration on front of hock.
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New Member:
kimmys
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Posted on Saturday, Aug 20, 2011 - 11:38 pm:
My filly that just turned one last Monday got caught up in the fence last Thursday afternoon. She did quite the number on herself. She has a large open laceration on the front side of her hock.
She is still her regularly self other then the injury. She is walking alright and is putting weight on her leg. Vet came out as an emergency call when it first happened. Gave her some sedation and then cleaned her wound and bandaged her up. She said to hose it off daily and change the bandage daily for the first week, then every other day after that and so on and so forth.
I had my regular vet come up last night because he has tended to her since she was born and knows her well. He also cleaned it up and but he put an ointment on the pad that goes directly on to her wound. can't recall the name of it but he left the tube to use daily for the first week or so. He then bandaged her back up.
I guess I would love to get some feedback from others who have had similar injuries and the recovery process.
Here are two photos...
Right after it happened (thursday):
[IMG]https://img850.imageshack.us/img850/9749/skittlesinjury.jpg[/IMG]
Today (Saturday)
[IMG]https://img846.imageshack.us/img846/982/bad1w.jpg[/IMG]
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Member:
juliem
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Posted on Sunday, Aug 21, 2011 - 12:14 am:
Welcome Kim and I'm sorry it's a result of an ugly looking wound! If you haven't already, read the article on wounds and first aid, but you'll also need to read the article on Long Term Deep Wound Care. Dr. O will respond with more advice, but I'm sure he's going to direct you to these articles so you can get your homework done while you wait for him.
What kind of fence did she tangle with? It looks as if she put up a fight! I haven't (yet!) had to deal with a similar wound, but others have and will be able to offer you encouragement. It may be a long process, but if you're diligent in your care and follow the advice of your vet and the articles I've mentioned, I think you'll have a good result.
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Member:
hpyhaulr
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Posted on Sunday, Aug 21, 2011 - 8:13 am:
So, we have seen the filly's progress... how are YOU? If I ever saw that on Tuffy, I would have needed medical attention myself. Very stressful for you too. Glad she is on the mend.
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Moderator:
DrO
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Posted on Sunday, Aug 21, 2011 - 10:59 am:
Welcome Kim,
As Julie alludes to above, those two articles will contain our recommendations for caring for the wound. Concerning The wound itself, I believe it looks more like a large, deep partial skin thickness scrape. If so this is going to heal much faster than if it is full skin thickness. Is this what your veterinarian has said?
DrO
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New Member:
kimmys
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Posted on Sunday, Aug 21, 2011 - 1:13 pm:
Thanks Dr. O for your reply. I can't recall exactly what the vets called it. I know on the paperwork it says "open laceration" I was paying attention to the bandaging and meds instructions.
I have read the articles you suggested and they're fantastic !! Thank you so much.
The two suggestions I'm different responses from different people are,
1) some say hose the wound off with water everyday and bandage everyday.
Others are saying not to hose everyday and change the bandage every 48 hours or so.
Medicine wise she's on 7 capsules of Sulfatrim DS twice a day.
Cyndy - Growing up around horses, I've seen my share of injuries but this is the first one I've had to deal with on my own horse. I don't like seeing her like this at all and the first couple days were quite stressful but I'm seeming to get a the routine down now. As long as no infection sets in then I think I'll be ok. Thanks 
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Member:
frances
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Posted on Monday, Aug 22, 2011 - 4:36 am:
Hi Kim, it's amazing how these wounds do heal - see my thread below (and there are many others on this board)
https://www.horseadvice.com/horse/messages/4/263018.html
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Member:
theresab
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Posted on Monday, Aug 22, 2011 - 11:02 am:
My old gelding who was in his late 20's at the time put his rear leg cross a cable fence and removed the skin from about the same spot all the way to his pastern. We had the vet out to look at it and his recommendation was just to cold hose it. He didn't even offer up meds. I was a broke college student at the time so I didn't put up a fuss about keeping the bill down. I went out daily and cold hosed it and put cheap triple antibiotic ointment on it. He healed up great, all he had was a bit of a scar right over the hock but it never bothered him. It got a bit ugly before it got better and I about passed out twice at the shear magnitude of it but we both persevered.
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Moderator:
DrO
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Posted on Monday, Aug 22, 2011 - 5:27 pm:
I too believe daily hosing is best, particularly early.
DrO
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New Member:
kimmys
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Posted on Monday, Aug 22, 2011 - 7:11 pm:
Thanks to everyone for your help. I must admit this whole experience has shaken me up a bit but I'm doing my best.
I took a picture today right after I took off the bandage before hosing her or anything, Looks awful, there is a antibiotic cream that we put on the pad when we apply it to her leg.
Does this look about normal for day 4 ? keep in mind this is before it was hosed off.
https://img841.imageshack.us/img841/8626/img0628dj.jpg
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Member:
suemc
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Posted on Tuesday, Aug 23, 2011 - 5:46 am:
Hello Kim
I've just read your thread after picking it up via my emails. It must have been very shocking and sickening for you. Just to reassure you though that you would be amazed how well horses heal. My horse Ellie (she 20 now) was eight years old when she ran into some sharp metal tubing (that the owner of a field I kept her in then had made a gate out of) It tore into her chest, ripped the muscles out and left her with a gaping wound down to the bone. She could not even put her leg down. It was so bad that they nearly put her down there, but we got her to an equine hospital. After five hours op she came out - muscles sewn back in and skin flap sewn with horrible fluid draining from her every time she moved. The skin flap died a week later so the wound came back - leg swollen like a tree trunk and gaping. They let her home though and said that it would heal. I did not believe them. It looked sickening. We were not told to hose it - maybe because it was top of her leg/chest rather than where yours is. We had to clean it daily with a hibiscrub solution and then apply some thick yellow custard like stuff (I cant remember its name but it was used to slough off the dead cells and help healing) And then slowly the miracle happened - the granulating tissues started to fill in the gaping hole, and then the skin started to grow from the outside over it. Every day it closed a tiny bit more but it took six months to grow over completely. Sadly she was left with a black area of skin that doesnt grow much hair, but she became sound very quickly and has been well ever since. I am sure yours will be fine once the swelling of her leg goes down. I know you think it looks bad but believe me Ive seen bad - I bet there will hardly be a scar. Good luck with her. Best wishes Sue
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New Member:
kimmys
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Posted on Tuesday, Aug 23, 2011 - 7:20 pm:
Thanks Sue! Needed that today, still pretty worried about her.
I took a picture today which is day 5. I just always think its not healing properly, If I was rich I'd have a vet there daily looking at her haha! Can't afford to have a daily vet bill all the time.
Hopefully she's healing alright. Today was better then yesterday as in being able to put weight on her leg without the bandage on. Yesterday she kept almost falling over when I took of the bandage. Today was better.
Here is the picture from today: https://img856.imageshack.us/img856/2328/day5m.jpg
Does this look normal for a 5 day old injury ?
Thanks so much !
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Member:
mrose
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Posted on Tuesday, Aug 23, 2011 - 8:05 pm:
The yellow stuff is o.k. It's hard to tell from the photo, but is her leg swollen? Anytime there is a wound over a joint I always worry about the joint becoming infected. Is she on antibiotics? Or did the vet mention any concern about this?
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Member:
mrose
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Posted on Tuesday, Aug 23, 2011 - 8:11 pm:
https://www.horseadvice.com/horse/messages/5/184608.html
Go to the above if you want to see gross! The gelding healed up beautifully, with some scarring on his legs, but not bad all things considered. We were afraid he would never walk right as he drug his toes a lot for a long time, but after a lot of time in the round pen and on the hot walker, he moves normally. He is now in training in CA. The emotional scars have been more difficult to deal with in his case than the physical ones. Telling you all this so you'll know there is all kinds of hope for your filly. With good care, she'll be fine. It will take awhile.
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New Member:
kimmys
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Posted on Tuesday, Aug 23, 2011 - 8:46 pm:
Thanks Sara! I'm so happy to hear that your guy was ok and healed up well !! That is so encouraging.
This is my first time dealing with a wound like this on my own horse. I've seen my share of horse injuries but it was never my horse.
She is a little swollen but I wouldnt say she is getting any worse then she was before. The vet did speak about what would happen if the joint got infected but he didnt seem too overly concerned just couldnt totally rule it out.
She is on Antibiotics daily, 7 pills in the morning and then again at night feeding. She also gets an antibiotic and antifungal ointment directly on the wound at bandage change.
Here is a picture of Skittles, not just her nasty wound.
https://imageshack.us/photo/my-images/40/img0008cv.jpg/
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Member:
mrose
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Posted on Wednesday, Aug 24, 2011 - 12:20 am:
She's a cutie! She has a sweet look about her too. If you spend some time reading on this site you'll read about quite a few horses that have seemingly "tried to do themselves in" yet have recovered fine. It's worth the effort, but can sometimes be a long haul. Having horses is as bad as having little kids!
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Member:
canter
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Posted on Wednesday, Aug 24, 2011 - 7:02 am:
Wishing you the best for your filly, Kim.
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Member:
lilo
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Posted on Wednesday, Aug 24, 2011 - 10:02 am:
Best wishes that your filly will heal up just fine. Lilo
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Member:
kimmys
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Posted on Thursday, Aug 25, 2011 - 8:21 pm:
Thank you so much for the kind words, very much appreciated.
I remembered to bring the camera again with me today so I could take an updated picture.
I love the feedback from everyone on her injury, I'm stressing myself out trying to make sure I'm doing everything right !
Here is that picture which is Day 7 now
https://imageshack.us/photo/my-images/685/day7c.jpg/
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Member:
mrose
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Posted on Friday, Aug 26, 2011 - 1:33 am:
Looks like it's healing pretty good. Keep up the good work!
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Member:
kimmys
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Posted on Friday, Aug 26, 2011 - 10:16 pm:
Thanks Sara for your input! You're a life saver at the moment. Trying my best !
I'm hoping Dr O stops in and might give a comment on the wound thus far. I know its hard without actually seeing it but as long as it doesnt look infected and looks normal for a week old wound, I'd be happy!
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Member:
babychop
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Posted on Friday, Aug 26, 2011 - 10:57 pm:
My boy cut his hind leg open down to the bone but not at the joint. It took quite some time to close and he never grew hair back all the way. I would keep something on it that will keep it sanitary and discourage flies. Scarlet oil, Vetricyn, something along those lines. You can't stitch it, and even if you had shortly after the injury, your horse would've popped 'em anyway. Not much you can do but keep it clean and limit exercise so he doesn't tear it up more.
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Member:
babychop
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Posted on Friday, Aug 26, 2011 - 10:58 pm:
Pardon me, 'she'
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Member:
kimmys
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Posted on Friday, Aug 26, 2011 - 11:11 pm:
Thanks so much Andrea. Thats pretty much exactly what I've been doing. she's in the "hospital" pen. We have an ointment that we put on the pad before we put it on her leg that the vet gave us. I just don't know how long I should keep using it, I'm assuming at least until the wound has healed a bit more and has a protective layer over it.
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Member:
babychop
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Posted on Saturday, Aug 27, 2011 - 3:32 pm:
Oh, you're welcome, I know how harrowing this type of injury can be... If you can keep it wrapped (I'm quite surprised you can actually) that's great to keep flies out of it. Worst thing would be to let it get dirty and have flies lay eggs in it. The last thing you need is an infected joint! If you find you can't keep it wrapped, Scarlet Oil (very inexpensive - old school and easy to find) has worked well for me, it will scurf but it keeps the flies off when sprayed on a couple times a day (3x would be even better). Just put some Vaseline on areas that are not affected below the wound so they don't blister. Horses don't like it much, it does sting a bit but it's effective. I would think it being a joint you would want to hand walk her so she keeps some mobility but I would ask your vet on that one. When she's in the 'in between' stage, not quite skinned over but covered over you can use Alumi-guard, a great water proof fly proof cover spray that will actually last a couple days at a time (but I would still check daily. Once it does grow skin back you might look into some healthy hoof, it's great for keeping the skin lubed up and does help with hair growth but that's a pretty bad one, she may not hair up everywhere when it's all said & done though it would help keep her skin moisturized.
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Moderator:
DrO
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Posted on Saturday, Aug 27, 2011 - 4:38 pm:
Hello Kim,
I have a hard time answering that question from just photos. The article on wound care gives guidelines for monitoring wounds and they should be reviewed. Let me say I don't see anything that looks like a complication to slow down wound healing.
DrO
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Member:
juliem
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Posted on Saturday, Aug 27, 2011 - 4:45 pm:
Kim, I know some people feel they've had good results using scarlet oil, but Dr. O feels scarlet oil is harmful to the new tissue the wound is trying to generate and the wounds on which it's used heel in spite of the scarlet oil and not as a result. He does not recommend it be used. Better to stay with what he recommends in his article. I know I had a bottle of it several years ago and my farrier asked me to get it for him. I did and he walked over and dumped it in my trash can! He said the vet he consults with said that's the best way to use it!
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Member:
kimmys
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Posted on Saturday, Aug 27, 2011 - 6:24 pm:
Thanks for your guidance Andrea and Julie!!
Andrea you're right with this injury being harrowing, I don't mind caring for her and doing whatever is required to get her back to normal again. Since this is my first time doctoring this sort of wound so I'm always questioning if I'm doing this correctly.
Her bandages are staying on great, She still leaks through them a bit but they get changed daily and I hose her off a bit. She HATES water getting on it though, its sad but I know its for the best. Flies arent getting to the wound at all, its always covered and when its not we are just cleaning it so its stayed clean since its happened.
DrO - I can understand its so hard to judge when you can't actually be with the horse but please know that even your last comment but me at rest for now and slowed my worrying. I'm a worry wart !! Thanks you so much
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Member:
babychop
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Posted on Saturday, Aug 27, 2011 - 8:36 pm:
Good to know Julie & Dr O, my vet has had me use it and I haven't had a problem with it other than the hair not growing back on my colt's leg in one patch. All the others I've used it on have healed up nicely though it is old school. I'd stay with the bandaging if she's keeping 'em on anyway, keeping it clean, fly & infection free is the best you can hope for.
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Member:
kimmys
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Posted on Sunday, Aug 28, 2011 - 5:34 pm:
Well Skittles bandage came off overnight. She seemed a lot more sore today, Not sure if it was because the bandage came off and it was exposed to Air and that stung or whatever it was. She was also more swollen 
I hosed off the wound for a good 15 minutes and then walked her around and she was walking much better. Then I just bandaged it up again. I also gave her 10cc of strawberry bute to help with the pain and inflammation. She's still on her Antibiotics.
She seemed to be walking around much better when I was getting ready to leave, other then her leg being more swollen then yesterday.
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Member:
kimmys
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Posted on Monday, Aug 29, 2011 - 9:10 pm:
Having trouble keeping her bandage on now, she was so good until about 2 days ago now. The only difference was I ran out of the Really sticky Vet wrap my vet gave me and had to use regular vet wrap. Anyways I went and bought the same sticky vet wrap from the vet clinic today. Guess we'll see if it stays on tonight !!
I managed to check a picture of wound today which is Day 11 now. this was just after I hosed it off.
https://img233.imageshack.us/img233/5312/day11j.jpg
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Member:
lilo
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Posted on Monday, Aug 29, 2011 - 9:40 pm:
Hi Kim,
I have no experience personally treating such a large wound. I can imagine that it is hard keeping a bandage on it, unless you wrap the entire leg from the fetlock on up.
Just want to wish you the best,
Lilo
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Member:
bellarel
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Posted on Tuesday, Aug 30, 2011 - 10:14 am:
Hi Kim,
I'm so sorry to hear about your filly's wound! I feel your pain! My daughter's crazy TBX event mare ran from the riding ring, jumped into a fountain and cut her stifle, right at the point, on a wrought iron chair as she jumped out! We had the wound sutured- twice in one day as a hematoma developed after the first suturing, only to have 1/2 of the wound opened up less than a week later! I've now been dealing with an open wound on a very active horse for 2 weeks. She's mainly in
the stall but goes in a small paddock for a few hours in the
morning just to walk around. She was going nuts in her stall.
Anyway, we are hosing and applying ointment. First Animax,
then, Silvadene cream, then my equine vet said scarlet oil.
Hate the scarlet oil! I was avoiding Furacin ointment as I've
always heard that it delays wound healing. I heard that from
vets at UGA. Dr O, what is your opinion?
I think now I'll do twice daily hosing with maybe a Nolvasan flush and then just a triple antibiotic ointment. She's been on
SMZs since the accident which happened 8/13/11. The wound
is slow to heal as it is right over the joint. It is full skin
thickness. It seems it is taking forever to heal!
Sorry, Kim! To jump into your post, but I just wanted to share
my experience as we are going through similar issues. My
mares wound is not as bad as your filly's, but it is worrisome. It was the size of a quarter last week, but seems larger, like a silver dollar, this week. There is a healthy bed of granulation tissue, but it is hard to keep it clean. It has a slight serous drainage, but not much. Not a thick exudate. The gnats are terrible, even with liberal coatings of Swat all around the area. My daughter is away at college but is planning on taking the mare up with her in a month. I wonder if it will be healed by then.
Anyway, best to you, Kim. Guess we both need robe patient and vigilant!
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Moderator:
DrO
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Posted on Tuesday, Aug 30, 2011 - 7:22 pm:
Hello Kim,
Sometimes a slipped bandage will end up constricting the leg and may cause increase pain and swelling. You should be able to see the mark caused by the constriction if that is the case. Otherwise consider the possibility of increased infection and step up your care and if it does not resolve quickly have your vet back out.
DrO
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Member:
kimmys
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Posted on Tuesday, Aug 30, 2011 - 8:50 pm:
Peggy thanks for sharing your story !
DrO- Thanks for your advice. I didnt see any marks on her from the bandage but the swelling has gone back down again. Did not increase at all today so thats a good sign.
The saying I always go back to is "when in doubt, call the vet out"
Thanks again for everyones help, I'll keep you updated with pictures of her recovery.
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Member:
bellarel
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Posted on Tuesday, Aug 30, 2011 - 10:24 pm:
Hi Kim,
I'm so glad things are better today. Your filly is lovely, and it sounds as if you are doing your best to make sure she recovers well from this injury. I wish you continued success!
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Member:
kimmys
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Posted on Wednesday, Aug 31, 2011 - 7:59 pm:
Thanks Peggy I am doing the best I can !
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Member:
kimmys
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Posted on Sunday, Sep 11, 2011 - 12:15 pm:
Here is an updated photo of her leg from yesterday which was Day 23.
https://img708.imageshack.us/img708/3541/day23.jpg
She is doing fine otherwise, happy little horse!
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Member:
shirl
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Posted on Sunday, Sep 11, 2011 - 12:35 pm:
Kim, my eyes aren't what they use to be but is that new flesh or proud flesh? Hopefully others that can see better or Dr. O will chime in.
Hugs, Shirley
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Member:
mrose
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Posted on Sunday, Sep 11, 2011 - 2:30 pm:
Kim, that looks like proud flesh to me also. Can you have your vet check it? You may need to use nitrate sticks on it, a special oinment or have vet cut off the proud flesh. If you aren't sure what proud flesh is, do a search here so you can read up on it.
Glad she's feeling good. Proud flesh is easy to handle if you get on it right away.
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Member:
sbienusa
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Posted on Sunday, Sep 11, 2011 - 7:39 pm:
Hi Kim, How is your mare doing? Do you have any recent photos?
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Member:
kimmys
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Posted on Sunday, Sep 11, 2011 - 8:11 pm:
I was wondering if this was proud flesh, I think it is but my concern was if it was normal for this stage or if its starting to become an issue. It looks a a bit larger in the photo then it does in real life, I will take another picture in the morning from the a side view so you can get a better idea. I can get my vet up to have a look though either way, I was more waiting to see if it was required or not yet.
Suzanne- I have this picture I posted earlier from her bandage change yesterday. It was day 23
https://img708.imageshack.us/img708/3541/day23.jpg
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Member:
sbienusa
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Posted on Sunday, Sep 11, 2011 - 8:32 pm:
LOL, sorry Kim, I was looking at the wrong post date... Oofta, I understand what your going through. My sons mare has been going through the same thing. You can reference these? https://s1223.photobucket.com/albums/dd519/sbienusa/ Just don't give up! Is the flesh sticking out past the wound? It does look like proud flesh. It is so frustrating!
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Moderator:
DrO
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Posted on Sunday, Sep 11, 2011 - 10:23 pm:
We have a description of proud flesh at HorseAdvice.com » Diseases of Horses » Skin Diseases, Wounds, and Swellings » Wounds / Burns » The Treatment of Proud Flesh or Exuberant Granulation Tissue.
DrO
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Member:
kimmys
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Posted on Tuesday, Sep 13, 2011 - 6:57 pm:
Thanks DrO. I always read the articles, always good information.
I have my vet coming up on Thursday afternoon to cut away some of the proud flesh since after reading the articles it seems thats exactly what I have a case of. Its not TOO bad but better to get it now then wait.
Here are two photos of her leg, one from a side view to get a better idea and the other front the front.
Day 25 post injury....
https://imageshack.us/photo/my-images/854/day25side.jpg/
https://imageshack.us/photo/my-images/221/day25eydbl.jpg/
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Member:
sbienusa
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Posted on Tuesday, Sep 13, 2011 - 11:06 pm:
Hi Kim, I can tell you I don' think Misty's looked that good a month in. You are doing a wonderful job! The proud flesh shouldn't be too hard to deal with. We had some minor bouts with it ourselves and it was fine. Just keep up the good work and keep your chin up!
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Member:
kimmys
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Posted on Thursday, Sep 15, 2011 - 11:38 pm:
Thanks Suzanne !
Vet was up today, He advised not to do anything with the proud flesh because he doesnt feel that its even large enough to trim.
He said he may have to remove a small section at another point in time but right now he gave me a cream with a steroid in it to put on her wound so slow down the growth rate of the proud flesh. He also would like me not to hose it daily anymore, also advised to put on the cream and leave the bandage off for a few hours and then re-bandage her again at night.
Other then that he was happy with how her wound looked and how it was healing so that put me at ease.
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Member:
frances
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Posted on Friday, Sep 16, 2011 - 9:33 am:
That's great news, Kim!
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Member:
joanh
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Posted on Saturday, Sep 17, 2011 - 8:22 am:
I've been quietly tracking progress and glad to know all is going well with your horse. The initial pictures were pretty ugly and I could only imagine what your horse was going through.
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Member:
sbienusa
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Posted on Sunday, Sep 25, 2011 - 12:31 pm:
Hi Kim, how is your filly doing?
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Member:
kimmys
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Posted on Tuesday, Sep 27, 2011 - 11:55 pm:
Suzanne thanks for asking about Skittles, She's doing well. Sorry for the late response I was away visiting family and didnt have as much time to come online.
Here are some updated pictures of her wound.
Day 35 after using the steroid cream
[IMG]https://img820.imageshack.us/img820/3908/day34.jpg[/IMG]
This is day 40 (today), she had went 3 days without a bandage.
[IMG]https://img855.imageshack.us/img855/2509/day40.jpg[/IMG]
Vet asked for it to get some air, He said the bandage was only protecting the wound incase she was to bump it, other wise air was good.
I hosed it off today just because but she seemed to be fine
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Member:
sdms
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Posted on Wednesday, Sep 28, 2011 - 8:39 am:
Huge improvement in just 40 days and it looks SO much better than even day 25. I'm impressed with your nursing skills. At this rate you'll have Skittles healed up in no time.
I may have missed it earlier in this thread but is she off at all on that leg? Has the wound affected her range of motion that you can tell?
Sara M
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Member:
kimmys
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Posted on Wednesday, Sep 28, 2011 - 1:46 pm:
Thanks Sara! she is a little off on that leg still, Not really limping but you can tell she's a little stiff on it. She wont lift it for the farrier either right now.
Any suggestions on this ?
Thanks again
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Member:
sbienusa
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Posted on Thursday, Sep 29, 2011 - 4:16 pm:
Hi Kim, I know with Misty her range of motion gets better all the time. Its a hecka wound on the front of the hock, so my vet wasn't really worried about her being a little stiff on it. He does have me exercising her some to help the wound itself stay stretched (maybe elastic would be a better word?), but not too much. I ice it and use some liniment, not on the wound itself but on the hock and leg and it seems to help... lol... might just be my imagination though! She has never been lame on the leg, except when the bandage slipped. It would make sense to me that as long as there is an open wound and swelling that she will be stiff. Maybe Dr. O has some ideas? I think it is looking great. It just takes so much time!
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Member:
kimmys
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Posted on Tuesday, Oct 4, 2011 - 9:59 pm:
Thanks Suzanne thats good to hear !!!
I thought I'd post an update on her healing, it is pretty amazing how well she is healing, long process but she has nothing but time right now being so young. She just got turned back out with the herd last Saturday, she is SO happy to be back with her friends. Does'nt see to be sore at all on it.
Here is a picture of Day 48 (Oct 3)
https://imageshack.us/photo/my-images/440/day48.jpg/
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Member:
sbienusa
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Posted on Wednesday, Oct 5, 2011 - 11:52 pm:
Hi Kim, looks better all the time!
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