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Discussion on Sole defect and hoof wall avulsion in yearling.
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Member:
Oscarvv
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Posted on Thursday, Aug 4, 2005 - 7:59 am:
Hi DrO,
I brought my yearling into the clinic after he jammed his foot on the no-climb wire fence.
Findings were - 2 x 1 CM lateral sole defect and 2 inch hoof wall avulsion just cranial to the bar.
At the clinic they x-rayed with and w/o a probe in the defect. The probe only went a small distance towards the back of the foot and did not contact the coffin bone. Granulation tissue was cut off of sole with a hoof knife.
The colt is on bute and doxy. We are re-wrapping SID. He is still very lame, at least 3/5.
My question is I am putting gauze soaked in diluted betadine on the defect when I change the bandage per the vet. I've only changed it once and the gauze had dried so it was stuck to the injured area....it hurt the colt very much when I removed the gauze. And his whole foot was damp from the gauze.
Does the gauze with betadine sound like the best route to go?
I am to change the bandage daily for the next 3-4 days and then every 2-3 days. I am told he should be not as lame 3 days from the injury. And in one week to have the farrier mend the hoof wall avulsion.
Thank you,
Barbara
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Moderator:
DrO
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Posted on Friday, Aug 5, 2005 - 7:57 am:
I use roll cotton to soaked with betadine that is cut to a size that it can fit the conform to the defect, but still a very similar idea Barbara. Something that confuses me is if this were an acute injury there should not have been any granulation tissue to cut away and other than removing the avulsed wall. What sort of mending do they recommend: the exposed laminar tissue will rapidly recornify.
DrO
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Member:
Oscarvv
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Posted on Friday, Aug 5, 2005 - 11:40 am:
Thank you DrO.
They recommend the farrier equilox a metal strip across the outside of the hoof to keep the split from cracking further. You can see the split from both the bottom of his hoof and when it is resting.
We brought him to the clinc about 20 hours after the injury and there was a small amount of granulation tissue already.
-Barbara
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Moderator:
DrO
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Posted on Saturday, Aug 6, 2005 - 7:14 am:
Barbara, would it be possible to have pictures?
DrO
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Member:
Oscarvv
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Posted on Saturday, Aug 6, 2005 - 7:21 pm:
You betcha. 
I am concerned that it is not healing as quickly as predicted. The colt has been on bute all along and is still very lame. Just a very little bit better than initially.
Also, there has always been an odor when I change the wrap. Even after the first day.
-B
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Member:
Oscarvv
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Posted on Saturday, Aug 6, 2005 - 7:24 pm:
A zoom out.....during bandage change.
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Member:
Oscarvv
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Posted on Saturday, Aug 6, 2005 - 7:32 pm:
And here is the sole.....the cut away area is looking quite vascular. Is this granulation tissue or normal tissue?
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Member:
Oscarvv
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Posted on Saturday, Aug 6, 2005 - 7:35 pm:
And a zoom out of the sole.....
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Member:
Oscarvv
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Posted on Saturday, Aug 6, 2005 - 7:45 pm:
The white stuff near the bottom of the above photo is gauze 'fuzz'.
-B
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Moderator:
DrO
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Posted on Sunday, Aug 7, 2005 - 9:06 am:
I see, the avulsion is really a crack which certainly has some avulsed components underneath but we don't know how much.
Though I am not there to examine it, if I were caring for this it would be hard to understand why I would not remove the wall around the crack to expose the laminae that has had wall pulled away. The way it is now it is easy to trap dirt and the wall in most certainly moving as the foal does resulting in irritation and pinching of the underlying tissues. I can see the need to stabilize such a wall defect and this could be done with shoes and clips as soon as the undermined wall is debrided. It may heal this way but I think the way I describe above will result in a more comfortable situation and has less chance of complications.
Lastly the defect in the sole needs to treated just like a abscess with careful support of the corium as described in our article on abscesses.
DrO
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Member:
Oscarvv
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Posted on Saturday, Aug 13, 2005 - 11:50 am:
Hi DrO,
I went over the abcess article. And will continue to wrap the foot and support the corium.
I was waiting to reply after having the farrier out. He opted to equilox a metal 'strap' across the hoof. We turned him out for a little bit today with a piece of cardboard cut to fit his hoof and duct taped over the bandage. He looked comfortable...and was of course thrilled to eat grass.
Will let you know how things progress. Thank you for your experience on this.
-Barbara
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