Today,surgery of keratoma.History: The horse has an abscess.The barefooter-vet says; the horse must to resolve itself the abscess.Only cider vinegar and hay. Result: A keratoma and an expensive surgery.
Looks like a lot more going wrong with that foot than 'just' a keratoma and abscess. What's the vet saying about the coffin bone and navicular
Its an unusual view (palmarolateral dorsomedial oblique or palmaromedial dosolateral oblique depending on which foot) There is a cookie bite where the Kerotoma invaded the Pedal bone. bit of echo off the frog and navicular looks fine as much as you can see.
Gabino, Do you usually put a shoe on to stablize the hoof afterwards? Ones I seen done here, a shoe will be applied before the sugery then the horn is secure.
In another cases that we resect all hoof wall until the coronet,we put the shoe before resection. But the shoe hinders much for to rasp the coffin bone. In this case that the resection is only the 30% of the hoof wall, we can make without risk of desestabilization of the hoof during the surgery. If you remember the double keratoma one month ago,we respect a horn bridge for that issue. After surgery,(in this case), we put eggbar shoe with hospital plate.Impresion dental in the frog to back and gauzes medicated to forward.All hoof is bandaged whit a fiberglass band.The concavity of surgery is full with gauzes and sugardine and metronidazol.That works well. We never had problem with infection or laminitis in the other hand.There is a risk for colic of impact in the ileon.The vet demand hardly to the owner,the horse will eat only hay and bran ad libitum. Fenilbutazone and sulfamide oral is all medication.
your work is facinating, Gabino and thank you for always sharing your x-rays and pictures! can i ask how many years you've been doing this kind of work on these keratomas?
Why does Spain/Gabino have so many keratomas? is it the enviroment? The local genetics? Is it the hoof problem "du jour" with the Vets he works with? In 40 yrs of doing this I've only seen 2 cases; 1 of those was in an anatomy class, in the dead leg I was assigned so I don't know if it was a problem for that horse 'cause I didn't see him limping...
That's the ask!!.I don't believe there are more keratomas in Spain than other country. In the same way,I don't believe there are more keratomas in Madrid than others county of Spain. Why I have more keratomas? I think many times about it and I deduce many points. -Many farriers don't know what's a keratoma.If they saw same keratoma,they closed their eyes.The easy is nail a shoe,get the money and run. -Many vets can't recognize a keratoma.The easy is to treat the abscess with antibiotics and to hope the next visit for the same abscess. -The bad equine culture. The most of abcess drains in the coronet band.Inclusively, many vets recommend to hope that the abscess burst in the coronet band.When that occurs, the keratoma is already done. -All keratomas don't hurt the horse. I shod one horse with a keratoma in pince about many years.Ocassionaly,it drains pus ,but never got sore.(pic) -Excepting if the horse is extremely sore,in the most of times,the keratomas are treated like simple abcess. -When a vet recognize a keratoma and he want surgery him,he has a problem: Need a competent farrier.Here in Spain is difficult to get a good farrier or one farrier that loves these issues. the most of the farriers want shoe five or six horses all days for no much money ,without learn,without ortopedic material,without problems... This is the same answer for the quarters,founder,NPA.etc..The easy is to nail a shoe,get the money and run..."When a owner asks to farrier about many jobs that he can see in internet,the mos of the farriers answer him: "Buahhh..that are nosenses. I don't need that..."
"excessive grandlt'iuos'tissue." IMO" mostly sequestrums. pics and rads of Gabino's case indicate sequestrum....
Chris,be patient,please. I'm hoping the helper of vet send me the pics.There you will can see the keratoma.The bit of hoof of my pic is only the lid of the keratoma.
The same vet diagnosed "osteitis" in this other case.We hoping the confirmation of the owner for surgery. What's the differences?
