A combination of being prepared, as well as perseverance and patience have resulted in a great outcome for a horse which sustained a severe and extensive injury.
Dr Phil Rennie who is part of our Large Animal Team first attended the horse in April this year, after it had sustained an injury to its hind leg, suspected to be from a protruding pipe from the ground. The wound was cleaned, sutured and bandaged. Antibiotics and anti-inflammatories were also given.
Dr Marcus Allan from our Tauranga clinic took over the case which would be the beginning of a three month healing process, in which management had to be adjusted due to the dynamic nature of wound healing.
“This is an excellent example of patience and perseverance with strict wound management allowing a severe and extensive wound in a very difficult anatomical location (highly mobile fetlock area which prevents tissue from “knitting” together) to heal very well,” says Marcus.
Marcus says the owner of the horse managed the wound well after the first visit. “Having attended our wound seminar earlier in the year, the owners were well prepared to cope with the big task ahead of them,” he says.
“The wound was rebandaged every 3-5 days depending on the weather for the first 10 weeks. After this we decided to leave it open for progressively extended periods to allow oxygen exposure to the wound. Strategic treatment with topical preparations was used,” says Marcus.
“The horse was confined to as small an area as possible to reduce excessive movement which if occurred would perpetually stimulate proud flesh,” he adds.
Marcus says proud flesh did develop which prevented the skin from growing over the wound however after trimming the proud flesh twice, the healing progressed.
Marcus’ most recent visit was late June. “There was a really great outcome given the extent of the wound initially,” he says.
“The owners managed it really well to get to the state it is in now, especially because the location of the wound doesn’t lend itself to healing well in a timely fashion.”
“The fact that they got the outcome they have, is really good news,” he adds.
The series of images below show the healing progress.
Marcus joined the Tauranga Veterinary Services team in 2011 and has worked broadly in the field of Equine Veterinarian Medicine. Following his studies at Massey University he completed post graduate certificates of proficiency in both equine diagnostic imaging and lameness.
Marcus is passionate about general equine medicine, investigating and managing poor performance, assisting to improve horse health and promoting high standards of horse welfare, as well as meeting the needs of his equine clients.
Make an appointment with Marcus by calling us on 0800 838 7267.