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TOPIC: P3 Sequestrum

P3 Sequestrum 28 Dec 2011 19:00 #1

reillyshoe
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I thought was an interesting case, and people seemed to like it in the online conference. I have included a couple of pictures from the most recent visit.

The horse presented with a hoof abscess of a couple of months duration. The abscess was draining from the pastern, coronet and the sole:

After another month, the horse was improved but still lame. Radiographic exam of the hoof revealed infection around the coffin bone, creating an island of bone (sequestrum).

P

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RE:P3 Sequestrum 28 Dec 2011 19:03 #2

reillyshoe OFFLINE Master Posts: 2690 Thank you received: 7 Karma: 4	He is the hoof at the time of the radiographs. As the coronet was extended over the proximal hoof, the hoof was resected to provide some relief. Note how far the hoof extends into the swollen tissue: And shown here with the complete coronet resection and shoe:
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RE:P3 Sequestrum 28 Dec 2011 19:09 #3

reillyshoe OFFLINE Master Posts: 2690 Thank you received: 7 Karma: 4	The distal hoof was not serving any structural function, and drainage was still observed around the border of the hoof. The distal hoof was then resected, revealing the sequestered piece of P3: and the finished M-L view of the hoof:
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RE:P3 Sequestrum 28 Dec 2011 19:10 #4

reillyshoe OFFLINE Master Posts: 2690 Thank you received: 7 Karma: 4	Here is a follow-up photo from a couple of months later:
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RE:P3 Sequestrum 28 Dec 2011 20:24 #5

Gabino OFFLINE Very Senior Member Posts: 848 Thank you received: 13 Karma: 7	Excellent work and excellent pics,Patrick.
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RE:P3 Sequestrum 28 Dec 2011 21:57 #6

dana fenn OFFLINE Senior Member Posts: 371 Thank you received: 1 Karma: 0	whoa . . . . amazing the infection didn't kill him.
	Live your life in such a way, that when your feet hit the floor in the morning, Satan shudders and says "Oh, No, she's Awake!" The administrator has disabled public write access.

RE:P3 Sequestrum 30 Dec 2011 00:18 #7

THamilton OFFLINE Very Senior Member Posts: 740 Thank you received: 2 Karma: 0	What is your planned course of action for the future shoeings? Nice work! Thanks for sharing. Tony
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RE:P3 Sequestrum 30 Dec 2011 01:41 #8

reillyshoe
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Good Question!
At the next shoeing I am hoping to perform a hoofwall reconstruction, which should allow for more turnout or light riding (assuming the radiographs and comfort are OK. I might forgo the hospital plate and frog support at the next shoeing. This horse has a history of poor hoof quality, and was successfully maintained in glue on shoes for years before this event. Glue on shoes are an option for this horse long term.

P

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RE:P3 Sequestrum 30 Dec 2011 21:53 #9

Ronald Aalders OFFLINE Master Posts: 3072 Karma: 0	Great job Pat, your work did get me using glue ones a lot more than I used to do. I did wonder a little about the seating of the holes in both the shoe ánd the hospital plate though Ronald Aalders Attachments: Picture7-2_2073.jpg (64KB)
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RE:P3 Sequestrum 30 Dec 2011 23:28 #10

Juhani Takanen
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reillyshoe wrote:

Good Question!
At the next shoeing I am hoping to perform a hoofwall reconstruction, which should allow for more turnout or light riding (assuming the radiographs and comfort are OK. I might forgo the hospital plate and frog support at the next shoeing. This horse has a history of poor hoof quality, and was successfully maintained in glue on shoes for years before this event. Glue on shoes are an option for this horse long term.

Well unfortunately you´re going to blow up the quarters because you don´t have the necessary skills to fit to the foot.

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RE:P3 Sequestrum 30 Dec 2011 23:45 #11

reillyshoe OFFLINE Master Posts: 2690 Thank you received: 7 Karma: 4	Thanks Ron, I countersink the plate and the screws because the plate is thinner than the taper on the screw. It seems to work. Juhani, Maybe your right, perhaps we'll see.
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RE:P3 Sequestrum 30 Dec 2011 23:48 #12

Juhani Takanen OFFLINE Very Senior Member Posts: 523 Karma: 1	reillyshoe wrote: Thanks Ron, I countersink the plate and the screws because the plate is thinner than the taper on the screw. It seems to work. Juhani, Maybe your right, perhaps we'll see. I forgot the smiley...:rolleyes: That´s reaaally good work!
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RE:P3 Sequestrum 31 Dec 2011 10:10 #13

tbloomer OFFLINE Master Posts: 4622 Thank you received: 20 Karma: 1	Juhani Takanen wrote: Well unfortunately you´re going to blow up the quarters because you don´t have the necessary skills to fit to the foot. I don't know about that. This looks like an easy job. He only had to fit half of the foot. My theory is the horse is too stoopid to know it's supposed to be dead. Thanks for sharing, Pat.
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RE:P3 Sequestrum 31 Dec 2011 18:06 #14

Jason RoTramel OFFLINE Senior Member Posts: 441 Karma: 0	Nice one!!!
	Jason RoTramel RHC Farrier Service Shut up and get it done! The administrator has disabled public write access.

RE:P3 Sequestrum 31 Dec 2011 20:08 #15

reillyshoe OFFLINE Master Posts: 2690 Thank you received: 7 Karma: 4	Juhani Takanen wrote: I forgot the smiley...:rolleyes: That´s reaaally good work! You had me going for a moment Juhani, I forgot I can't fit the toe....
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