|In Honor of "View
1995 - 2008
The sensitive lamina has continued to cornify and has reattached to the anterior edge of the posterior
hoof wall. The shoe was removed and additional dremel work exposed an area of detached sole next to
the necrotic wall that had been removed on day 16. Treatment involved cleaning with Wound Wash and
applying PRP gel on a 4 x 4 gauze pad under an occlusive pressure wrap.
One area of the sensitive lamina became suspect to drainage so the farrier dremelled out the pocket of
suspect fluid. It was decided to re-apply PRP gel to hasten the haling of this area. 4xx of PRP gel was
applied to a 4 x 4 gauze pad. There was discussion concerning when we would apply Equalox in an effort
to run this horse at the Dallas Finals on 11-9-2007. Our mutual opinion was to wait until 11-1-2007 to
allow for the longest healing period possible on the necrotic area.
Hand trotted Jet on the bridle path, the owners utilizing a golf cart, to demonstrate that he was totally
sound without any pain medication.
|View This Jet won over $200,000 life time earnings, including two AQHA Congress Championships, one
of which was disqualified due to his rider loosing his hat. Jet was 4th in the nation when the above
injury occurred. He was returned to competition condition and was standing 14th in the nation with a
new rider when while entering the arena at a show, his left rear hoof slipped under the ground pipe of
the entry gate and dis-articulated the coffin bone and joint. It was determined that the blood
circulation of the area had been destroyed to the point that recovery would not be possible.
|View This Jet arrived at Step Ahead Farm on 9-21-2007 with a torn right front hoof.
Treatment 9-21-2007 through 10-29-2007
Farrier work was started, by Grady Hawthorn of Mt. Ida, AR. The first step was to place a supporting shoe on the
opposite hoof, in order to prevent any rotation of the coffin bone in the uninjured hoof from the extra strain of
supporting extra weight.
Necrotic tissue and loose hoof wall no longer connected to the sensitive lamina were removed using a dremel
tool. Wound Wash was applied to the sensitive lamina followed by Platelet Rich Plasma (PRP) held in place with
cotton, covered with an occlusive bandage, so the PRP would not be absorbed away from the wound site.
To prevent the exposed lamina of over one inch width from protruding through the hoof wall, cushion putty was
applied and put under a pressure wrap. The area between the hoof and the shoe was dremelled out 1/4" so that
no pressure was applied to the posterior of the hoof.
View This Jet walked sound and did not favor the injured hoof. The bandage was dry when removed and after three
days only contained a mild odor with no necrotic material. The big accomplishment was the soft tissue had not
protruded through the damaged hoof wall.
3cc PRP Gel applied on cotton
Cushion putty under a pressure vet wrap
This was allowed to remain in place for four days. The area of proud flesh which was present when the horse arrived
will need to be removed surgically. For bandaging the Velcro tabs are put in place to assist in stabilizing the bandage.
No pictures were taken of this day, but the same treatment as outlined above was applied. One important factor - it was
determined that the area of tissue at the coronet band level should not be removed, but allowed to remain in place.
No necrotic tissues or foul odor was detected when the bandage was removed, having been in place for three days. The
tissue was not cornified, but it is anticipated that it will have cornified by the next treatment. The dressing procedure
and treatment was repeated. Jet continued to remain sound.
It was determined not to put the pressure pad back on the exposed sensitive lamina since there did not appear to be any
tendency for the soft tissue to protrude. Necrotic tissue was detected at the junction of the hoof wall and the shoe on the
anterior surface of the exposed sensitive lamina. The owner confirmed that an abscess was present in this area when the
farrier nail his shoe and pad on in Utah. We decided to dremel out this area since the hoof wall was necrotic. PRP gel
with an occlusive bandage pressure wrapped with vet wrap was applied.