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A prominent feature in this case:
The distal tarsal joint was penetrated (torn open).

Jan 17 - first efforts of healing were PRP, after being cleaned with wound wash, which is non-cytotoxic.

On the third day, a heavy discharge of sonovial fluid supported by  injection of saline solution indicated that the
coffin joint had been  invaded.

Subsequent treatments were aimed at growing a granulation bed over the wound site and decontaminating the coffin
joint. Pain medication and IV antibiotic therapy were administered.

After 12 days we have a solid granulation bed except over the tissue that connects with the coffin joint. In an effort to
prevent the overgrowth of proud flesh equi-aid was applied.

As a result of the swelling over the top of the hoof, it was decided to cut a grove just below the coronary band. Farrier
work with a dremmel tool performed by Travis Anderson, see day 4-21-2008

Cleaning with Wound Wash and treating with Platelet Rich Plasma, using a plastic tube 2 1/2 inches into the wound,
treating every four days, continuing pain medication, but no antibiotic.

Granulation bed continuing to settle, wound continuing to heal, but soreness is still present, and probably will be for
about 60 days.
Treatment 2-1-2008 through 6-18-2008
This is a 10 year old Thoroughbred mare, injured in the pasture by dragging barbed wire across the field, cutting 1
1/2 inches into the pastern on the lateral side of the left front leg.
2-1-2008 Day 1
2-14-2008 Day 14
2-5-2008 Day 5
2-7-2008 Day 7
4-21-2008 Day 74
5-28-2008 Day 112
5-4-2008 Day 88
6-3-2008 Day 117
6-18-2008 Day 132
6-18-2008 Day 132 after trim
Case 184
Pastern / Coronet Injury
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