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This is a special case for us, as the owner, Mary Finch, recently celebrated her 79th birthday !

Her filly Roxy, a three year old Foxtrotter, was caught in a forked tree when rolling out in the pasture.

Please Click here to see the full article on Mary and Roxy in Horsemen's Roundup Magazine !

Roxy arrived at Step Ahead Farm four days after her injury.

The wound on the front of the hock was fully developed, with de-gloving and exposed bone.

The wounds on the backs of her legs were caused by pressure necrosis, from being trapped in the tree. These types of
injuries are treated in a similar way as burn wounds. They heal slowly, due to the fact that the circulation has been
impaired. The granulation tissue also takes on a different texture than other types of injuries.

A pertinent point to observe is the wound size of the pressure wounds. Compare the initial size of these injuries to the
size they reached on Day 15. At Day 45, note the texture of the granulation tissue.

The final results of these injuries will continue to contract and become more cosmetic over time.

The length of Roxy's stay at Step Ahead Farm is due to her being trained to ride here at the farm. Otherwise, she could
have gone home after 2 1/2 to 3 months of treatment.

A short video of case 211 is at the bottom of this page.
Treatment 10-20-2009 through 4-9-2010


Before, Half Way & After Pictures
Back of Right Fetlock
Back of Left Cannon
Front of Left Hock
Day 1
Front of Left Hock - The bone and the long digital extensor tendon are exposed, the Annular tendons are torn,
there are puncture wounds on the long digital extensor tendon, and divots on the exposed bone which raise the
concern of avascular necrotic bone developing.
Back of Left Cannon - Pressure necrosis injury, the superficial digital flexor tendon is exposed.
Back of Right Fetlock - Pressure necrosis injury, possible tendon damage.
Day 27
Front of Left Hock - There is some minor swelling in this area, still concerned that avascular necrotic bone may
develop.
Back of Left Cannon - Skin has stopped sloughing off, granulation tissue healthy.
Back of Right Fetlock - Nice epithelial border, the tendon is completely covered.
Day 11
Front of Left Hock - Granulation tissue at skin level on outer side of wound, tendon is completely covered.
Epithelial border starting at top of wound, this is typical of most  injuries doe to there being a better blood supply
at the top of the wounds.
Back of Left Cannon - Skin continuing to slough off, tendon is completely covered by granulation tissue.
Back of Right Fetlock - Removed flap of damaged skin that had sloughed off. Epithelial border starting on top of
wound.
Day 7
Front of Left Hock - Granulation tissue close to skin level on outer side, starting to cover exposed tendon.
Back of Left Cannon - Skin continues to slough off from pressure necrosis.
Back of Right Fetlock - Granulation tissue is doing well, skin appears to have stopped sloughing off.
Day 45
Front of Left Hock - Granulation tissue is at skin level on the entire wound, epithelial border growing well around
site.
Back of Left Cannon - Granulation tissue slightly above skin level.
Back of Right Fetlock - Granulation tissue at skin level, epithelial border covers entire wound.
Day 212
This mare is a fully functional trail riding horse and is Mary's favorite.

Utilizing Wound Wash and Lacerum Gel, with proper bandaging,
treated every third day, gives the owner minimal cost, and the horse
effective therapy.
Case 211
Hock / Cannon Area /
Fetlock Injury
Click on the photos to enlarge the view.