Diseases of the Horse's FootReeks, H. Caulton (Harry Caulton)
Science
Diseases of the Horse's Foot
Reeks, H. Caulton (Harry Caulton)
Hoofs -- Diseases; Horses -- Diseases
The operation ended, the dressing follows. Upon this depends very largely
the ultimate recovery of the patient, for it is only by careful attention
and suitable dressings that effectual repair of the injured structures may
be brought about.
A light shoe is first tacked on to the foot, and those portions of the
horny sole that have been allowed to remain dressed with Venice turpentine,
tar, or other thickly-adherent antiseptic.
The exposed soft tissues are then dressed with pledgets of tow[A] soaked
in alcohol and carbolic acid. This dressing must be allowed to remain in
position, and is kept there by means of a bandage, or the shoe with plates
(Fig. 55) and a bandage over it. No pressure is needed; consequently, the
pledgets of tow must not be too thick.
[Footnote A: When using tow in the form of a pad, it is well to remember
that many small balls of the material rolled lightly in the palm of the
hand and afterwards massed together are far better than one large pad of
the tow taken without this preparation. The irregularities of the wound are
better fitted, and the whole dressing easier remains _in situ_ (H.C.R.).]
In the after-dressing of the wound careful attention must be paid to the
granulating surface. Where tending to become too vigorous in growth it
should be held in check by suitable caustic dressings. At the same time it
must be remembered that the granulating process of repair is always more
rapid upon the plantar cushion and fleshy sole than upon the bone, or upon
tendinous or cartilaginous structures. As a result of this we have a wound
showing various aspects of cicatrization. Healthy granulation may be
profuse in one spot, while in another it may be checked either by a flow
of synovia from the still open bursa, or by fragments of bone or of tendon
still acting as foreign bodies in the wound. These latter may be readily
detected by their standing out as dark and uncovered spots in the healthy
granulation around, and should be at once removed.
The time that an operation wound of this description takes to heal--and
that without complication--is from one to two or three months. Continuation
of pain and intensity of lameness are not to be taken as indications of
failure. The reparative inflammation in the synovial membrane is quite
sufficient to induce pain severe enough to prevent the animal from placing
his foot to the ground for some weeks, even though the progress of the
case, all unknown, may be all that is desired. So long as a great amount of
pain is absent, and so long as appetite remains and swellings in the hollow
of the heel fail to make their appearance, so long may the progress of the
case be deemed satisfactory.
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