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Vettec products used to repair hoofwall after Keratoma removal

on Tue, 03/19/2013 - 17:02
After finding a Keratoma, a surgeon was called in to remove it, leaving a resected hoof wall and an equally large hole in the sole

This big 12 year old draft horse is used for farming and skidding logs, and he's happy when he's working.  He has good feet and has generally not needed to be shod.  So when the owner noticed a bump on the lateral hoof wall on the right hind, he called in the vet who discovered a golf ball sized keratoma between the hoof wall and the third phalanx.  Keratomas are fairly uncommon benign masses of keratinized tissue, and their cause is unknown, but they do cause lameness and are surgically removed when possible.  The surgeon was able to successfully remove it leaving a resected hoof wall and an equally large hole in the sole.  Keeping a working draft horse confined in a stall is a challenge, and probably a good way to remodel a stall if you're thinking of expanding it.  He regularly rattled the whole barn kicking the walls out of boredom for a couple weeks during the initial healing period.  The vet recommended the owner call Vettec to see if the wall could be repaired after it cracked through.

Larkin Greene visited the horse and found the lesion well cornified and growing down nicely, but the wall suffered from the weight and produced the crack seen in the pictures.  Fortunately, the wall posterior to the crack had not yet separated though it was just a matter of time.  The goal was to shore up the wall to keep it intact and put a shoe on for further protection.  After trimming and prepping the site, beige Adhere was used in three layers to reinforce the wall.  A layer of SuperFast was then added to the bottom since it is more durable for ground contact.

One thing we never want to do is cover up an area where bacteria may be trapped, so the plan was to simply leave the hole open as it had been for three weeks.  The problem was the big guy was done being stall bound, and needed to be turned out.  There's a limit to reasoning with a 2400lb draft horse.  So the hole was packed with sterile gauze and covered with a 1/2" layer of EquiPak CS on top and bottom to keep mud and debris from pushing the gauze out.  This plug will be changed once a week, though the cornification of the site did not appear to be harboring bacteria or fungus.   The farrier could not be scheduled for a few days, but the plan is to get a shoe on this foot as soon as possible.  We hope to get follow up pictures of this case.
 

The hoofwall suffered from the weight of the horse and produced a crack.Hole in the sole from surgery - notice the light shining all the way through the hole.
Close up of Hole in the sole from surgeryThe goal was to shore up the wall to keep it intact and put a shoe on for further protection.
After trimming and prepping the site, beige Adhere was used in three layers to reinforce the wallLetting Adhere set  up
A layer of SuperFast was added to the bottom since it is more durable for ground contact.The hole was packed with sterile gauze to prevent any bacteria or dirt migration.
The hole was covered with a 1/2" layer of EquiPak CS on top and bottom to keep mud and debris from pushing the gauze outBottom of the foot.

 

We hope to get follow up pictures of this case.

 

Comments

SANDRA Guerra's picture

Any update on this hoof? I have a draft/qtr who's back right blow out from an abscess I need to find a way to help him to get him out of his stall also. Thanks.

Vettec Hoof Care's picture

Hi Sandra, 

Yes we are posting a follow up blog on this case today!

Andrea Lipinski 's picture

My horse had a keratoma removed in Feb. His hole started in the middle of the hoof by the the coronary band. Before the surgery he was not wearing any hind shoes. We have done dressing changes every 3 days. The horse has been sound since Feb. He is turned out, ridden and shown. My problem started last week after his trim. I could put my finger thru his hoof and come out his sole. I have been wrapping as I was but we have had a lot of rain. The hole was so packed with dirt he got a little sore. The surgeon said it was time for a bar shoe, which was put on both hind feet on Mon. Now he is lame and the hoof is breaking away on the side of his foot. My farrier told me about your products. I could send pics if you have advice. Mt feeling is to use some products to rebuild the hoof, fill in the hole and put easy boots on him. I have used easy boots a lot in the past. Thank you.