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Posts: 1210
   Location: Kansas | My four year old came back from the trainer on Sunday, and I went out to do chores Monday night to find her with an ungloved front leg. The picture is from yesterday at the vet. He said then that there was too much swelling to even try stitching it, so I'm going back today to see if has gone down any. With the cut at the top being horizontal, there is no blood flow getting to the flap of skin, so I'm betting that it's going to die off. With that being said, she will probably have a huge open wound. I was wanting to use Underwoods because of the great reviews I've heard, but will I have to wait to use it for a long time since the wound is not supposed to be covered when using Underwoods? I was so excited to get to start hauling her, so this is just a heartbreaking ordeal. Any and all advice is appreciated if you know of any other remedies!
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 A Somebody to Everybody
Posts: 41354
              Location: Under The Big Sky Of Texas | Oh dam |
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 Extreme Veteran
Posts: 434
     Location: Northwest Florida | Yikes! Do you know how she managed to do that? |
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 Experienced Mouse Trapper
Posts: 3106
   Location: North Dakota | That will heal up nicely. I would start with furacin (I like it-some don't) under a wrap for 3-4 days to see if you can get some of that flap to adhere-wrap only after you have washed and cold hosed for at least 15 minutes. After the 3-4 days I would scrub it pretty vigorously with a mild soap cold hose and rewrap for a day or 2-repeat every couple of days-I would bet within 10 days you will have to cut some of the flap off-but I'm thinking you will get some of it to stick. I like hydro therapy the best and really using the furacin IMO is simply to keep the skin moist so it doesn't dry out and crack apart. Scrub the wound until it starts to bleed to keep good fresh tissue developing. Proud flesh comes from leaving "junk" to heal within the area. Bleeding (only slightly) tissue is healthy tissue it needs to be pink to continue to heal. As long as the horse tolerates it I would continue to wrap-I like to use no bows and polos to save on supply cost just don't over tighten. I do know there are some new products now that are like "new" skin that will help granulate the tissue over that area but I have no experience with them-I would ask your vet about that as it could be a great option here. Also, I realize you had him to the vet but did he get a tetanus booster that day? Better to be safe than sorry. Lots of work but it should heal up really nicely. I would most definitely not use the underwoods on this unless the horse is completely unmanageable. |
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Posts: 1210
   Location: Kansas | BigStarBound - 2015-11-18 3:40 PM
Yikes! Do you know how she managed to do that?
By the looks of the fence, it looks like she may have tried to jump it and hung her leg in it :( |
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 Expert
Posts: 1210
   Location: Kansas | LMS - 2015-11-18 3:48 PM
That will heal up nicely. I would start with furacin (I like it-some don't) under a wrap for 3-4 days to see if you can get some of that flap to adhere-wrap only after you have washed and cold hosed for at least 15 minutes. After the 3-4 days I would scrub it pretty vigorously with a mild soap cold hose and rewrap for a day or 2-repeat every couple of days-I would bet within 10 days you will have to cut some of the flap off-but I'm thinking you will get some of it to stick. I like hydro therapy the best and really using the furacin IMO is simply to keep the skin moist so it doesn't dry out and crack apart. Scrub the wound until it starts to bleed to keep good fresh tissue developing. Proud flesh comes from leaving "junk" to heal within the area. Bleeding (only slightly) tissue is healthy tissue it needs to be pink to continue to heal. As long as the horse tolerates it I would continue to wrap-I like to use no bows and polos to save on supply cost just don't over tighten. I do know there are some new products now that are like "new" skin that will help granulate the tissue over that area but I have no experience with them-I would ask your vet about that as it could be a great option here. Also, I realize you had him to the vet but did he get a tetanus booster that day? Better to be safe than sorry. Lots of work but it should heal up really nicely. I would most definitely not use the underwoods on this unless the horse is completely unmanageable.
Thank you so much for the advice! My vet did give her a tetanus booster yesterday. Today when I went back, he cleaned it, put a wet to dry bandage on it to promote healing (hoping that the skin will decide to adhere to the leg), and we are going back for another check up on Saturday. My vet is hoping that after Saturday we won't have to go back for a week or two. |
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 Duck Duck Goose
Posts: 1280
      Location: Ohio | Check out PF Wonder Salve. I used it in conjunction with laser treatments on my geldings hock wound and it healed beautifully. You can use it under a wrap in the beginning and eventually can use it without a wrap.
In the very beginning on my wound I also used zeroform. You can get it off eBay. From about week 2 on though I only used the PF salve. |
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 Elite Veteran
Posts: 787
      Location: NE Pa-Gods Country | i would wait on the underwoods till it has healed sufficiently from the inside out. i would keep on with hydrotherapy...and wrapping with a pressure wrap. Flexsleeve works great for keeping bandages in place too...i prefer the Equiaide because you can wrap with that...and this needs to be wrapped until healed
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 Expert
Posts: 1857
      
| mhprimetime - 2015-11-18 8:25 PM
i would wait on the underwoods till it has healed sufficiently from the inside out. i would keep on with hydrotherapy...and wrapping with a pressure wrap. Flexsleeve works great for keeping bandages in place too...i prefer the Equiaide because you can wrap with that...and this needs to be wrapped until healed
Good advice! This is how I would handle it too |
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 Expert
Posts: 1526
   Location: Texas | I would not do underwoods I would do silverdine and wrap it |
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Expert
Posts: 3147
   
| I love, love Pink Wound Dressing, but I don't know if it's available nationwide. The gentleman who formulated it lived in Dallas, Texas. We've had severe injuries heal beautifully using PWD. |
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 Expert
Posts: 1210
   Location: Kansas | mhprimetime - 2015-11-18 7:25 PM
i would wait on the underwoods till it has healed sufficiently from the inside out. i would keep on with hydrotherapy...and wrapping with a pressure wrap. Flexsleeve works great for keeping bandages in place too...i prefer the Equiaide because you can wrap with that...and this needs to be wrapped until healed
Checking out the Flexsleeve.. I think that I'm definitely going to try those after we're done with the wet to dry bandage which requires the standing wrap. |
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 Expert
Posts: 2457
      
| FlyingJT - 2015-11-18 8:40 PM
mhprimetime - 2015-11-18 8:25 PM
i would wait on the underwoods till it has healed sufficiently from the inside out. i would keep on with hydrotherapy...and wrapping with a pressure wrap. Flexsleeve works great for keeping bandages in place too...i prefer the Equiaide because you can wrap with that...and this needs to be wrapped until healed
Good advice! This is how I would handle it too
This is what I did as well, Equiaide - TONS of hydrotherapy, and scrubbing.
The first pic was the evening she did it, the second about three weeks out, the skin flap came off after trying to stitch and save it. The third pic is a couple months out ... I don't have a two years later picture (now) but all she has is a line. Sound as can be, no issues. The trick is daily work; you can't skip a day and you must change your wraps and hose EVERY DAY.
Chin up, you can do it!! She'll heal and it will all be OK!
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 Take a Picture
Posts: 12838
       
| This is what I call a barn door cut. I had a horse that had one like this and vet sewed it up horse ripped the stitches out. Wthin a couple of hours the skin had died and I cut it off. I treated it with Underwoods and the horse did not even have a scare. I am NOT a fan of Underwoods but it certainly did work well on that horse. This was a deep cut and was on the horse"s neck) |
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 It's not my fault I'm perfect
Posts: 13739
        Location: Where the long tails flow, ND | You should really check out MagnaCu or even just CuHorse wraps by PHT.
Check out my signature |
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 I Don't Brag
Posts: 6960
        
| I am dealing with a 3 corner tear much like this on the cannon bone, 'tho not quite a large and not involving a joint. I rinsed it well with saline, sprayed liberally with Vetricyn , straightened the flap out, put a non-stick pad and wrapped. The vet looked at it the next day, expecting the flap to have died off, but he said it looked very good, the flap seemed to be adhering. there is a gap in the skin which I expect to heal to a thin line. Asked the vet if I could wait a day or two to change wraps again, so as not to disturb the flap from reattaching. I also put his mare on SMZ pills for help in fighting any possible infection. When I am comfortable with the flap adhearing I probably will go to applying a Granulex type medication and not wrapping to help to prevent proud flesh. This will require hosing, scraping off bad tissue and reapplying every day until it starts bleeding profusely when cleaned (this indicates that the healthy skin is developing), then switch to every other day as wound completes closing.
Good luck and speedy healing whatever treatment you choose. |
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 Expert
Posts: 1210
   Location: Kansas | I'm ok with doctoring it, as in hosing, medicating, wrapping, all the usual stuff... but boy, I think I'm going to have a real hard time scraping it clean  |
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 Experienced Mouse Trapper
Posts: 3106
   Location: North Dakota | Nope-get a soft fingernail type brush and use either a gentle iodine scrub or nolvasan scrub that makes good suds and you shouldn't really even notice the flesh that comes off-might go through a lot of soap but it works pretty good. Besides you have to do it if you want it to heal! |
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 Good Grief!
Posts: 6343
      Location: Cap'n Joan Rotgut.....alberta | Im just gonna have to flatout disagree with scraping it off.....i have dealt with some very very bad wounds and i have never ever done that.....but i also dont hydro bad wounds. ...but thats just me...M |
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Veteran
Posts: 144
 
| Equaide is AMAZING for wounds like this. I've healed many a wound with bone showing in record time using Equaide! |
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 I Don't Brag
Posts: 6960
        
| mruggles - 2015-11-19 4:06 PM
Im just gonna have to flatout disagree with scraping it off.....i have dealt with some very very bad wounds and i have never ever done that.....but i also dont hydro bad wounds. ...but thats just me...M
If you look more closely (if this in reference to my post) I don't scrape it until it well in to the healing process...I guess I didn't actually say when it begins to build excessive proud flesh....my bad.
Also regarding the Equiflex sleeve. I liked mine for a suspensory but in this case, I would NOT use one. They tend to fall down a bit and that might pull the flap down and not help it heal. |
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 My Heart Be Happy
Posts: 9159
      Location: Arkansas | I have no advice but am sending prayers!! |
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 Expert
Posts: 1210
   Location: Kansas | rodeoveteran - 2015-11-19 6:06 PM
mruggles - 2015-11-19 4:06 PM
Im just gonna have to flatout disagree with scraping it off.....i have dealt with some very very bad wounds and i have never ever done that.....but i also dont hydro bad wounds. ...but thats just me...M
If you look more closely (if this in reference to my post ) I don't scrape it until it well in to the healing process...I guess I didn't actually say when it begins to build excessive proud flesh....my bad.
Also regarding the Equiflex sleeve. I liked mine for a suspensory but in this case, I would NOT use one. They tend to fall down a bit and that might pull the flap down and not help it heal.
Oh ok... what about using the sleeve once it has significantly healed just as extra protection? |
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 Good Grief!
Posts: 6343
      Location: Cap'n Joan Rotgut.....alberta | rodeoveteran - 2015-11-20 6:06 PM
mruggles - 2015-11-19 4:06 PM
Im just gonna have to flatout disagree with scraping it off.....i have dealt with some very very bad wounds and i have never ever done that.....but i also dont hydro bad wounds. ...but thats just me...M
If you look more closely (if this in reference to my post ) I don't scrape it until it well in to the healing process...I guess I didn't actually say when it begins to build excessive proud flesh....my bad.
Also regarding the Equiflex sleeve. I liked mine for a suspensory but in this case, I would NOT use one. They tend to fall down a bit and that might pull the flap down and not help it heal.
I still have never scraped or scrubbed a wound til it bleeds....but i have never had to deal with proud flesh either so maybe thats the difference......M |
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 Expert
Posts: 1210
   Location: Kansas | Chandler's Mom - 2015-11-19 11:09 PM
I have no advice but am sending prayers!!
I appreciate that so much!! |
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 Toastest with the Mostest
Posts: 5712
    Location: That part of Texas | Sending prayers and best wishes for healing. I'm dealing with a huge shoulder injury on one of my mares right now (is it in the water? ugh!) and the one thing I can pass along is my vet said to wait to use Wonderdust or any product that contains copper sulfate until the wound is healing (not use at the outset) because the copper sulfate can delay the healing process. She said it was sent to vets as a caution to pass along from some study done here lately. I've used that for years and haven't had a problem but if you notice delayed healing, it may be a cause for it so look at what's in whatever product you are using. |
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 Expert
Posts: 1210
   Location: Kansas | Red Raider - 2015-11-20 9:50 AM
Sending prayers and best wishes for healing. I'm dealing with a huge shoulder injury on one of my mares right now (is it in the water? ugh!) and the one thing I can pass along is my vet said to wait to use Wonderdust or any product that contains copper sulfate until the wound is healing (not use at the outset) because the copper sulfate can delay the healing process. She said it was sent to vets as a caution to pass along from some study done here lately. I've used that for years and haven't had a problem but if you notice delayed healing, it may be a cause for it so look at what's in whatever product you are using.
Good to know! I will put the Wonder Dust away for a while! :) |
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