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Veteran
Posts: 155
 
Location: Riding or working in Texas | My mare was injured November 3 the first picture is what her leg looked like at the vet that day.. OUCH right.. poor baby basically d-gloved her leg. We did x-rays and all that, luckily there was no damage to ligaments or bone only a small spot where she clipped her tendon that was so minor that it did not need repaired. I have been doctoring her very carefully since that day.
Our regiment was clean leg, stimulate the tissue and keep out infection! also i have a good friend with a laser who has used it on her leg 99% of the time that we change the wrap. wrap went from every other day to every three days to every 5 days over this time.
i have used only vetericyn gel on the wound directly then applied moist dressing around and on the wound.
I feel like it has been healing great!! she is not lame at all and is in good spirits!
no my worry is when to stop wrapping ?? and when i do whats the best thing to protect the wound??
anyone out there who has delt with such an injury?
any thoughts would be helpful thank you in advance!!! |
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 BHW Resident Surgeon
Posts: 25352
Location: Bastrop, Texas | Do you have any photos of the injury and anything recent? |
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Veteran
Posts: 155
Location: Riding or working in Texas | ok i got it! so obviously the last picture is day of the injury. last two are of her leg this week
Edited by Turninhard 2017-01-22 11:49 AM
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Veteran
Posts: 155
Location: Riding or working in Texas | here are a couple of the in between times.
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 You get what you give
Posts: 13030
 
Location: Texas | Have you asked the vet who saw your horse when they think you could stop wrapping it? It looks like it is healing well and granulating in with good tissue. I'm sure the bandaging has helped with swelling and I wouldn't be shocked if the leg stocks up a little once you stop wrapping it. Also, they may suggest instead of stopping cold turkey to gradually tone down the amount of padding and support you use over time so it's not such a dramatic change in support. |
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Veteran
Posts: 155
Location: Riding or working in Texas | I have sent him pictures he has not answered me back, i do not want to have to take her back in just so he can look at the injury. ( cant get it off my mind so i thought i could get some other input) i feel like she is healing great but have battles with myself over what is better for her at this point and then what should i put on it to promote skin regrowth?
Edited by Turninhard 2017-01-22 12:14 PM
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You get what you give
Posts: 13030
Location: Texas | sent you a PM
I would try to message him again. He gets a lot of messages during the work day and between seeing clients and answering calls, messages get read and then he can't reply at the time. He's told me "if I haven't responded in an hour, just send it again!"
Edited by casualdust07 2017-01-22 12:52 PM
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 Texas Taco
Posts: 7499
Location: Bandera, TX | Wow! How long ago did this happen and how?
Sorry no advice, but it looks good. You have done a great job fixing her. |
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BHW Resident Surgeon
Posts: 25352
Location: Bastrop, Texas | At this point, I don't think wrapping will do that much good. You have to ask yourself what are you trying to accomplish? What's important?
That nice granulating bed and the ingrowth of new skin from the edges is really what's most important. Your goal should be to keep bacterial overgrowth at a minimum. You cannot possibly sterilize the wound. There will be surface bacteria until the wound is completely covered with skin, always.
Keep it simple. Hose that wound off vigorously, then wash with a soft bristle brush and bacteriocidal soap, and hose again. Go ahead with something like vetricyn, if you want, but I don't think that's absolutely necessary. I would think that twice a day should do the trick.
Down the road you might start to see granulation tissue heaped up more and more, as the wound closes. It's possible that might have to be shaved back (debrided) a bit, but if that happens, ask your vet.
Edited by Bear 2017-01-22 12:54 PM
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Veteran
Posts: 155
Location: Riding or working in Texas | Thank you very much! dose scrubbing the wound directly make for more proud flesh??
i have used clorhexidine and 4x4 to scrub around the injury and lightly rub over the actual injury,
i have started hydro therapy !! i also started putting equiderm directly on the injury.
also worried about it getting dry?? she acted like she was going to bite at it yesterday after i had left it open for a while?
thank you sooo much for your input!! |
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BHW Resident Surgeon
Posts: 25352
Location: Bastrop, Texas | Proud flesh is just heaped up granulation tissue. I wouldn't worry about it. You might need to debride or trim some away, eventually, but that's not a big deal. Scrubbing with a brush helps keep it debrided. You will notice a greenish-yellowish film on that pink-red granulation tissue. That's fibrin with trapped dead cells, debris, and bacteria. That peels away with your debridement. If it bleeds and oozes a little that's good. Experiment with a stiffer brush at some point.
Also.....start riding him. You won't hurt anything.
Edited by Bear 2017-01-22 1:55 PM
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Veteran
Posts: 155
Location: Riding or working in Texas | ok i will give this a try! try thank you so much for your input! i do see the tissue your talking about.
she will love to get out of her stall!! thank you!! i will keep you posted |
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 I Don't Brag
Posts: 6960
| Looking pretty good considering. Once there is enough granulation tissue I would switch to something like Granulex/Trypzyme or I have heard lots of stories about Underwoods and baking soda.
If I was using Granulex I would begin by cleaning the wound then spray with the Granulex. It leaves a protective film to help keep excess crap from getting in, it also helps to keep it from really drying out. I would do this twice a day using warm water to gently loosen the "scabby" material and then maybe hose for awhile and reapply Granulex. Be warned, the closer you get to making skin, the more it will bleed. This is a good thing. I am not saying that this is what YOU should do, but what I would do. I have a little experience with Underwoods but it worked well too. |
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 Take a Picture
Posts: 12842
| As much as I dislike this stuff, it does work WELL. UNDREWOODS HORSE MEDICINE. follow directions exactly. |
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 Expert
Posts: 2258
| I had a mare with a very large wound in July. The vet told me I could stop wrapping once it was granulated over well which I did on and off in the fall but she has lymphatic damage and the leg stays very large so we continue to wrap to keep it down. I also live in Montana and we have been freezing and well below zero since sometime in December so was advise to leave it covered so the flesh does not freeze and cause damage. I will try to load a picture of when it happened and I have one from first week in Dec. Hers has been slow healing it went from just above her hoof to mid way up her gasking. You look like you are doing good with yours, these lower leg injuries take lots of time it seems.
Edited by cutnrunqhmt 2017-01-22 4:58 PM
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charm cut.jpg (54KB - 179 downloads)
charm cut 2.jpg (22KB - 171 downloads)
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Veteran
Posts: 155
Location: Riding or working in Texas | why do you dislike underwoods?? just curious i havent used it. |
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Veteran
Posts: 155
Location: Riding or working in Texas | o wow her injury looks worse than my mare! Im sorry ! your right it seams that it take an incredible amount of time to heal and not easy because they move and the movement slows down the tissue growth! i feel like i could have a degree in open wounds after all this lol!! good luck cutnrunqhmt!! |
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BHW Resident Surgeon
Posts: 25352
Location: Bastrop, Texas | There's nothing at all wrong with Underwoods. It does a good job of keeping the wound clean and debrided, but it's not essential. You can do just as well with lots of clean water, washing to debride, followed by more water. Avoid goops, creams, and powders that make spectacular claims that try to convince you they have some magical healing powers. Nothing is more magical than the innate powers to heal wounds in man and animals, so long as there is good nutrition and debridement. Avoid things like strong, undiluted soaps and solvents like full strength betadine, bleach, peroxide, or alcohol based solutions. Things like that can actually kill healthy tissue and compound the problem.
Someone made a good point about wrapping large wounds if you live where the temps can get very cold. That makes sense.....out only if it's well below freezing constantly. |
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Expert
Posts: 2258
| Turninhard - 2017-01-22 5:00 PM
o wow her injury looks worse than my mare! Im sorry ! your right it seams that it take an incredible amount of time to heal and not easy because they move and the movement slows down the tissue growth! i feel like i could have a degree in open wounds after all this lol!! good luck cutnrunqhmt!!
She was lucky like your mare no serious damage to anything vital. She is basically sound but stiff. She is just a broodmare so good enough. I got good at being a wound Dr too.
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Veteran
Posts: 155
Location: Riding or working in Texas | Bear
i was kind of worried about not wrapping it after i read that. i intend on putting her back into my competition program so any kind of lymphedema would be make me worry. i was looking into a hydze compression stocking??? she has some swelling but nothing i have been worried about so far, but i have kept a good wrap on it too. any thoughts there ??
i do not have to worry about it freezing i live near Houston Texas:)
Edited by Turninhard 2017-01-22 5:59 PM
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