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Bone chip removal question

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Jump to page : 		Last activity 2018-08-28 2:53 PM
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Turnburnsis
Reg. Nov 2004
Posted 2018-08-28 1:25 PM
Subject: Bone chip removal question


Expert


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Location: Oklahoma		I was thinking (uh-oh lol) I know several people that has had knee replacement and drs. tell them to get moving almost right away and the same with other knee surgeries. Well my question is why is it different with horses? I know they can't elevate leg, but the time in stall is 30 days and then 30 days with small paddock and then turn out. In my case horse went in stall as soon as he was released to go home and he went nuts and ripped stitches out and got mild infection. Had to go stay a week and 1/2 so when he got home I put him in stall and run (tho he was supposed to be in stall but vet ok because lesser of the 2 evils) and he done great! and moves really nice. Now bout 1st 30 days later I feel like he can go to pasture and spend the rest of his time off. Course Im not gonna do this without ok from my vet. but just wondering bc people are supposed to go back to using it pretty quick and if they don't they don't have a very good recovery.
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casualdust07
Reg. Mar 2005
Posted 2018-08-28 2:53 PM
Subject: RE: Bone chip removal question



You get what you give


Posts: 13030
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Location: Texas		You can tell a person to do X, Y and Z and you can tell them to back off if they feel soreness or to call if something minor happens. With a horse, you can't control near as much. They can't tell you minute changes in pain and discomfort that you would be aware of personally if you had surgery done. Also, orthopedic surgery is painful and invasive, so you create inflammation when you do the surgery. You make an incision into the joint capsule (or multiple small incisions if doing arthroscopy), you remove a chip, you clean up any articular cartilage damage that the chip did, all the while the joint is likely flexed in an unnatural position, you lavage the crap out of it, and then suture it all back together.

Controlled exercise and stall rest is designed to keep horses from running, bucking, turning, and acting rough in the critical time period for healing. If your horse is not reacting favorably to being stalled your vet can prescribe long term sedation or get them on zylkene which is a drug free option that some horses respond to well, others not so much.


You do want them to get moving and not be stagnant but you have to do it very controlled and horses will run, buck, and play even in the face of pretty moderate pain so it's hard to tell them to take it easy. And even if they are chill and calm 95% of the time outside, all it takes is one romp in the pasture to mess everything back up.
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