b'SPONSORED BYthe affected portion of the coffin bone either through the sole or the hoof wall. These animals commonly need foot care for four to eight weeks post-surgery.Solar injuriesInjuries to the sole, such as prolapse (when a rotated or dropped coffin bone causes the sole to bulge out-ward) or perforation (when it penetrates the sole), present another management obstacle.For mild prolapsed soles (or horses with pain in the toe region), Belknap rec-ommended veterinarians or farriers apply a wooden shoe (clog), using a Dremel tool to create a gap in the clogs sole surface where the prolapse is present, then filling it with a rubbery cushion support mate-rial (commercial silicon putty materials sold for hoof care). The advantages the wooden shoe offers include:The wood material provides more give than traditional metal shoes; and circumference of the shoe takes some The beveled ground surface around theGet back onMAUREEN BLANEY FLIETNER of the physical stress off the affected Cryotherapy can benefit horses at risk of devel- hoof wall/laminae.track withoping sepsis-related laminitis. For horses with solar perforation, he recommended applying an open-sole multiple small openings (in the sole orcast. In some cases, he added, a deepTildren*hoof wall) to allow both drainage and ac- digital flexor tenotomy (transecting, or tive lavage of the abscess, said Belknap.cutting, the deep digital flexor tendon, or Once drainage is established, treatmentDDFT, in the mid-cannon bone region) begins with Epsom salt soaks and lavagecan benefit these horses. The DDFT runs once or twice a day. If the horse willdown the back of the horses leg and not bear weight on the limb, Belknap attaches to the back of the coffin bone. recommended applying open-sole casts,Transection removes one of the main which are essentially half-limb casts (upforces responsible for coffin bone rota-to the knee) that encompass the entiretion and could alleviate pain and further hoof, supporting the sole with cushionlaminar injury by decreasing pull on the material while still allowing access forbone and inflamed lamellae. treatment.Belknap said not all horses can recover He noted that products such as Clean- from this severe complication. However, Trax can aid in healing, but cautionedin those that progress well through treat-that while they work well when usedment, the solar tissue generally heals over for soaking, they can make horses sorersix to 12 weeks.when used for lavage. If neither EpsomNot all laminitis complications are salts nor CleanTrax work, medical mag- insurmountable. With proper diagnostics, gots can help eliminate diseased tissuecorrect treatment, and careful manage-and offending organisms, he added. ment, Belknap said many horses can Belknap said its important to deter- overcome laminitis them. hmine whether the horse has developed less common septic osteitis (infection ofDo not use in horses with impaired renal function e or with a history of renal disease. NSAIDs should not be the coffin bone) in conjunction with theused concurrently with Tildren. Concurrent use of NSAIDs abscess. Its likely to be a septic conditionVisit TheHorse.com/AAEP2017 with Tildren may increase the risk of renal toxicity and acute renal failure. The safe use of Tildren has not been evaluated in if a focal area of bone resorption (remod- horses less than 4 years of age, in pregnant or lactating mares, or in breeding horses. Tildren is a registered trademark of eling) is evident on X rays and must be Preventing and Treating Sepsis-RelatedCross Vetpharm Group. All rights reserved. *CAUTION: Federal law restricts this drug to use by or on the order of a licensedtreated; this requires surgical removal ofLaminitis, TheHorse.com/40208 veterinarian. 2018 Bimeda, IncMarch 2018THE HORSE AAEP Wrap-Up TheHorse.com/AAEP2017 A25'