06/01/2025
✨🚨CASE OF THE MONTH🚨✨
An equine arthrodesis can be a life saving procedure or one to provide comfort to an acquired condition. Any change to the equine limb above the hoof will affect the hoof in some manner. While many feet can remain barefoot after this procedure, complications can arise and some hooves need some extra help.
In this case, a retired thoroughbred with a fused fetlock and pastern joint from a previous arthrodesis procedure presented with a wide, mobile dorsal toe crack. It was determined that dermatitis surrounding the surgury scar became inflamed, eventually extending distally to disrupt the coronary band. This caused abnormal hoof wall growth, which eventually failed, and cracked.
Initially, the crack was debrided, an aluminum bridge was placed to secure the crack, and the foot was placed in a roller motion heartbar shoe to support the hoof capsule. A topical ointment containing a mild steroid was prescribed to help treat the dystrophic dermatitis on the dorsal pastern.
After the insult of the infection had been resolved, improved hoof growth from the coronary band began. Despite a couple of unfortunately timed hoof abscesses which required indirect glue on shoes with treatment plates in both the arthrodesis limb and the opposing limb, the improved growth continued as the crack grew down, to the point where a bridge was no longer needed.
In time, the abscesses healed and the transition to more conventional shoes could begin. During this transition the coronary band again became desicated, so a topical hoof dressing was recommended to keep it moisturized. In 11 months time, the last remnant of the crack from the initial evaluation had grown out and a pair of shoes with omnidirectional mechanics were nailed on.