Foot

Fürst, Anton; Lischer, Christoph

doi:10.1016/b978-0-323-48420-6.00091-0

Cited by 6 publications

(10 citation statements)

References 98 publications

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“…The sole was treated with foot baths and bandages for 48 h to promote drainage, but unfortunately, the mare's comfort level continued to deteriorate. To alleviate the shearing stress on the lamellae and the solar corium, a standing tenotomy of the DDFT was performed at the proximal‐middle third of the metatarsus under local anaesthesia (2% lidocaine; Teligent Canada Inc.)(Fürst & Lischer, 2019). Subsequently, a wooden shoe with a 2‐degree wedge pad (Castle Plastics) was applied to provide heel elevation; the unilateral sinking of the DP was addressed by setting the shoe wide medially to move the centre of pressure (COP) towards the healthier medial side of the hoof and reduce the load on the affected (lateral) side (Figure 1d; O'Grady, 2020; O'Grady, Steward et al, 2007; Parks & O'Grady, 2015).…”

Section: Casementioning

confidence: 99%

Clinical application of the wooden shoe to complement surgical management of laminitis and other foot‐related disease in the horse: A report of three cases

Torrent-Crosa

Kamus

O'Grady

2023

Equine Veterinary Education

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SummaryThis article describes three cases in which severe foot pathology was managed with surgery and the application of a wooden shoe. Although all three horses would have fulfilled the grounds for humane euthanasia, they were successfully managed and had a favourable outcome. This article supports current farriery concepts and shows how the wooden shoe can effectively redistribute the horse's weight on the solar surface of the foot, alleviate foot pain, enhance foot biomechanics and serve as a valuable tool for veterinarians and farriers in post‐surgical management of laminitis and other foot‐related injuries.

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Section: Casementioning

confidence: 99%

Clinical application of the wooden shoe to complement surgical management of laminitis and other foot‐related disease in the horse: A report of three cases

Torrent-Crosa

Kamus

O'Grady

2023

Equine Veterinary Education

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“…Tenotomy is a therapeutic modality that aims to release the distal-proximal traction force that the DDF tendon exerts in the palmar/plantar region of the distal phalanx. Thus, the technique can be used to treat severe flexor deformities and certain cases of laminitis (DEARO et al, 2012;FÜRST;LISCHER, 2019;HENDRICKSON, 2007).…”

Section: Indicationsmentioning

confidence: 99%

Deep digital flexor tenotomy and Distal Phalanx realignment for the treatment of Chronic Laminitis in horses: a literature review

Cestari¹,

Pyles²,

Alves³

et al. 2022

BJDV

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Laminitis is the second most common cause of death from disease in horses and causes great suffering in the animal and economic and emotional losses for the people involved. Several therapeutic modalities are used in the treatment of this disease, but their results are not consistently described in the literature. In this scenario, deep digital flexor (DDF) tenotomy is a therapeutic modality that can be used for the treatment of chronic laminitis, releasing the traction force that the DDF tendon exerts on the distal phalanx, which helps with realignment of the latter. The objective of this study was to address the important factors of DDF tenotomy and distal phalanx realignment for the treatment of horses with chronic laminitis. The results of the above analysis suggest that DDF tenotomy and realignment of the distal phalanx is a therapeutic option that should be learned by veterinarians and that it can produce benefits to horses with chronic laminitis.

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“…Fractures of the distal phalanx have been divided into six different classifications based on configuration and location 1 . Surgical reduction and internal fixation is generally considered to be the gold standard for fractures involving the articular surface (types II and III) to improve fracture stability and consequently the quality of healing, and they also reduce the time necessary for fracture healing 11 .…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10][11][12][13][14][15] Fractures of the distal phalanx have been divided into six different classifications based on configuration and location. 1 Surgical reduction and internal fixation is generally considered to be the gold standard for fractures involving the articular surface (types II and III) to improve fracture stability and consequently the quality of healing, and they also reduce the time necessary for fracture healing. 11 Surgical reduction can be complex; it requires advanced imaging modalities for surgical guidance, and it may not be readily available in all cases in which conservative therapy can be attempted.…”

mentioning

confidence: 99%

“…Fractures of the distal phalanx in horses are a well described cause of moderate to severe lameness. 1,2 The most commonly reported causes of distal phalanx fracture are impact trauma (commonly kicking an unyielding object) or injury during high-impact exercise. 3 Treatment options for articular types II and III fractures include surgical reduction of the fracture with internal fixation, hoof-wall immobilization by external coaptation with a full foot cast or custom horseshoe application, and prolonged stall rest to reduce motion.…”

mentioning

confidence: 99%

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Ex vivo biomechanical evaluation of an adhered fiberglass and polymethyl methacrylate sole‐hoof wall cast on stabilization of type III distal phalanx fractures under simulated physiologic midstance loads

Westman,

Cullen,

Bergstrom

et al. 2023

Veterinary Surgery

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ObjectiveTo evaluate the effect of the application of a novel fiberglass‐glue cast (FGC) on the fracture gap width in experimentally created type III distal phalanx fractures in cadaveric specimens under simulated physiologic loads.Study designEx vivo biomechanical laboratory study.AnimalsNine unilateral adult equine cadaver forelimbs.MethodsType III distal phalanx fractures were created in forelimb specimens, which maintained distal components of the passive stay apparatus. The fracture gap was measured at 5%, 20%, 25%, 50%, 75%, and 95% of fracture length (palmar articular border to solar margin) using D65Pr‐PaDiO radiographs. The limb was axially loaded (700, 3600, 4600, and 6700 N) before, during, and after removal of a woven fiberglass cloth and polymethyl methacrylate cast that encompassed the sole and distal portion of the hoof wall (FGC). Fracture gap widths were compared among loads and treatments using a mixed model ANOVA.ResultsOn average, under simulated physiological midstance loads, the fracture gap width was 0.2 mm smaller after FGC application, with the greatest decrease (0.5 mm) near the articular surface. On average, it was 0.3 mm smaller than after FGC removal. Fracture gap width was 0.1 mm greater when midstance loads transitioned from standing load to walking, trotting, and gallop loads. The fracture gap width increased by 1.3 mm with increasing distance from the articular surface.ConclusionThe FGC reduced the fracture gap width and prevented the fracture gap widening that occurred after FGC removal.Clinical significanceThe findings support consideration of FGC use in the treatment of horses with type III distal phalangeal fractures.

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Foot

Cited by 6 publications

References 98 publications

Clinical application of the wooden shoe to complement surgical management of laminitis and other foot‐related disease in the horse: A report of three cases

Clinical application of the wooden shoe to complement surgical management of laminitis and other foot‐related disease in the horse: A report of three cases

Deep digital flexor tenotomy and Distal Phalanx realignment for the treatment of Chronic Laminitis in horses: a literature review

Ex vivo biomechanical evaluation of an adhered fiberglass and polymethyl methacrylate sole‐hoof wall cast on stabilization of type III distal phalanx fractures under simulated physiologic midstance loads

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