AURORASEREN EQUINE

CASE 4: Arabian Mare, 12 Yrs Old -- Acute Grade IV Laminitic Event

 

case_arabian_1This mare presented in severe pain; The left fore sole was open and the bone exposed; The right fore hoof was sinking.

 

 

 

  case_arabian_2

 

Day 1: Condition of left fore sole at time of surgery; Note exposed bone (arrow).

 

 

case_arabian_3

 

30 days post-surgery. Note new growth (arrows).

 

 

case_arabian_4 

Day 90: Although sinking had occurred with complete    loss of hoof capsule, circulatory collapse was not fatal.

 

 

                         case_arabian_5                                           

      

At 120 days the mare has new soles, heels and quarters.                                                                                     

 

case_arabian_6  

 At 6 months, the mare was sound with new hoof tissue.

 

case_arabian_7  

Day 180: The mare is ready to return home!

Go to: Case 1 Case 2  Case 3  Case 4  Case 5  Case 6  Case 7  Case 8

CASE 5: American Quarterhorse Gelding, 13 Yrs Old -- Chronic Acute Grade IV Laminitis


case_gelding_1

 

This middle-aged Quarter Horse was rescued by Cashvan Family Memorial Equine Fund. He was presented to us six months after an acute laminitic bout. He was unable to stand.

 

 

 

 

 case_gelding_2

 

Pre-surgery: Condition of legs showing hyperflexion of fetlocks and abrasions of fetlocks.

 

 

 

 

 

case_gelding_3

 

 

Post-surgery: Shows correction of fetlock hyperflexion. Capsular derotation complete. The horse is able to stand and walk comfortably.

 

 

 

 

case_gelding_4

 

Pre and Post surgery: The radiograph on the left was taken before surgery and capsular derotation. The radiograph on the right shows the bones of the hoof back in their correct position.

 

 

 

case_gelding_5

 

Day 180: The hooves have been returned to normal shape and size, and was ready for adoption.

 

 

 

case_gelding_6

 

 Ready for a new home.

 

 

 

 

 

Go to: Case 1 Case 2  Case 3  Case 4  Case 5  Case 6  Case 7  Case 8

 

 

 

Read more ...

.

CASE 6:  Quarter Horse Mare, 15 yrs old -- Fatal Sinker Syndrome


case_fatal_sinker_1Fatal Sinker Syndrome is the worst case scenario in Laminitis. These horses have traditionally been put to sleep. Dr. Ric Redden of Versailles, KY started investigating saving these horses through a procedure known as transcortical fixation and hoof wall ablation. As of this writing nine research cases have been tried, three were at Serenity Equine.  We have a survival rate of two horses in our hospital.  It is critically important that the horse reach surgery before all blood flow is lost to the foot. Once the hoof dies, it contracts, acting as a tourniquet causing bone and lamellar death. By placing pins in the cannon bone, removing the hoof capsule and casting the leg so as to cause weight bearing at the cannon bone while suspending the foot in a non-weight bearing mode, we are able to save the blood supply and the lamina. In a matter of weeks the lamina will harden and new hoof will grow. In one year all new tissue is normal. We expect our two cases to return to their previous abilities. 
 
case_fatal_sinker_2Venograms of Right Fore & Left Fore. Note the lack of blood supply to Right Fore and congestion of blood above coronary band. Left Fore has adequate blood supply and is a Grade IV rotation that required a deep flexor tenotomy. 

 

 

case_fatal_sinker_3The hoof capsule after removal or ablation appears normal from the outside, but once turned on its side shows the congestion and swelling from the dying lamina.

 

 

case_fatal_sinker_4After 3 weeks in a cast, hardening of the digital corium (hoof wall) and solar corium (sole) is almost complete. The cast & pins were left on for a total of 11 weeks (note arrows pointing to transcortical pins).

 

 

case_fatal_sinker_5

 

14 weeks post-op mare is comfortable enough to try and escape from stall.

 

 

 

 

 

Go to: Case 1 Case 2  Case 3  Case 4  Case 5  Case 6  Case 7  Case 8

CASE 7: Two year old Friesian gelding with bilateral solar penetration following acute episode of Potomc Horse Fever- a Grade IV laminitic event

Hugo_xr_LF

Day 1- radiograph showing penetration of sole by tip of coffin bone- note that the sole below the bone has dropped to the ground.

Hugo_LF_copy

Day 1- showing solar surface of left fore and exposed solar corium and bone. 

 

Hugo_xr_LF_after_copy

Six weeks post-surgery and digital realignment showing new sole growth and excellant alignment. Note- the dark area at the tip of the toe. This is the area that has grown out that was compressed circulation.

Hugo_xr_RF

Day 1 radiograph of right fore showing same pathology as left fore.

Hugo_RF_copy

Day 1 showing prolapsed sole and exposed bone and solar corium on right fore.

Hugo_after_xr_RF_copy

Six weeks post surgery showing new hoof, sole and digital alignment.

Hugo_2007_Keuring_1_copy

One year post surgery, horse was purchased with a clean pre-purchase exam and won his Keuring.

Go to Case 1 Case 2  Case 3 Case 4  Case 5  Case 6  Case 7  Case 8

 

CASE 8- 13 year old Hanoverian mare with Acute Grade III and IV.

 Canally_011_pre-presentation_copy

Prior to presentation to Serenity Equine, the owner tried to treat the coronary band rupture following a severe Grade IV attack of laminitis. The hoof wall has pulled away from the sensitive lamina and is necrotic. This was the mare's second attack of laminitis. The first attack left her with minor distortion and prone to a more severe reaction. The mare was Hyperinsulinemic and overweight.

Worlds_Fair_Canally_XRs_1st_look_LF_005_copy

Day 1- Left Fore- Grade IV laminitic event. Upon presentation to Serenity Equine: an elevated cuff was applied prior to shipping. There is no attachment  of the P3 to the dorsal hoof wall. The P3 is prolapsed through the sole and this foot has the coronary band rupture. 

Worlds_Fair_Canally_XRs_1st_look_RF_006_copy

Day 1- Right Fore Grade II laminitic event. This foot was considered a Grade III because there was no outward pathology. Had the foot not been treated rapidly, it would have progressed to a Grade IV. There is an internal shadow of hemorrhage in the dorsal hoof wall where the P3 has pulled away from the hoofwall. The rotation is not as severe and there is adequate sole depth. We elected to continue treatment with raised heels and monthly digital realignment.

 Fair_Canally_9-24-09_001_copy

90 days Post Treatment of the Right Fore. Notice the destruction of the dorsal hoof wall lamina that can be seen in the radiograph above.

  

Worlds_Fair_Canally_XRs_RF_mid-shoeing_in_cuff003_copy

Radiograph taken prior to the 90 day trim of the Right Fore, notice the destruction around the tip of the P3 bone. Both the dorsal hoof wall and underlying sole show major trauma, but there is healthy new sole and new hoof wall forming. 

 

Worlds_Fair_Canally_XRs_0_LF_mid-shoeing04_copy

90 day shoeing of the Left Fore. This foot was subjected to correction and digital realignment. Note the healthy new sole under the tip of P3 and the new hoof wall growing out.

Worlds_Fair_several_3_weeks_of_June_09_007_copy

The Left Fore at 90 days post-op showing the healing coronary band.

 

Worlds_Fair_July_004_copy

The healing coronary band rupture 30 days after the photograph above, showing the cornification of the hoof wall. Also note the new hoof wall growth. 

Worlds_Fair_Canally_XRs_Final_trim_LF_002_copy

Six months from the time of presentation, the Left Fore has healed and can be barefoot.

 

Worlds_Fair_Canally_XRs_RF_Final_shoeing001_copy

Six months later, the Right Fore is comfortable being shod with a modified pitch shoe.

Worlds_Fair_Trotting_001_copy

This photograph was taken prior to the mare's first laminitic attack.The owner reports that today the mare is happy and just as sound as before. 

 

 

 

Go to: Case 1 Case 2  Case 3  Case 4  Case 5  Case 6  Case 7  Case 8