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



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.







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









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







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.






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






 Ready for a new home.






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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).





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






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


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


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



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.


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


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


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


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

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


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.


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. 


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.


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.



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. 



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.


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



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. 


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



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


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. 




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Morgan and Liz

Submitted by Liz Weber

This is the story of Morgan's traumatic wound and the laminitis that almost killed her....


 (Note that some images are graphic in nature. View at your own risk.)



I couldn't help it. The tears of relief just started to roll down my face when Dr. Floyd showed us the in-stall camera & monitor she would be using to watch Morgan for the first 24 hours to gauge her condition and ensure she didn't injure herself further. That was all I needed to see of the facilities to know we'd found the right place for Morgan.





Morgan had ripped open her left front leg when she spooked while being tied to our hitching post. She'd pulled the post down, the lead line didn't release, and Morgan ran about ½ mile dragging the hitching post as it cut into her leg. The post had made hamburger out of her leg.   (left, original wound photo)









After four hours of surgery her leg was put together as best it could be (left, post op photo). However, after two months of taking 1 step forward and 2 steps back, the surgeon told me – with tears in her eyes – there was nothing else they could do for her.








Her injured leg was healing, however she'd foundered and was now going to lose her right front hoof; she only had two "good" legs now and that doesn't work for a horse. The surgeon said, "However, there is one place that may be able to help her..." The rest, as they say, is history.




The day we transported Morgan to Serenity Equine, Dr. Floyd checked on our progress regularly during the four hour trip to ensure all was going well. As soon as the trailer pulled up to the hospital, Dr. Floyd and her team converged on the trailer; assessing Morgan in the trailer, determining the safest and easiest way for Morgan to step out of the trailer, etc. 

As Dr. Floyd and some of her team worked with Morgan, Trish put her arm around me and said, "Come with me and let's talk about Morgan's diet." After I shared with her what we fed Morgan, Trish replied, "That's good. However, we're going to change that. She needs a different diet to help her heal." Amazing.






During the first week, Dr. Floyd called me each evening to give me an update on Morgan. As time went on, daily email updates kept me abreast of Morgan's progress.  From her first 24 hours at Serenity when she was simply unloaded, given a bath, put into a sleazy to help protect her bed sores, and allowed to do nothing but eat and sleep.







Dr. Floyd continued to provide me with regular updates.






During our weekly visits, the staff would adjust their treatment schedule to ensure we could observe their work with Morgan.....




   Morgan_Webber_2009_3_copy well as track her healing wounds and her regained mobility.







Through a rough initial few weeks of a tenotomy, quarantine, the slow process of realigning the angles of her leg brace, and then the months of watching Morgan's foundered right front hoof re-grow (see photo left), Dr. Floyd's holistic approach to equine care came through time and again. With the help of the slurpies Morgan was given to drink while she laid prone, the various creams and leg wraps Dr. Floyd invented, as well as the natural hoof trims, and strength building exercises – it all worked.  Morgan was walking again -- in fact, Morgan could trot again!





Eleven months later, Morgan came home.