Fetlock wound issues

Beee123

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Hi, apologies in advance for the long post! My horse (18 yo tb) ended up with a nasty fetlock wound a couple of months ago - no idea how she did it but she essentially degloved the area. Vets weren’t able to stitch it up as she wasn’t responding to the local anaesthetic across all of the wound and it was getting dangerous for everyone, including the horse, so the decision was made to keep it bandaged to heal naturally.

The wound healed over after about 7 weeks which was quicker than vets were expecting. She’s also never been lame on the leg and with everything looking to have healed well the veg agreed it was best to leave the bandage off. Unfortunately after about a week the wound had reopened so we’re back to square one with an open wound and bandage changes every 3 days. On top of this, a few days after the bandages were removed multiple sores appeared on her legs including one really nasty one, so as well as the initial wound we now have several sores across the lower leg and it’s of course a worry that more will appear now we’re back to bandages.

She’s a very sensitive mare and even though she’s never gone lame with the injury she’s clearly in pain (on Danilon now) as she has become very reactive every time the bandage is changed, and it’s becoming dangerous even with sedation. Vet doesn’t think there’s much we can do other than keep it bandaged until it heals again but has said as the wound is on the fetlock there’s a good chance the same thing will happen again. Given how she’s reacting to bandage changes and that it’s likely to keep reopening once healed, I’m struggling with how to proceed - vet has said PTS is ‘an option’ but I’m struggling when she’s otherwise fine, but I’m worried someone is going to get hurt during bandage changes.

Not really sure what I’m looking for, just wondered if anyone had any ideas or suggestions as it’s feeling like there’s nowhere to go with it…
 
Hi, apologies in advance for the long post! My horse (18 yo tb) ended up with a nasty fetlock wound a couple of months ago - no idea how she did it but she essentially degloved the area. Vets weren’t able to stitch it up as she wasn’t responding to the local anaesthetic across all of the wound and it was getting dangerous for everyone, including the horse, so the decision was made to keep it bandaged to heal naturally.

The wound healed over after about 7 weeks which was quicker than vets were expecting. She’s also never been lame on the leg and with everything looking to have healed well the veg agreed it was best to leave the bandage off. Unfortunately after about a week the wound had reopened so we’re back to square one with an open wound and bandage changes every 3 days. On top of this, a few days after the bandages were removed multiple sores appeared on her legs including one really nasty one, so as well as the initial wound we now have several sores across the lower leg and it’s of course a worry that more will appear now we’re back to bandages.

She’s a very sensitive mare and even though she’s never gone lame with the injury she’s clearly in pain (on Danilon now) as she has become very reactive every time the bandage is changed, and it’s becoming dangerous even with sedation. Vet doesn’t think there’s much we can do other than keep it bandaged until it heals again but has said as the wound is on the fetlock there’s a good chance the same thing will happen again. Given how she’s reacting to bandage changes and that it’s likely to keep reopening once healed, I’m struggling with how to proceed - vet has said PTS is ‘an option’ but I’m struggling when she’s otherwise fine, but I’m worried someone is going to get hurt during bandage changes.

Not really sure what I’m looking for, just wondered if anyone had any ideas or suggestions as it’s feeling like there’s nowhere to go with it…
Have you got help, or on your own?
Please wear a good helmet and protective gear in case you get knocked for six when she flaps about. Take care.
Change your sedative? (not all horses react similarly to the same ones) Sedative plus nose twitch? Sedative plus nose twitch plus hold the opposite leg up?
It’s a nasty injury, and if you can’t make progress with it, pts wouldn’t be the worst outcome - sad tho that would be - good luck.
 
Have you got help, or on your own?
Please wear a good helmet and protective gear in case you get knocked for six when she flaps about. Take care.
Change your sedative? (not all horses react similarly to the same ones) Sedative plus nose twitch? Sedative plus nose twitch plus hold the opposite leg up?
It’s a nasty injury, and if you can’t make progress with it, pts wouldn’t be the worst outcome - sad tho that would be - good luck.
Thank you for the reply! There’s always at least two people, sometimes three. We’ve tried a few sedatives and she’s always the same, even with the vet injected sedative, apparently at the highest dose they can give to her :( have also tried holding the opposite leg up and she still tries to kick out and ends up falling. It’s awful and so stressful for everyone involved. Haven’t tried with a twitch yet but worth a go at this point!
 
Thank you for the reply! There’s always at least two people, sometimes three. We’ve tried a few sedatives and she’s always the same, even with the vet injected sedative, apparently at the highest dose they can give to her :( have also tried holding the opposite leg up and she still tries to kick out and ends up falling. It’s awful and so stressful for everyone involved. Haven’t tried with a twitch yet but worth a go at this point!
Good luck, fit it fairly tight and give her a minute or two to take effect - can always post some food treats while waiting, and while doing the dressing.
Sounds like you’d know fairly quickly whether it is going to have the controlling effect needed, and obviously don’t leave it on long. Better to reapply again - you can but try!
 
I helped deal with one years ago. The owner made some stocks to hold the mare. Things were complicated by her having a foal at foot and standing on the fetlock when it went to feed. Then the wound turned into proud flesh which when the vet tried to debride it turned out to be a sarcoid. She was pts once the foal was old enough to be weaned.
 
With the dry weather now, would it be an option to leave the bandages and use manuka honey or similar?
This is what I would do, it should heal quicker if left alone as much as possible. I can’t see that you have anything to gain by struggling to keep bandaging the leg.
 
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