Wound healing -Proud flesh?

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EmmaLeanne

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Hi, I am currently having trouble with my mares front leg. She cut her leg while in the field on barbed wire.
Two weeks and two days ago I arrived at the yard to find my mares leg in a sorry state. She had obviously cut her front left long quite deep as it was covered in a mass of dried blood.
We had the vet out as soon as possible and she cleaned the wound completely. She removed the scabs and checked the wound for dirt and other debris. she stated then the wound couldn't be stapled as the skin was too thick around the cut. Although the wound was about half an inch deep just above her hoof. The vet mentioned that the wound was infected as it was oozing out yellow pus at the one side. She gave her an anti-biotic jab, a tetnus jab, bute and antibiotic pellets to be put into her food to keep the infection at bay. She told us to clean the wound daily with hibiscrub and apply a disinfectant honey type lotion to the cut. She said the wound would be better left open to air but if it continued to get dirty to bandage it.
After the first day of her being in the stable the wound was getting very dirty despite care with the cleanness of her stable. (straw and hairs were getting stuck in it). Because of this the wound was then bandaged on the night when she had a deep bed and the bandage was left off in the day when she had a light bed. The wound was kept clean and her lotion applied to it daily. After around 1 week she did accidentally pull the scab off though, but this meant the pus and infection behind the scabs were flushed out when it began to bleed again. Since then the wound has been healing slowly but surely but the last two days the wound has changed. I'm wondering if this looks like a proud flesh wound? The vet will be called tomorrow either way. Any help is appreciated. Thank you, Emma

The first day we discovered the wound, this was before it had anything done to it.
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After the vet had cleaned the wound
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Around 5 days ago..
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This is what the wound looks like today
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looks like it is healing quite nicely. I would be putting manuka honey(+10 strenghth) on it 2x a day or a sugar and iodine paste which will help it tighten up. unfortunately looks like it may eave a scar. your vet will advise accordingly and he really is your best advisory in this case but I would be quite pleased to get to this stage in 2 and a bit weeks.
 
Id personally bandage after A LOT of dealings with cut legs ... the bandages will stop the proud flesh developing.

Allevyn Adhesive dressings are good and dont stick to the wounds yet allow healing - they come in different sizes - put the honey underneath and change every other day. x
 
I'd also recommend putting honey on it. Have heeled two very badly scalped knees using honey. One very bad one I used dressings and honey and the other just honey.
As it is quite low and likely to get bits of bedding in it I would also be tempted to bandage with a allevyn dressing on it.
 
You could try the Equimed AG dressing roll? The boots are expensive but seeing as you need only one small bit I think you can cut the dressing roll to size and it is reusable I think? Worked wonders on my mares very scarred and scabby legs!
 
^^^^this^^^^^

We are using this on the tb who had a altercation with a electric fence and lost.
The dressing is doing wonders on his leg and its healing quick than we thought it would.
 
The vet came out yesterday afternoon. He confirmed that it was proud flesh but luckily he didnt need to trim it. Instead he gave us a steroid and antibiotic cream to apply to the wound twice a day. He did say though that because it was so far down her leg and she is a thoroughbred she has less elastic in her skin. This meant that proud flesh was much more likely to develop. Because the wound was infected the vet we had out to start with advised putting the honey lotion on the bandage and changing it every day to draw out the infection. |Her first thoughts was to allow the wound to breath and not be bandaged. However, the vet we had out the second time advised us to not apply poultice and to keep it constantly bandaged. It just shows how different vets have very different opinions. Thank you for your replies, I appreciate it.
 
Used Equaide on a bad over-reach injury and it healed beautifully, not even a scar.
Was very pleased with the results, may be worth a try.
Had to get it from America, but that was several years ago, I think that there is a UK distributer now?
 
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