Authors of section

Authors

Jörg Auer, Larry Bramlage, Patricia Hogan, Alan Ruggles, Jeffrey Watkins

Executive Editor

Jörg Auer

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Resection

1. Preparation

Local anesthesia

A medial and lateral palmar/plantar nerve block is applied at the level of the proximal sesamoid bone.

Solar margin fracture of the distal phalanx - fragment removal

Hoof preparation

The involved foot is picked up and thoroughly cleaned.

With the appropriate preparation and draping of the surgical site, this procedure is performed with the patient placed in lateral recumbency

Solar margin fracture of the distal phalanx - fragment removal

2. Fragment removal

The solar margin in the fracture region or around the draining tract if there is one is thinned with a “clean” hoof knife layer for layer until the fragment is encountered.

Solar margin fracture of the distal phalanx - fragment removal

The fragment is identified, isolated, and removed.

Solar margin fracture of the distal phalanx - fragment removal

The fracture bed and surrounding bone is carefully curetted. All undermined sole, if present, is removed down to healthy sole/bone.

Solar margin fracture of the distal phalanx - fragment removal

A postoperative radiograph is taken to assure complete removal of the/all fragment(s).

If possible follow-up pictures are taken.

Solar margin fracture of the distal phalanx - fragment removal

3. Aftertreatment

A sterile bandage is applied and the horse returned to its stall. The horse is kept in the box stall for 10 days.
The bandage is changed every 2 days until the defect of the bone is covered with clean, healthy granulation tissue and is dry.

Once the defect is covered by healthy tissue, the foot can be placed in a well-fitting plastic shoe.

resection

Complication

An alternate technique uses a nailed-on horse shoe to which a footplate can be screwed on to protect the healing defect until normal solar horn is formed again.

resection

If possible, follow-up pictures are taken.

resection