All foreign bodies, devitalized and necrotic tissues as well as all loose fragments are removed. Thorough flushing with mild antiseptic solution and cautious curetting of the surrounding tissue is performed. If the tendon sheath and/or the talocrural joint is/are affected also (see picture), they must be irrigated generously and, if necessary, also drained. Flushing has to be repeated 2-3 times within 3 days.
The picture shows a wound after completed débridement.
The wound is left open and placed under a sterile bandage.
During the postoperative period the wound has to be protected by sterile dressings, cleaned as well as disinfected at intervals of 2-3 days. It is equally important to administer systemic antibiotics and NSAID. To prevent fibrillation of the tendon, it is necessary to hand walk the horses up to the complete healing of the wound.
The horse cannot be ridden prior to 3-4 month after a successful surgical intervention.