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Discussion on Post staple treatment

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Scott Fouch
Member
Username: Fouch

Post Number: 51
Registered: 3-2000
Posted on Monday, May 8, 2006 - 9:19 am:   Edit PostPrint Post

I have to have staples put in both front knees on a foal. I was just wondering how long he will need to be stalled and how long the legs will need to be wrapped.
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Little King Ranch
Member
Username: Eoeo

Post Number: 262
Registered: 10-2002
Posted on Monday, May 8, 2006 - 9:38 am:   Edit PostPrint Post

You should find all this out from the vet/vets that will do the work before or at the time they do the procedure. Ask questions, ask questions, ask questions, and make sure you get answers. Good Luck. EO
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 15561
Registered: 1-1997
Posted on Monday, May 8, 2006 - 5:38 pm:   Edit PostPrint Post

LKR is right, these decisions are based on several clinical observations we don't have, most important how severe the deformity is and how well the surgery goes. Unless there are complications or unusual circumstances absolute stall rest following the procedure is not desirable for more than a day or two but restriction to a paddock may be recommended until the staples are removed.
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 52
Registered: 3-2000
Posted on Tuesday, May 9, 2006 - 8:58 am:   Edit PostPrint Post

My vet indicated that the legs weren't too bad and should straighten out within 6 weeks. He is recommending two weeks of stall rest with leg wraps during this time. It sure would be nice if he could be in a paddock. The mare is going stir crazy being in a stall all of the time.
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 15572
Registered: 1-1997
Posted on Wednesday, May 10, 2006 - 6:56 am:   Edit PostPrint Post

What is his concern that leads to 2 weeks of stall rest, has he had trouble with swelling when exercised earlier?
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 53
Registered: 3-2000
Posted on Friday, May 26, 2006 - 8:40 am:   Edit PostPrint Post

Let me give you an update on the foal. The stitches have been removed from the surgery and there is swelling in both knees and the foal is lame in one leg. He had difficulty bending the leg and there was a hard knot on the incision side (inside) of the knee. X-rays show that the staples are in place and do not indicate any arthritis. The vet thinks the hard spot is scar tissue and has recommended keeping both legs bandaged and physical therapy of bending the leg for 30 minutes each day. He also wants as little exercise as possible. Between the splints for contracted tendons and leg wraps from the surgery, the poor foal has had very little turnout since he was born. He is also getting very irritable over having his legs wrapped...to the point that I am not sure with my limited help it is going to be possible. If the legs can't be wrapped will the healing process just be longer or will there be permanent damage? Any suggestions?
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 15711
Registered: 1-1997
Posted on Friday, May 26, 2006 - 11:05 pm:   Edit PostPrint Post

Scott, wrapping has nothing to do with the action of the staples, only the secondary swelling. And this secondary swelling...it is hard to figure how it might have permanent consequences. Have you tried a little Banamine for the swelling and lameness?
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 54
Registered: 3-2000
Posted on Thursday, Jun 1, 2006 - 10:46 am:   Edit PostPrint Post

The vet mentioned that there weren't any good oral anti-inflamatory drugs for a foal and that an injectible-type would be a problem (I guess just the frequency of the shots). One day he looks better and the next he looks worse. I don't know if it is the scar tissue causing the lameness or if there is irritation from the staple.
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Linda Sain
Member
Username: Banthony

Post Number: 15
Registered: 12-2003
Posted on Thursday, Jun 1, 2006 - 12:27 pm:   Edit PostPrint Post

Scott, We had a 7 month old thoroughbred colt fracture his P1 just before we were going to wean him. He and his mother had to be stalled for 60 days!

The mare was a trouper, but did start bucking a lot in the stall toward the end. We started out giving the mare and foal both Quietex. But it works less and less as time goes on. We ended up giving the colt an injection of Prolixin - a long term tranquilizer. And it really helped.

I don't know how old your foal is and if this would be an option. But something to check out.

Banamine can be given orally. It is really bitter and we give it in a syringe with a little molasses.
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 15763
Registered: 1-1997
Posted on Friday, Jun 2, 2006 - 7:31 am:   Edit PostPrint Post

Scott, on a young foal I too would recommend oral flunixin (Banamine) at the low end of dosing recommended in our article, Equine Medications and Nutriceuticals » Anti-inflammatories (NSAID's, Steroids, Arthritis Rx) » Flunixin (Banamine). I would have hoped it would control inflammation and get me past the painful stage. When do the staples come out?
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 55
Registered: 3-2000
Posted on Thursday, Jun 8, 2006 - 7:34 am:   Edit PostPrint Post

The vet thought it would take at least another month to six weeks before the staples could come out. I got some banamine paste from the local vet yesterday. How many days is it safe to give the banamine?
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 15839
Registered: 1-1997
Posted on Thursday, Jun 8, 2006 - 10:34 am:   Edit PostPrint Post

How old is this foal Scott?
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 56
Registered: 3-2000
Posted on Friday, Jun 9, 2006 - 8:52 am:   Edit PostPrint Post

The foal is three months old and the staples have been in about 4 weeks.
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 15855
Registered: 1-1997
Posted on Tuesday, Jun 13, 2006 - 7:08 am:   Edit PostPrint Post

Sorry for the slow response Scott, I unexpectedly did not have internet service for 4 days. At 12 weeks you can follow the recommendations in the article on Banamine which means coming off soon. How is the foal doing?
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 57
Registered: 3-2000
Posted on Thursday, Jun 15, 2006 - 1:44 pm:   Edit PostPrint Post

I have been doing the physical therapy for the last two weeks and yesterday it looked like he was walking normally for the first time since he was born. He looked a little stiff today but is still better than he was. Also, in the last couple of days I have seen a significant straightening in his legs, so the staples appear to be working.

I may wait and use the Banamine when the staples come out. As always I appreciate your insights.
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 15891
Registered: 1-1997
Posted on Friday, Jun 16, 2006 - 11:29 am:   Edit PostPrint Post

Super Scott,
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 58
Registered: 3-2000
Posted on Sunday, Oct 1, 2006 - 9:24 am:   Edit PostPrint Post

DrO,
I thought I would give you a follow up and had a question. The staples were finally removed 9 days ago. One leg still needed some straightening but the staples had popped out. The legs have been wrapped for nine days and he has been either in a stall or small paddock. I left the wraps off last night and there is some swelling in both knees. He hasn't shown any lameness so I haven't given any banamine yet. Should I continue to wrap the legs or would there be swelling when the wraps are removed no matter how long it was done?
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 16766
Registered: 1-1997
Posted on Monday, Oct 2, 2006 - 6:41 am:   Edit PostPrint Post

No, eventually the propensity to swell will subside but whether to continue to wrap depends on the degree of swelling. If not remarkable you may get by without it while waiting for this to repair otherwise continue to wrap.
DrO
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