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Charlayne Penrose
Member
Username: Image
Post Number: 7
Registered: 6-2006
| | Posted on Tuesday, Jun 6, 2006 - 8:30 pm: |   |
My 6 year old mare, Image, decided to take out our horse fencing (wire squares) about 2 weeks ago. She ripped her leg right through the skin for about 3 inches just slightly behind and below her chestnut. I started out treating it with hydrotherapy for 15-20 minutes everyday and cleaning with Betadine soap. The first thing I used was Farnum's Tri Care ointment. It was very swollen from an inch above the injury to down below her knee so while washing it, I would massage the knee and below to try to help circulation. It showed signs of infecting so I used neosporan for days 3 and 4 until I re-found this website with the excellent advice on wound care. I had Furall spray so I switched to that while I hunted the horse stores for Novalsan ointment. Finally got some this past Friday and started using it Friday night. I have had to put a layer of Swat around the Novalsan as the knats are terrible. What a difference by Sunday. It was nearly closed. Yesterday when I hosed it, just the pressure of the water (nothing she hasn't been getting all along) was making the edges bleed. (granulation) Today it is granulating slightly above the surface of the wound and doesn't look as good as it did even yesterday. I am wondering if I am still on the right track with treating this? Here's the pics...Let me know what you think. I am still using the Betadine soap to clean the serum off. Is that the wrong thing to do?
Thank you!
Charlayne |
Jane W Johnson
New Member
Username: Bravo
Post Number: 3
Registered: 5-2006
| | Posted on Tuesday, Jun 6, 2006 - 10:24 pm: | |
Hi,
I am dealing with a similar but MUCH worst injury. My yearling tried to go through a Non-climb fence. You know the "safest" fence available. She got her face stuck - v shaped tear down the entire face to the bone! AND she put her left leg in the fence to try to get her head out - torn off an area 5 inches wide by 6 inches long below the knee. I tried many of the same treatments you did and had proud flesh coming rapidly. I discussed this with a wonderful equine surgeon and she suggested CALCIUM ALGINATE DRESSINGS. You can order this online. See this site. It tells it better than I could. IT IS AMAZING! Good Luck!http://www.dvmnewsmagazine.com/dvm/article/articleDetail.jsp?id=9388 |
Shelley
Member
Username: Sswiley
Post Number: 173
Registered: 1-2005
| | Posted on Tuesday, Jun 6, 2006 - 11:31 pm: | |
looks like you are doing a nice job keeping this wound clean. But I aggree with Jane, There are some heavy duty proud flesh medications out there that are not off the shelf feed store type medications. You might want to talk to a vet to get something stronger if you are not happy with this amount of proud flesh. |
Katrina
Member
Username: Kthorse
Post Number: 430
Registered: 11-2003
| | Posted on Wednesday, Jun 7, 2006 - 7:21 am: | |
Sometimes if the pressure of the water is too strong I have found it can stimulate proud flesh. I dealt with it for 6 months on a coronary band injury. I cut it off a few times as did my vet. Too much movement of the limb can also stimulate it. I kept mine bandaged untill it stopped forming finally. I personaly dont like proud flesh medications as I think they can damage healthy skin.
Katrina |
Robert N. Oglesby DVM
Moderator
Username: Dro
Post Number: 15823
Registered: 1-1997
| | Posted on Wednesday, Jun 7, 2006 - 8:34 am: | |
Well I don't know how much pressure Katrina was using but if she has average water pressure the hosing was not the cause of the increased proudflesh but a coronet band injury can be a bad place for it.
Since you are not bandaging this wound I would recommend you stay with nitrofurazone based sprays. They stick better and good at repelling flies.
I have not used calcium alginate dressings and I am sure they are wonderful things but I have healed wounds that ran from the top of the leg to the bottom, gapping open up to 4 inches and exposing bone along the way and have using the techniques described in the articles have healed them up with minimal proud flesh and a very thin, if somewhat long scar.
The wound looks fine Charlayne and the granulation tissue is a normal component of wound healing. Being unable to see this injury from the side I am uncertain how much proud flesh there is but it should be addressed as is discussed in the article on proud flesh.
DrO |
Nicole Tucker
Member
Username: Tuckern
Post Number: 32
Registered: 9-2004
| | Posted on Wednesday, Jun 7, 2006 - 12:23 pm: | |
Hi Charlayne,
Great picture, the wound looks good, very clean, healing nicely.
About a year ago, I treated a wound on my horse just above the coronet band that was about the same size as the one on your horse. It also developed alot of proud flesh, and the wound wouldn't close. I used a product called Scarlex, made by Farnam, and it worked wonders on it. I'd say within a week, the proud flesh had retreated enough for the skin tissue to form and close the wound.
My local tack store had it, and it was not expensive. I think most online tack stores have it too. It is a liquid, and comes in a pressurized spray can (like spray paint).
Scarlex contains scarlet oil and P-Chloro-M-Xylenol, a germicide.
Anyway, just another thought.
Nicole in New Mexico |
Charlayne Penrose
Member
Username: Image
Post Number: 8
Registered: 6-2006
| | Posted on Thursday, Jun 8, 2006 - 3:02 pm: | |
Thanks everyone. I guess I just wanted the reassurance that the healing is heading in the right direction. Image really hates the Furall spray so I am only trying to get that on her once a day. (it's not the sound, I think it's because it feels cold coming from the can.) I am still hosing it clean and it looks a little better today. It bothers me much more than it bothers Image! lol) I'll just keep working with it. It does look better today and is smaller.
Thanks again
Charlayne |
Janet Dufresne
New Member
Username: cahlua
Post Number: 1
Registered: 6-2008
| | Posted on Saturday, Jun 21, 2008 - 3:45 pm: | |
I rescued a mare that was suffering from starvation had a severe wound 4" wide by 8" long she had torn her leg from the knee all the way to her fetlock. I had my vet come out and we put her on five days of antibiotics, cleansed the wound daily with aloe iodine and coated it with a prescription antibiotic ointment and layered the outer edges with a proud flesh salve. We kept it covered with gauze coated with ointment cotton wrap and vet wrap. It healed in about 2 months enough to remove the bandages .Her leg went from having no flesh to the bone to fully healed with only a one inch scar. } |
Sara Wolff
Member
Username: mrose
Post Number: 3650
Registered: 1-2000
| | Posted on Saturday, Jun 21, 2008 - 9:53 pm: | |
Thank you for taking this mare on, Janet. What an undertaking. Thank goodness there are people like you in this world. I wish you luck with her. Pictures of her progress would be nice to see if you have a chance to post them. There are so many abused horses (and others) in this world, it's nice to hear a "rescued story." |
