Equis ISSN 2398-2977

Foot: wall resection

Synonym(s): Wall strip

Introduction

  • Some hoof cracks and avulsions will not heal correctly due to continued defective growth of hoof wall.
  • A wall strip aims to:
    • Provide a fresh bed for horn growth from an undamaged proximal portion of the hoof.
    • Provide access to infected and/or necrotic tissue under the wall.

Uses

Advantages

  • Can be performed under perineural analgesia.

Disadvantages

  • Prolonged period of recuperation during wall regrowth.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good to guarded depending on the severity of the underlying condition:
    • Hoof cracks due to separation of the laminar and coronary horn may improve in the short-term but are likely to recur.
    • Laminar wedge (outgrowth of laminar horn   →   deformed wall) formation can necessitate repeat wall strips.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Boys Smith S J, Clegg P D, Hughes I & Singer E R (2006) Complete and partial hoof wall resection for keratoma removal: post operative complications and final outcome in 26 horses (1994-2004). Equine Vet J 38 (2), 127-133 PubMed.

Other sources of information

  • Walmsley J P (1999)Reconstructive surgery of the hoof and coronet. Emergency and Critical Care and Foot Conditions.In:Proc 21st Bain-Fallon Memorial Lectures.


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