Clinical considerations and management of lower limb wounds in horses

Authors: Smith R
Publication: Proceedings of the Australian Veterinary Association (AVA) Annual Conferences, Volume 2014 AVA Annual Conference, Perth, Issue Equine, May 2014
Publisher: Australian Veterinary Association

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Abstract: Wounds are commonly encountered in equine practice, particularly in the distal limbs. Most originate from a traumatic injury and can include abrasions, lacerations, avulsions, punctures, contusions or a combination of these. There is often involvement of deeper anatomy such as tendons, ligaments, bone and synovial structures. The goal of treatment should be to reduce or eliminate contamination, preserve viable tissues, prevent infection, support and protect the limb during wound healing, return the horse to function, and achieve a cosmetic outcome. There are no strict guidelines dictating how a wound should be managed. The decision is often dependent on several factors including wound type and configuration, anatomic location, depth, the duration of injury, degree of contamination, financial and technical constraints, animal temperament and intended use, and the general health status of the horse. Decisions on wound management include the need for surgical intervention, whether or not to attempt primary or partial primary closure, the use of topical dressings, and selection of bandaging or external co-aptation techniques. These decisions are made in consideration of factors listed above, after a thorough clinical evaluation, and with the understanding of wound healing.

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