The Barbaro Effect: How One Horse Changed the Face of Laminitis Awareness--and Google Search Statistics--Forever

A racehorse named Barbaro won the Kentucky Derby in 2006. He fractured his right hind leg in the Preakness, two weeks later, and suffered from laminitis during his complex recovery from surgery to repair the limb that summer. The world watched him struggle to recover. Eight months after his injury, he was euthanized. Laminitis was given as the reason for ending his life. The world--not just the horse world--was stunned that his life couldn't be saved. What was this disease, they wanted to know? Barbaro showed them what it was, in the most tragic possible way. His name became synonymous with laminitis awareness and research. And Google has proof of that.

Barbaro died on January 29, 2007. Where were you, eight years ago today? More importantly, where was your awareness and knowledge of the disease of laminitis? And where are you--and your laminitis awareness and knowledge--now?

Penn Vet Names Hankenson to Fill the Dean W. Richardson Professorship in Equine Disease Research Position; Laminitis To Be a Priority

Received via press release:

The University of Pennsylvania’s School of Veterinary Medicine (Penn Vet) is pleased to announce that following an international search for a uniquely qualified candidate, Kurt D. Hankenson, DVM, MS, PhD has been appointed as the first incumbent of the Dean W. Richardson Professorship in Equine Disease Research.

The Dean W. Richardson Professorship was established by Mr. and Mrs. M. Roy Jackson, following the hospitalization of their Kentucky Derby winner, Barbaro, at Penn Vet’s New Bolton Center. Their desire to contribute to the treatment and elimination of laminitis was the catalyst for their gift to endow the professorship.

Mr. and Mrs. Jackson commented, “We are very pleased that this position has been filled and are confident that under Dr. Hankenson’s leadership significant steps forward will be made in the study of laminitis and other equine musculoskeletal diseases. We have faith in Penn Veterinary Medicine’s ability to do the kind of in-depth work that will bring about positive results.”

Dr. Hankenson did his undergraduate work at the University of Illinois, where he earned his BS in 1990, and then he earned his veterinary degree at University of Illinois’ College of Veterinary Medicine in 1992. Following his time as an equine clinician, he returned to academia and completed a Master of Science degree at Purdue University’s School of Veterinary Medicine in 1997. He received a Ph.D. from the Department of Biochemistry at the University of Washington’s School of Medicine in 2001.

Dr. Hankenson’s career has included an impressive range of clinical and academic positions at both human and veterinary healthcare institutions, and currently holds a faculty position at Penn Vet and at Penn’s Perelman School of Medicine.

“I’d like to thank Mr. and Mrs. Jackson for supporting the research mission of Penn Vet by providing this Professorship. I am thrilled to be entering a new phase of my research and teaching career at New Bolton Center, and to be expanding my research program to focus on equine musculoskeletal diseases, particularly laminitis,” said Dr. Hankenson.

He continued: “I will capitalize on my background as an equine practitioner and basic scientist, and will utilize established relationships with scientists and veterinarians in the Philadelphia region and around the world to develop new diagnostics and treatments to prevent disease, and to expedite regeneration and return to normal function. The Richardson Chair is a unique and unparalleled opportunity for New Bolton Center, Penn Vet, and the equine industry. It will permit me to develop and sustain a research program focused on equine health.”

Surgeon Dr. Dean W. Richardson and his team cared for Barbaro for nine months, from May 2006 until January 2007. Dr. Richardson noted, “We are very excited to attract a scientist of this caliber to this position. In today's research environment, it will be an enormous advantage to have someone like Dr. Hankenson, who has a proven record of both research funding and productivity. He has a wide range of connections both here at Penn and throughout the scientific community. Dr. Hankenson's roots are in the horse world and he is sure to make major contributions to equine research.”

Joan C. Hendricks, VMD, PhD, the Gilbert S. Kahn Dean of Veterinary Medicine, said that she is especially pleased at Dr. Hankenson’s appointment.

“This is another example of Penn Vet’s ability to attract and retain the very best and brightest in the field of veterinary medicine,” said Dean Hendricks. “I am thrilled that Dr. Hankenson will be leading this endeavor and am confident that under his leadership, Penn Vet will remain at the forefront of discovery for this debilitating disease.”

The goal of the Dean W. Richardson Professorship is the development of a world-leading research program directly applicable to equine diseases, with particular emphasis on improving the understanding, prevention, and treatment of equine laminitis. A debilitating, painful, and uncompromising condition, laminitis is the second leading killer of horses worldwide and is presently uncurable.

Winner of the 2006 Kentucky Derby and a beloved American icon, Barbaro suffered a catastrophic fracture during the running of the Preakness that year. After undergoing successful surgery at New Bolton Center, he developed severe laminitis, which eventually led to his death. This Professorship serves as a lasting legacy of Barbaro.

(end of press release)

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  

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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

USA TODAY Laminitis Video: Penn Vet's New Bolton Center and the Legacy of Barbaro

USA Today had a terrific article yesterday about the laminitis work being done at the University of Pennsylvania's School of Veterinary Medicine's New Bolton Center. At the rural campus outside Philadelphia, 2006 Kentucky Derby winner Barbaro was a patient for about seven months while he struggled to both recover from a fractured leg suffered in the 2006 Preakness Stakes and, even more poignantly, fight laminitis.

What a nice surprise to find out that, in addition to the terrific photos and article that were actually in the newspaper, they also filmed a video at New Bolton, which we are privileged to share with you here on the Hoof Blog.

In the video, you will recognize (in order of appearance) farrier Pat Reilly, Laminitis Institute researcher Hannah Gallantino-Homer, and veterinarians Jim Orsini and Dean Richardson, all members of the staff at New Bolton Center.

The full article can be read online but the great photos are not available:
Five years after Barbaro, pains and gains

Many staff and researchers associated with New Bolton Center's Laminitis Institute will be involved in the Sixth International Equine Conference on Laminitis and Diseases of the Foot to be held October 29-31 in West Palm Beach, Florida. Visit www.laminitisconference.com for more information; the program will be announced soon.

The ONE book you need! Call 978 281 3222 to order

 © Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  

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Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Favorite Video: Nicanor, Brother of Barbaro, Will Race for the First Time on Saturday, Two Years After Barbaro's Death

by Fran Jurga | 29 January 2009 | Fran Jurga's Hoof Blog


Nicanor video courtesy of CBS Evening News with Katie Couric

Two years ago today, veterinarians at the University of Pennsylvania's New Bolton Center euthanized 2006 Kentucky Derby winner Barbaro when they were unable to help him overcome complications of laminitis that resulted from his hind leg injury in the Preakness Stakes.

Fast forward to Saturday afternoon, and do a double-take: a 3-year-old full brother to Barbaro named Nicanor will make his racing debut in Saturday’s eighth race at Gulfstream Park in Hallandale, Florida.

As was the case with Barbaro, Nicanor is owned by Roy and Gretchen Jackson in the name of Lael Stables, and he is trained by Michael Matz and ridden by Edgar Prado, just as his brother was.

Saturday’s eighth race is a maiden event at one mile on the dirt. Nicanor is by Dynaformer, out of the mare La Ville Rouge. Nicanor is named based on a painting of foxhounds that the Jacksons own. One of the foxhounds depicted in the portrait is named Barbaro. Another is named Nicanor.

Nicanor's debut race will be run on Saturday’s momentous Gulfstream card between the Grade I, $500,000 Donn Handicap for older horses and the Grade III, $150,000 Holy Bull Stakes for 3-year-olds.

Barbaro is gone, but not forgotten. His legacy has included the donation of what probably totals millions of dollars for laminitis and veterinary research. Following his up and down battle at New Bolton Center captured the attention and affection of thousands of people who might never give a thought to horses or racing. His Fans of Barbaro (FOB) internet group continues to raise funds and awareness about the plight of discarded racehorses.

This blog's readership soared far beyond the subscribership of Hoofcare and Lameness Journal during the eight months of Barbaro's struggle. Many new people became aware of the community trying to help horses with laminitis and hoof problems through our coverage of Barbaro.

The whole world watched that horse struggle. On Saturday, curiosity will get the best of most of us and we'll check the race results from Gulfstream. You never know.

© Fran Jurga and Hoofcare Publishing. No use without permission. You only need to ask. Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.

Belknap Laminitis Research at Ohio State Will Be Funded by Barbaro Legacy

by Fran Jurga | 5 December 2008 | www.hoofcare.blogspot.com

A new study of laminitis at the Ohio State University College of Veterinary Medicine has been approved by the Barbaro Memorial Fund, which is administered by NTRA Charities and the National Thoroughbred Racing Association. Funds for the study will flow through the Grayson-Jockey Club Research Foundation.

The new study, "Effect of Digital Hypothermia on Inflammatory Injury in Laminitis," by Dr. James Belknap, is a two-year project funded for $82,109. The study will examine the effects of extreme, isolated cold on the damage done to hoof tissue when laminitis damages the hoof wall's bond to the inner foot.

Barbaro funds also will support two continuing projects: "Targeting 5-HT in Equine Laminitis," by Dr. Douglas Allen at University of Georgia and "Treatment of Equine Laminitis with Doxycycline," by Dr. Susan Eades at Louisiana State University. Both studies were funded with a $100,000 contribution from the Barbaro fund to the Grayson-Jockey Club Research Foundation in 2007; an additional $8,692 completes the projects in 2008. Both projects are on schedule to produce research papers in peer-reviewed scientific journals.

The Barbaro Fund contributed an additional $60,000 in 2007 toward laminitis research projects and programs at the University of Pennsylvania, bringing its total disbursements to $250,801.

A distinguished panel of equine veterinarians, assembled by the Grayson-Jockey Club Foundation, evaluated several proposals before making final recommendations on the laminitis studies. The panel included Dr. Larry Bramlage, chairman of the Grayson-Jockey Club Research Foundation; Dr. Johnny Smith, the Foundation's veterinary consultant; Dr. Paul Lunn, Professor and Head of Clinical Studies at the College of Veterinary Medicine and Biomedical Sciences, Colorado State University; Dr. Scott Hay, President of the Teigland, Franklin, Brokken veterinary firm and a specialist in equine lameness; racetrack practitioner Dr. Tom Brokken, also of Teigland, Franklin, Brokken veterinary firm (and a past president of the American Association of Equine Practitioners); Dr. David Horohov, the William Robert Mills Chair at the Maxwell Gluck Research Center, University of Kentucky; Dr. Gary Lavin, a retired race track practitioner, past AAEP president, and Vice-Chairman of the Grayson-Jockey Club Foundation; Dr. Rick Arthur, Equine Medical Director for the California Horse Racing Board; Dr. John Stick, Professor and Chief of Staff at the Large Animal Clinic of Michigan State University School of Veterinary Medicine; and Dr. James Orsini, Director of The Laminitis Institute, and Associate Professor of Surgery at New Bolton Center, University of Pennsylvania.

Barbaro, winner of the 2007 Kentucky Derby, was euthanized while recovering from fracture surgery at the University of Pennsylvania's New Bolton Center. The horse developed laminitis, a common and often fatal complication of orthopedic procedures for some horses.

Photo: University of Pennsylviania, Hoof Blog archive

© Fran Jurga and Hoofcare Publishing. No use without permission. You only need to ask. Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.

Laminitis News: Vermont Horse Show Fundraiser Benefits Research in Barbaro's Memory

From left to right: Dr. James Orsini and Gretchen and Roy Jackson at Vermont benefit held to benefit laminitis research in honor of the Jacksons' late, great racehorse Barbaro last week at the Vermont Summer Festival horse show.

On the evening of Thursday, August 7, more than 100 guests enjoyed "An Equine Evening" held in the Grand Prix Pavilion at the Vermont Summer Festival in East Dorset, Vermont, to honor Barbaro, the late Thoroughbred racehorse Barbaro, who died because of complications of laminitis in 2007.

Barbaro, the 2006 Kentucky Derby winner, suffered catastrophic injuries to his right hind leg during the running at the Preakness Stakes, the second leg of the Triple Crown for three-year-olds. He underwent intensive surgery at the University of Pennsylvania’s New Bolton Center under the care of Dr. Dean Richardson to repair multiple fractures. His struggle for survival captured the nation’s attention.

However, in January of 2007, Barbaro was euthanized after a difficult battle against laminitis.

Proceeds generated through donations and raffle ticket sales during An Equine Evening, co-chaired by Kimet Hand and Betsy Perrott, benefited the University of Pennsylvania's Laminitis Research Fund, the Barbaro Foundation, a program established by Gulfstream Park that oversees an annual scholarship for future veterinarians, and the Spring Hill Horse Rescue in Clarendon, Vermont.

Gretchen and Roy Jackson, owners of Barbaro, were the evening’s honored guests, as was Barbaro’s trainer, Michael Matz, who was unable to attend.

“I just want to thank everyone who came here this evening. You are the ones supporting the Laminitis Fund and the Barbaro Foundation,” Mrs. Jackson addressed the guests. “I feel like I’ve said this so many times; Barbaro opened our hearts to what horses mean to us. We never expected what happened to Barbaro, but are thankful for all the positive things he has brought.

“Barbaro always seemed to enjoy being out there,” she continued. “He ran so easily and showed up so proudly in the paddock and we found so much joy in that. Even after his injury and during the eight months he spent in a stall, he kept his ears pricked, always happy to have visitors. But when the laminitis hit, he became a different horse. He let us know he was ready.”

James Orsini, DVM, ACVS of the University of Pennsylvania's New Bolton Center took to the podium next to address the fundamentals of the laminitis disease and hopes for the future.

“Through Barbaro’s tragedy, laminitis has been turned into a household word and that has helped us gain the means to move forward and better understand the disease, and most importantly, prevent it,” Orsini explained. “We are making progress.”

Orsini outlined multiple revolutions in preventative technology including a variable temperature ice boot designed to reduce inflammation in the hoof, slow the metabolic process required by an affected hoof, and quell the pain laminitis inflicts.

Roy wrapped up the evening’s presentations with more positive news. “To date, the Laminitis Fund has raised approximately 1.5 million dollars,” he said. “We have received letters from every state and 15 foreign countries. Barbaro has inspired more optimism and positive causes than we could have ever imagined.”

As New England’s largest “AA” rated hunter/jumper horse show, the Vermont Summer Festival offers over $750,000 in prize money, making it the richest sporting event in the state of Vermont. Visit the Vermont Summer Festival website for more information, including full results.

Photo credit: David Mullinix Photography

"The First Saturday in May" Will Be on the Third Friday in April! See you there!

Click on the "play" icon to launch the movie trailer. Turn up the volume!

Something special is coming to a theater (possibly) near you on Friday, April 18th.

That's the date of the premier of the exciting new documentary "First Saturday in May" about the Kentucky Derby. Made by the New York born-on-the-track Hennegan Brothers, the film whirls you through the excitement surrounding two Kentucky Derby winners and includes a great deal of previously unseen footage of our ill-fated friend Barbaro at New Bolton Center.

But it's mainly about the horses and people who make the Kentucky Derby such an unforgettable event, one that we look forward to each year because it is strong enough to endure and capture our hearts, year after year.

We may forget who won, but we never forget the thrill. And this film is full of thrills, colorful characters (maybe you're in it!) and of course, the horses on whose hooves the hopes of the horse world run.

Here's a list of the cities hosting premieres: Atlanta, Austin, Berkeley, Boston (you bet I'll be there!), Chicago, Cleveland, Columbus, Denver, Detroit, Indianapolis, Lexington, Louisville, Los Angeles, Milwaukee, Minneapolis, New York City, Philadelphia, San Diego, San Francisco, Saratoga, Seattle, St. Louis and Washington DC.

The Grayson Jockey Club Foundation for equine research (including laminitis) will be the charity beneficiary of the opening night festivities.

The official premiere was in Louisville this past weekend, with a press screening in Manhattan, and there's also a special showing next week in Saratoga. So far, the film has gotten great reviews.

This one's about the world we live in, on the best day of the year. It's about the horse world that the public needs to believe in if horse sports, especially racing, are to survive.

There's a big wonderful web site about the film here.

And some amazing raw out-takes of Barbaro here.

A great way to celebrate finishing your taxes!

The April issue of Smithsonian hit the newsstands today and the good news is that you can pick up a copy and enjoy a first-class article about Barbaro's struggle, written with sensitivity and intellectual curiosity by Pulitzer Prize-winning journalist Steve Twomey.

The even better news is that you can read the text online:
http://www.smithsonianmag.com/issues/2007/april/barbaro.php

with an added interview with Twomey here:
http://www.smithsonianmag.com/issues/2007/april/barbaro-author.php

But the images are visible only in the printed copy. If your newsstand doesn't have it, your library probably has a subscription.

Hoofcare & Lameness Journal is proud to have been a part of this article. I wish that he could have interviewed all our readers to learn just how much you all and your horses are affected by the disease of laminitis. Even though Barbaro is gone, horses continue to suffer from this horrible malady. Hopefully, having laminitis profiled in a magazine like Smithsonian will help focus more attention on the disease and the need for research.

See you at the newsstand. Save one for me!

Barbaro's Owners Endow Chair in Equine Medicine to Honor Dean Richardson; Foresee a "World Without Laminitis"

(excerpted from a press release from the University of Pennsylvania)

(Feb. 13, 2007--PHILADELPHIA) A $3-million gift from Roy and Gretchen Jackson, owners of Barbaro, will endow a chair in the name of Dean W. Richardson at the School of Veterinary Medicine at the University of Pennsylvania.

In acknowledging the gift, Penn President Amy Gutmann said, “Gretchen and Roy Jackson have already done so much for veterinary medicine through their commitment to giving Barbaro every possible opportunity to recover from his catastrophic injuries. People throughout the world now understand that veterinary medicine –- and Penn veterinary medicine in particular –- shares in the advances that define today’s biomedical science. Now, with this generous gift, Gretchen and Roy Jackson not only promote continued progress, but they pay tribute to the doctor who, like them, gave his heart to a magnificent horse.”

Joan C. Hendricks, the Gilbert S. Kahn Dean of Veterinary Medicine, said “With a new faculty position dedicated to the study of equine disease, we will be better positioned to fight deadly conditions like laminitis.”

The endowed chair is the cornerstone of a major new Penn Vet initiative to fight laminitis, which afflicted Kentucky Derby winner Barbaro. Laminitis is a severe, painful condition in horses that can be fatal. The laminitis initiative will foster training programs and studies for new treatments of equine diseases.

“We are very pleased to make this commitment in support of the School of Veterinary Medicine’s research of equine diseases,” Gretchen Jackson said. “Our close relationship with Dr. Richardson over the last eight months persuaded us to name the chair in his honor. We are indeed grateful to him, and we especially look forward to a future without laminitis.”

“I am deeply honored by this generous and important gift,” said Richardson, chief of surgery at Penn’s George D. Widener Hospital and leader of the team that treated Barbaro. “The Jacksons’ remarkable philanthropy will translate into better outcomes for injured and ill horses in the future.”

What's Next for Barbaro: External Fixation for Collapsing Right Hind

Left: Barbaro's right hind leg as it appeared on radiographs in November. This leg is now equipped with an external fixation device for support; pins were surgically implanted through the leg to attach to a brace.

A sobering statement from New Bolton Center this morning:

"On Saturday, January 27, Barbaro was taken back to surgery because we could not keep him comfortable on his right hind foot. That foot developed a deep subsolar abscess secondary to bruising when he went through a period of discomfort on the left hind foot. It is not laminitis but the undermining of the sole and part of the lateral heel region are potentially just as serious.

"We attempted to manage the right hind foot in a cast and then in a custom fabricated brace but it was impossible to have access to the foot for treatment as well as acceptable stability and comfort.

"We elected to place his right hind in an external skeletal fixation device in order to provide the foot a chance to heal. This means that two steel pins have been placed transversely through his right hind cannon bone. These pins are connected to external sidebars that in turn are connected to a lightweight alloy foot plate. This results in the horse eliminating all weight bearing from the foot; the horse's weight is borne through the pins across his cannon bone.

"There is significant risk in this approach but we believed it was our only option given the worsening of the right hind foot problem. The major risk of the external skeletal fixation device is that the bone bearing the weight can fracture. Unfortunately, we felt we needed to take this risk because this approach offered our only hope of keeping Barbaro acceptably comfortable.

"He had a perfect recovery from anesthesia and has been in and out of the sling since then. His left hind foot appears to be stable at this time. We remain concerned about both front feet. Remarkably, his attitude and appetite were excellent overnight.

"We will continue to treat Barbaro aggressively as long as he remains bright, alert and eating. This is another significant setback that exemplifies how complex his medical situation remains because both hind limbs have major problems."

External fixation for laminitis and other conditions is not an unproven technique for New Bolton. The hospital's Dr. David Nunamaker is probably the world's leading expert on this type of support. Photos of similar fixations from Hoofcare & Lameness files will be added to this story when I am back in the office.

From Gretchen Jackson, owner of Barbaro, on Saturday:

"He's got a lot of issues, and not any of them is bad enough to say goodbye. But put together it's not a good day for Barbaro," Mrs. Jackson told Mike Jensen of the Philadelphia Inquirer.

Scott Morrison DVM, consultant on Barbaro's foundered left hind foot, was at home in Kentucky yesterday.

Journalist Jensen recently won an Eclipse Award, racing's highest honor, for his reporting on Barbaro. He is basically embedded at New Bolton Center, somewhere near the reception desk.

Barbaro Update: Cast changes, heel abscess in right hind

From the University of Pennsylvania today:

“Barbaro was placed under anesthesia yesterday to have his left hind foot cast replaced,” said Dr. Dean W. Richardson, Chief of Surgery. “We also removed the cast on his right hind leg and replaced it with a custom-fabricated plastic and steel orthotic brace to give his foot additional support.” An abscess near the lateral heel of his right hind foot was drained, and the brace that was applied will allow more regular treatment of that foot.

“Barbaro had another smooth pool-recovery and has been comfortable with an excellent attitude and appetite since then,” said Dr. Richardson. “We will probably replace his left hind foot cast under anesthesia again at least two or three times at roughly two-week intervals if his comfort is maintained. We were very pleased with the progress of his left hind foot since the last cast was applied.”

In addition, new shoes were placed on both front feet for additional support.

Barbaro: Cast Removed at New Bolton Center

This just in from the University of Pennsylvania:

"Barbaro has had a significant setback over the last 24 hours. He became acutely more uncomfortable on his left hind foot. The foot cast was removed and some new separation of the medial (inside) portion of his hoof was found. This required some additional debridement (removal of the damaged tissue) last night.

"He is being treated much more aggressively at this time for his discomfort. He is continuing to eat well and is otherwise stable."

Barbaro Update: Morrison Casts Foundered Foot for Stability

Left: Rood and Riddle Equine Hospital's Scott Morrison DVM finishing tendon surgery on a laminitic horse.(Hoofcare & Lameness Journal photo)

On Wednesday, January 3, Scott Morrison DVM of Rood and Riddle Equine Hospital in Lexington, Kentucky traveled to Kennett Square, Pennsylvania. Rattling around in his briefcase were strips of 3M Fiberglas casting tape, Goretex fabric, thick felt, Betadine and a large aluminum bar shoe. One can only imagine what that jumble looked like on the security screen. For once, TSA inspectors waved the veterinarian through.

Morrison used those materials to create a temporary supportive foot cast for Barbaro, the champion 2006 three-year-old colt whose right hind leg shattered soon after the start of the Preakness Stakes last May. Since then, Barbaro has been a patient at the University of Pennsylvania's Widener Hospital for Large Animals at the university's rural vet school campus called New Bolton Center. In July and August, the colt fought the painful disease of laminitis in his "good" hind leg. He was left with one broken leg and one hoofless one, but he struggled to survive. The damage to his laminitic foot continues to be the greatest concern.

Laminitis is the devastating disease that ended the lives of great racehorses like Secretariat and Sunday Silence, the Standardbred champion Nihilator, and more recently, the two great European champion dressage mares, Annastasia and Poetin.

Morrison, who heads Rood and Riddle's innovative podiatry clinic, was sought as a consultant to assist with the foundered (a common term for a foot that has been ravaged by the disease of laminitis) foot. He first saw the horse on December 20 for an evaluation, then returned on Wednesday to try to help stabilize the foot.

On Friday, January 5, Dr. Morrison told me that the cast was applied, "because the foot is so unstable. He's just not growing enough wall on the medial (inner) side, and he's bearing most of his weight on the arthrodesis (surgically-fused) leg."

Morrison padded the bottom of the foot with thick felt soaked in Betadine (iodine solution); the hoof wall was padded with Goretex fabric padding which was then covered with 3M casting tape. The cast extends up over the pastern area to just below the fetlock, according to Dr. Morrison.

"He lands on his toe when he walks," Morrison commented, "and that needed to be addressed. I had asked them to take radiographs before I got there, and they showed demineralization (thinning or actual deterioration) of the coffin bone (pyramid-shaped bone in the base of the foot, encased by hoof capsule) at the toe and on the medial (inside) wing.

"I attached a big aluminum bar shoe to the bottom of the cast to help with derotation, to try to get that coffin bone more parallel to the ground."

Morrison observed that the horse was uncomfortable at first with the change in footwear, but that surgeon Dean Richardson reported the horse was more comfortable with it the next morning.

An ancillary purpose of the cast is to stabilize the foot in the event that the horse needs to be moved out of his intensive care unit home at New Bolton Center. Speculation is that the horse will be moved to an as-yet unnamed farm, possibly in central Kentucky, to continue treatment in a more active setting. No date has been announced for his discharge from New Bolton.

Dr. Morrison is the founder and head of the podiatry clinic at Rood and Riddle; his unit is the largest such clinic in the world. The clinic currently employs four foot-specialist veterinarians and five lameness-specialist farriers, as well as a staff of technicians and administrative support staff. Morrison is a specialist in laminitis and consults on cases all over the world. He is also a consulting editor to Hoofcare and Lameness Journal.

His most recent article chronicled the transplant of frog tissue on the bottom of an injured foot via the punch biopsy tool method; he was able to create a germinating bed of new frog tissue in a damaged area. Ironically, he is probably most renowned for an article detailing his use of sterile maggots to debride many cases of infected hoof tissue. That article can be downloaded at http://www.hoofcare.com.

© 2007 Hoofcare & Lameness Journal/http://www.hoofcare.com
Contact: tel 978 281 3222 fax 978 283 8775 email bloginquiry@hoofcare.com

Laminitis Makes Strange Bedfellows at New Bolton: Pacing Stallion Artsplace and Barbaro Fight Founder Side by Side

According to the web site harnessracing.com, and as quoted on the US Trotting Association web site, leading pacing (harness racing) sire Artsplace has been moved from Southwind Farm in New Jersey where he has been standing at stud. The 18-year-old sire of no less than 14 $1 million winners has been suffering from laminitis for some time, and will now be treated at the University of Pennsylvania's New Bolton Center outside Philadelphia. This is the same hospital where Kentucky Derby winner Barbaro is recovering from a fractured hind leg and contralimb laminitis.

Barbaro Funds Will Help Laminitis Research

This is second-hand news, so please wait for an official announcement before believing it, but...

In an interview in the Philadelphia Inquirer this weekend, owner Gretchen Jackson reported that she expects half of the donations to the Barbaro Fund at the University of Pennsylvania's New Bolton Center will go to laminitis research.

"Isn't that nice?" you may be musing..."Bring me some real news!" But wait...generous people have already donated more than $1.25 million to the fund, which means that roughly $600,000 will go to research.

But whose research? Chances are, the funds will stay right at New Bolton Center, where a laminitis research initiative has been on the wish list anyway.

Here's a quote lifted from the article: One of her (Gretchen Jackson, owner of Babaro) top priorities, she said, is New Bolton's Barbaro Fund, which has received 1,500 contributions totaling $1,225,000. Jackson said half the fund is slated to go for laminitis research, in the grandest-scale attempt yet to eradicate the disease. She's had a conversation with Secretariat's owner, Penny Chenery, about the disease, because Secretariat died from it.

http://www.philly.com/mld/philly/news/special_packages/latest/15592399.htm

In the photo: jockey Edgar Prado visiting with Barbaro and surgeon Dean Richardson on September 19. Photo by Sabina Louise Pierce/University of Pennsylvania.

All's Quiet on the Barbaro Front: Latest News from University of Pennsylvania's New Bolton Center

Barbaro is improving slowly and steadily according to veterinarians at Penn’s George D. Widener Hospital . “We are pleased with his progress,” said Dr. Dean Richardson, Chief of Surgery. “He is wearing the cast on his right hind limb well; we continue to monitor it closely, and we expect to change the cast and radiograph the leg within the next seven to 10 days.”

In addition, Barbaro, winner of the 2006 Kentucky Derby, continues to stand comfortably on his laminitic left hind foot. “The left hind foot is progressing well, especially as it grows down from the coronary band,” said Dr. Richardson. “However, we remain cautious, because Barbaro will still need several more months of healing before we’ll know how well the overall hoof structure can be restored.”

--end of official report from New Bolton Center

In an interview in The Thoroughbred Times, Barbaro's trainer Michael Matz said that he was still concerned with the possibility of laminitis in the front feet.

Read a FAQ page on laminitis with Dr. James Orsini of New Bolton Center: www.vet.upenn.edu/newsandevents/news/Laminitis.htm

Barbaro Update, Comment on Foot Cast

KENNETT SQUARE, PA —­ Chief of Surgery Dean Richardson reports today that Kentucky Derby winner Barbaro’s vital signs are good and that he had another quiet, restful night. “He remains in stable condition, and he is eating well,” said Dr. Richardson. “We continue to manage his pain successfully, and he is alert.”

Barbaro is tolerating his right hind leg cast well; this cast supports the repair of the injury suffered at the Preakness on May 20. To treat a severe case of laminitis in the colt’s left rear hoof, last week Dr. Richardson and his surgical team performed a hoof wall resection that removed 80 percent of the hoof. Doctors then applied a modified fiberglass foot cast to protect the hoof; this foot cast will be changed as needed so that the hoof can be treated and watched for signs of infection. The foot cast is rigid and provides greater stability and support than a bandage.

“It is important for people to understand that this is not a ‘routine’ laminitis. The care involved in treating a hoof with this degree of compromise is complex,” said Dr. Richardson.

(17 July update from New Bolton Center)

News provided by University of Pennsylvania Large Animal Hospital at New Bolton Center. 

All posts and photos protected by copyright 2006 Hoofcare Publishing--Fran Jurga, Publisher

Laminitis Prevention for Barbaro: Copper Sulfate Silicon Hoof Packing and Sigafoos Glue-On Shoe on “The Good Foot”

Barbaro's "good" foot is shod with a glue-on double hospital-plate support device. Photo © Rob Sigafoos.


Photos by Susan Hankin, JD, MPH

Many thanks to Upenn Chief of Farrier Services Rob Sigafoos for sharing with us the first official release of photos and information on the shoe designed for Barbaro’s “good” foot. The good foot must be supported in an effort to prevent what is called “support limb laminitis”, caused by over-stressing the good leg during recovery from an injury in the opposite limb.

While support limb laminitis is more of a risk in horses who injure the front legs, which bear more weight than the hind, there is still a risk of developing laminitis in the hind limb.

According to Rob, who granted Hoofcare & Lameness his first interview on the case today, Barbaro was laid down on the surgical table around noon on Sunday, after being admitted on Saturday following his injury in the Preakness Stakes in Baltimore, Maryland.

All the colt's race plates were pulled off by Rob and his feet were trimmed. Rob traced the left hind at this time, and went to work building a shoe to fit the tracing while Dr Dean Richardson moved the horse into the sterile surgical suite to begin surgery.

Later that night, when the operation was finally complete, Rob returned to the surgical suite and met up with Barbaro again when he was removed from the sterile setting and the cast was applied to his injured leg. Rob glued the shoe on the left hind (“the good foot”) at that time, while the horse was laying down. The horse was then lowered via hydraulic sling into the recovery pool, where he emerged safely from anesthesia.

The shoe is a double hospital-plate device. It is quite possible that blog viewers will not be able to read the fine lettering on the art that accompanies the official statement from the vet school about the device, so I will describe it to the best of my ability:

The bottom layer is what is called by farriers a hospital plate. It is a 1/8” thick sheet of aluminum, cut in the shape of the foot, and is held on with four bolts that are threaded into the two bottom layers of the device.

The “sandwich” layer is high-density polyethelene used as a spacer, followed by the second plate, also made from 1/8” high-grade aluminum, which attaches to the shoe, which is made from 3/16” high-grade aluminum, and is bonded to high-performance polyurethane, which is in turn bonded to Vectran/polyester braided fabric, which forms the “cuff” of the shoe. Thickened with adhesive, the Vectran becomes an artificial outer wall for most of the hoof and holds the shoe in place. A PMMA-type adhesive is used; in this case the commercial name is EquAcrylic.

The spacer plate (white polyethelene) is used to equalize the horse’s limbs, so that they will be the same length and increase the probability that the horse will easily shift weight from one leg to the other and bear weight normally while standing in the stall.

Rob’s secret weapon is the use of copper sulfate-impregnated silicon hoof packing. While no one is predicting that the horse will develop laminitis (according to Rob, the foot looked normal in conformation, with no visible evidence of past hoof disease), it is important to be pro-active. The hoof packing will keep the sole clean, in the event of laminitis.

The hospital plates can be unscrewed and removed to check the bottom of the foot. If the horse does develop laminitis, the sole and frog will be accessible for medication and treatment without removing the shoe.

“This copper sulfate silicon packing is the closest thing I have seen to a silver bullet in laminitis treatment,” Rob told me today. “In this case, of course, the use is prophylactic and we certainly hope that this horse does not develop laminitis.”

The wad of blue hoof packing will pop out of the foot once the hospital plate is removed. In addition to keeping the sole clean, the copper sulfate will toughen the sole as well. It will be carefully monitored.

Shoeing to prevent support-limb laminitis in orthopedics cases is often a “Catch 22” situation, according to Rob. If the horse does not get laminitis, the shoe will not get the credit, the horse will, for standing on both legs. If the horse does get laminitis, the shoe design will be blamed—-it should be have shorter, taller, more support, different configuration, etc.

Rob didn’t mention it, but the horse is probably also wearing support wraps on the good leg.

In closing, both Rob and New Bolton Center farrier Laura Florence remarked on the media frenzy and the outpouring of support from the public. Delivery trucks are bringing cases of apples and carrots, and a wall of get-well wishes lines the highway outside the campus.

Sigafoos shoes link (Sound Horse Technologies in Pennsylvania):  http://www.soundhorse.com Copper sulfate silicon link:  http://www.soundhorse.com/copper_sulfate.htm

Text and photos © 2006 Hoofcare Publishing. Text and photos posted on “The HoofBlog”, a casual news source for subscribers and friends of Hoofcare & Lameness: The Journal of Equine Foot Science. Learn more (and subscribe online using our secure server) at http://www.hoofcare.com or write to Hoofcare Publishing, 19 Harbor Loop, Gloucester MA 01930 USA. Tel USA 978 281 3222; Fax 978 283 8775, or email hoofblog@hoofcare.com

Note: this blog is an interactive web page. By clicking on the envelope icon at the bottom of an article, you can instantly email that article to a friend. By clicking on the word “comment” after a post, you can leave a message, which may be viewed by future blog readers who click on the same “comment”. Commenting may require registering with Blogger.com. You may also comment by emailing the author, Fran Jurga, at fran@hoofcare.com and your comment will be posted for you, technology willing.

Diagram of Support Shoe Package for Barbaro

This artwork was provided by Rob Sigafoos and New Bolton Center. In order to post it here, it had to be reduced in size and resolution. I hope you can still see it. My narrative post (see above) explains the layers and construction of the device.

To learn more about Sigafoos shoes and copper sulfate silicone hoof packing, please visit: http://www.soundhorse.com/

If you wish to contact Rob Sigafoos directly, and of course many people do want to, please DO NOT call the central switchboard at New Bolton Center. They are swamped with calls.

To reach Bill Kirkpatrick at Sound Horse Technologies, manufacturers of the Sigafoos shoes and the other products used on Barbaro, please call call 1 800-801-2654 in the USA or 610-347-0453; fax: 610-347-1822 or email horseshoes@soundhorse.com.

Text and photos © 2006 Hoofcare Publishing. Text and photos posted on “The HoofBlog”. Learn more (and subscribe online using our secure server) at http://www.hoofcare.com or write to Hoofcare Publishing, 19 Harbor Loop, Gloucester MA 01930 USA. Tel USA 978 281 3222; Fax 978 283 8775, or email hoofblog@hoofcare.com.

Note: this blog is an interactive web page. By clicking on the envelope icon at the bottom of an article, you can instantly email that article to a friend. By clicking on the word “comment” after a post, you can leave a message, which may be viewed by future blog readers who click on the same “comment”. Commenting may require registering with Blogger.com. You may also comment by emailing the author, Fran Jurga, at fran@hoofcare.com and your comment will be posted for you, technology willing.