Showing posts with label extension. Show all posts
Showing posts with label extension. Show all posts

Tuesday, July 05, 2011

On the Case with Austin Edens: Engineering Prevention of Support Limb Laminitis with a Removable Clog Screwed to a Shoe

The plywood "clog" shoe used to treat laminitis can be a tool in itself or it can be a component of a limb extension and support package, as illustrated in this article about a removable clog used as part of a plan to prevent support limb laminitis. The system was designed by Texas farrier Austin Edens.

The Steward Clog was developed by Dr. Mike Steward in Shawnee, Oklahoma as an economical way for him to treat the rampant laminitis cases in his area.

Standard Steward Clog screwed into foot
He wanted an alternative for the horses of owners who couldn’t afford hand-forged heart-bar or glue-on elevator shoes and tenotomy surgery. He succeeded with a disk of plywood that he literally screwed into a horse’s foot. He charged the client $50. When the clog succeeded and he started telling people about it, farriers and veterinarians had to start adding their own high-tech touches to the world’s most low-tech shoe, whether it was casting tape, non-slip bottoms, shock- absorbing soles, impression material, or even plastic strap-on, strap-off versions.

Before we knew it, the once-lowly Steward Clog was turning into a designer horseshoe with a price to match. Not only that: in a few years' time, the clog design has gone full circle: the same concept can be utilized for both preventing and treating laminitis.

My eyes lit up when I saw a photo of a Steward clog of the latter type that looks like it has been to engineering school. And graduated at the head of the class.

Farrier Austin Edens probably chuckled as he set out to build a three-piece system out of a shoe that was conceived as the anti-system shoe. Consider Austin's illogical but ultimately functional design: he added not one, but two actual horseshoes, of two different metals, to a device that was meant to replace the horseshoe. Are three shoes better than one? The horse will decide.

Attaching the clog to a horseshoe so that the clog can be altered, replaced or removed--using a simple Phillips-head screwdriver and without re-shoeing the horse or disturbing its foot--is the bonus that an engineer-oriented mind like Austin’s can bring to the challenge of preventing laminitis.

Remember that the prospects for fine-tuning a shoe on the "good" foot of a horse with an injured limb are limited after the initial shoeing is done with the horse under anesthesia. The horse is not likely to be able to cooperate much in terms of lifting the good foot for shoe adjustment once he is standing. A removable device that screws onto a shoe and can be slid out from under the foot (and back on again) is a practical solution.

Some people still love a challenge; that is what this business is all about. Thank goodness Austin and people like him (and probably like many of you reading this article) are On the Case.
--Fran Jurga

PHOTO 1

1. I arrived at the vet clinic to find that surgical treatment for lacerated tendons on the injured left front leg of the horse had been completed. The horse was still under anesthesia and the “good” foot had been measured for the application of a support limb laminitis prevention shoe package. The surgeons asked me to add two inches of length to the horse’s right front, or “good” foot to aid in the prevention of support limb laminitis in that foot.

PHOTO 2

2. The surgeon asked me to elevate the "good limb" two inches so that it was the same length as the limb in the cast. The cast and its wear material on the near fore added almost two inches of length. My job was to extend the contralateral limb beyond the length of the cast limb and to prevent support limb laminitis. Using wood was the best way for me to elevate the limb.

The first step in creating the appliance was a beveled aluminum shoe with side clips, which I made from 1/2” x 1” aluminum bar stock.

PHOTO 3

 3. The aluminum shoe was nailed on--not an easy thing to do on a leg that is dangling in the air and bouncing whenever the hammer touches it.

PHOTO 4

4. When I forged the shoe, I made six holes around the perimeter of the shoe, countersunk at 45 degrees. A block of wood (clog) 1.5 inches thick was shaped to the shoe, and also tapered behind the toe of the shoe for ease of breakover. I screwed in six 1 5/8” long wood screws through those holes into the wood. They held in the wood at 45 degrees, giving a good hold across the clog. A simple Delta Challenger horseshoe was nailed (with horseshoe nails) into the clog to prevent the soft wood from wearing.

PHOTO 5

5. One of the final steps was to pour Vettec’s Equipak into the cavity of the sole, filling up any space that existed between the foot and the plywood. This was a little awkward to do. I used Play-Doh for a dam to hold it in the foot.

PHOTO 6

6. This closeup shows the countersunk screw insets at the toe; there were also two at the heel and two at the quarters, all set at 45 degrees, to anchor the wood onto the shoe.

PHOTO 7
7. The final step, once the EquiPak was set up, was just for insurance. I wrapped the extension in Equicast casting tape.

 About support limb laminitis

Laminitis is usually thought of as a disease with a medical basis, but it can also be caused by mechanical conditions. Both excess concussion, known as road founder, and lack of movement can result in a disruption in the metabolism of one of more of a horse’s feet. The most common scenario is when a horse injures a leg and the opposite, or contralateral, limb bears more than its share of weight. The horse may not shift weight regularly off the “good” leg, or there may be some circulatory or other reason why the laminar junction of of the hoof wall-coffin bone interface becomes compromised. Because the horse may be unable to shift its weight away from the pain of the laminitis, support limb laminitis is especially painful for a horse.

In order to prevent support (contralateral) limb laminitis, many equine hospitals routinely apply heart-bar shoes or go through a special protocol to pre-emptively shoe or cast the good foot when the horse is in surgery for an injury.

 About Austin Edens

Austin Edens is a farrier who is based in Dripping Springs, Texas, and Wellington, Florida, but you might run into him almost anywhere in the world. He is widely known as one of the most successful and consistent international farrier competitors in history (including being World Champion) and a popular judge. Austin’s farrier work today is centered on a sport horse client list and challenging veterinary collaborations such as the one illustrated in these photos. He is also a product consultant and clinician with Delta Mustad Hoofcare in the United States.


On the Case is a new feature of the Hoof Blog. Brief photo- or media-based problem-solving reports on cases from subscribers will be featured. Text and photographs © 2011 Hoofcare Publishing.


© 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.

Saturday, June 25, 2011

Video: Fix My Crooked Foal! Reality Time for Horse Breeders, Skill Time for Surgeons and Farriers



It's that time of year. The 2011 foal crop is here and breeders are looking at them under magnifying glasses. What have they bred? Will this foal make it as an athlete in the long run?

In the short run, will he or she sell at a yearling sale?

Making a foal look and move like a future athlete is a controversial part of horse production. Many foals are born with problems, so corrections are often made. Some are left to see if time, weightbearing and chest or muscle development will compensate for the appearance of a bow-legged or knock-kneed conformation.

Double-click image to view at larger size; image strictly copyright HC Biovision and Hoofcare Publishing

Many would say that corrections should have been made in the selection process of matching broodmares and/or stallions instead of later, in the foals, but the prevalence of conformational defects in so many breeds would make selection based on ideal conformation a daunting task, particularly since a horse's original lower-limb alignment may have been surgically altered to some degree.

In 2011, a sire or mare's true conformation may be better seen in the foals he or she produces than in the legs he or she stood on when breeding publicity photos were taken.

This is the time of year when veterinarians and farriers find themselves holding squirming foals and truly working together to decide what should or shouldn't be done to straighten the appearance of the lower limbs. These are important decisions.

The same principlws used to improve the limb alignment on a valuable Thoroughbred or show horse foal can be used to intervene when a foal is born with more severe  defects. Surgery and special shoeing probably saved this foal's life. (Photo from the Wildenstein Photo Library, thanks to Michael Wildenstein.)

Knowing the bloodlines, knowing the breeders, and most of all, knowing the anatomy and growth schedule of the lower limbs are the keys to success. What might work at one farm won't work at another. What might work on a Quarter horse might not work on a Friesian.  And what works at one clinic or hospital might not work at yours...but you know what worked on this foal's half-brother, or you remember its dam, or you know the farm staff is going to diligent about caring for this little guy (or not).

The video team at Thoroughbred Times caught a typical moment with a surgical team at Hagyard Equine Medical Center in Lexington, Kentucky this spring. This brief two-part video follows one foal from evaluation through minor surgery and application of a lateral hoof extension aimed at bringing a toed-in foot back into line with the limb.

Part 1: Identifying toe-in conformation with Hagyard Equine Medical Institute's Dr. Michael Spirito




Part 2: Periosteal elevation of the fetlock and application of an adhesive lateral extension on the toed-in foal's foot.



And what if the foals weren't corrected? Toed-in, toed-out, club-footed foals grow up unaltered in the fields of breeders without the budgets of business-oriented breeders. Most people feel strongly that correction early in life gives a foal a chance to bear weight correctly and therefore develop normally so that, as an athlete, the horse has a better chance of running. And winning.

But would they have straightened out on their own, without the pressure of yearling sales for racehorses and in-hand classes for show horse yearlings?

There's no question that the correction has to be done at the right time, before the corresponding growth plates in the area of the deformity close. Wait-and-see is a decision of its own. Conservative trimming techniques can sometimes be enough. A tiny extension like the one shown in the video can be used with or without surgery, and surgery, as shown in the video, can consist of conservative periosteal elevation or more elaborate screw insertion to impede development on one side of the bone.

The idea is to help the foal, and give it a chance to be the best athlete it can be, considering the legs it was given.

To learn more: Read Dr. Ric Redden's overview of foal conformation problems and definition of terms.

Read British veterinary surgeon James Tate describes periosteal bridging and elevation techniques on the website of trainer Mark Johnston.

Still one of the best resources ever: Hoofcare + Lameness "Baby Boom" special issue on foal limb conformation, correction, glue-on shoes, medial and lateral extension shoes, club feet, anglular limb and flexural deformities. $15 per copy. Email Hoofcare office to order or call 978 281 3222.


© 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.  


Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
 
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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.

Monday, March 09, 2009

Hoofcare 101 Part One: Anatomy Basics Refresher Course Video with Nate Allen



This blog is read by hoofcare professionals of all levels and stripes and ranks and religions. It is also read by hundreds of people each day who are just "passing through" and are interested in a specific aspect of the hoof, or maybe manufacture a product or are horseowners looking for a clue that will help a lame horse.

Farrier instructor Nate Allen of Allen Farrier Service in Juanita, Nebraska and Central Community Technical College in Hastings, Nebraska, narrates this and other videos in the series that I will be posting in short segments so as not to overwhelm you all. This project is made possible by support from the University of Nebraska and Purina Mills through the Cooperative Extension Service network of educational agriculture resource providers and eXtension.org, an educational partnership of 74 universities in the United States.

Note: if you think this video is too basic for you, be patient. The series has to walk before it can run, and I think it is a good idea both to review basic anatomy and learn the terms and principles that Nate Allen will prefer to use in later videos. Anatomy doesn't change and is not a creative subject, but people do approach it in different ways and educators tend to vary in the way that they stress the roles of different structures.

I should probably add that throughout these videos, Nate is sharing his own point of view on subjects like sole pressure, hoof expansion, the role of structures in hoof mechanism, etc. and I realize that many people do not share the tried-and-true farrier science approach. Again, these videos are what a mainstream, middle-of-the-road well-educated farrier instructor thinks people should know about hoofcare. He has put a lot of work into this project and deserves a lot credit and respect, whether you agree with him or not.

You could also download these videos and use them for educating horse owners, or run them on a loop at a trade show booth. You can't go wrong by starting with the basics...and no matter what people tell you, most of them can't find their way around the most basic anatomy diagram and have forgotten everything they learned decades ago in Pony Club or 4-H. Letting them watch this refresher-course video may save them a lot of embarrassment, and you'll be even more of a hero than you already are.

© 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.

Sunday, December 14, 2008

AAEP Convention Report: Digital Extension Device Details from Hans Castelijns

German veterinarian Eva Krüdewagen learns to use the hoof lifter at a clinic in Germany. Dr. Hans Castelijns kneels at right. Photo by Loic Entwistle.

And now for something completely different: German farrier/veterinarian Hans Castelijns gave several lectures at the 2008 American Association of Equine Practitioners Convention in San Diego, California. In a special session on lameness in the foot in Monday, he presented a tool that has, as yet, not hit the radar of American-style lameness diagnosis.

Castelijns is a referral vet/farrier and runs a rehabilitation farm in the Tuscany region of Italy, when he's not harvesting his olive groves or traveling the world as a lecturer and thought-provocateur.

His tool is a multi-level aluminum-encased disk that the horse stands on; the top surface is covered with a non-slip pad. A long lever arm extends from the center of the disk. It cranks the disk up to displace medial or lateral, toe or heel, regions of the foot, to test for discomfort, or perhaps more precisely, to gauge the horse's range of comfort. The horse protests when too much torque is placed on the foot, indicating ligament pain or general intolerance to uneven weightbearing.

Closeup view of the digital extension device: the center plate swivels quite elegantly so the operator can move around the horse while the horse stands still and does not have to have its foot repeatedly placed on and off the device. The opposite leg is still held up by a helper. (Loic Entwistle image)


Swiss farrier Bernard Duvernay demonstrated the device at the wonderful Luwex HufSymposium in Germany in 2006.

The lever arm has an angle gauge and a level at the end, so the operator can say, "Before we trimmed him, he had a medial intolerance at x degrees. With this new trim, he showed no intolerance at all."

The tool is a massive sophistication of the basic lever test for navicular pain; veterinarians formerly stood horses on a board and lifted it, higher and higher to extend the coffin joint and stress the navicular zone, including the deep digital flextor tendon and the navicular ligaments, while an assistant lifted the opposite foot (see photo below). Horses with navicular pain shivered their upper leg muscles, jumped right off the board or buckled backward. The test was often dangerous for all involved; sometimes diagnostic tests would try to lift the foot from the side to elevate the lateral side of the foot, so that pain in the collateral ligaments might be identified.

French veterinarians with a customized board for navicular zone reaction testing; one end has been covered with a non-slip pad, while the operator end has a handle for pulling up. Notice that the board is long enough to keep the diasnostician somewhat clear of the horse in case it rears up or jumps off. (Photo courtesy of Tildren educational series in Hoofcare and Lameness Journal.)

While digital extension tests with a board may not be very accurate in pinpointing the source of pain, they can be helpful, particularly in the field, and they are useful for before and after illustrations of horses reactions pre- and post-shoeing or trimming or surgery. Castilijns has developed a protocol for the use of the more sophisticated tool and also has pinpointed areas that he feels are sensitive to specific elevations.

Castilijns's paper is published in the official Proceedings of the AAEP Convention. An older paper on the device is published in the English language section of his excellent web site. Click here to read the older paper.

The device is sold commercially in Europe.


© 2008 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.