Showing posts with label limb. Show all posts
Showing posts with label limb. Show all posts

Tuesday, April 08, 2014

PBS "My Bionic Pet": Putting Hooves and Paws and Tails Where They Weren't



On Wednesday, April 9, the PBS documentary series Nature will focus on pets who are missing parts. The star of the show will be the all-time star of this blog, Molly the (Three-Legged) Pony, but you'll also meet Chris P, the piglet who lives in a wheelchair or Mr. Stubbs, the alligator who needed a tail, and a pack of pooches who are running with the best of them but without as many legs.

Tuesday, July 17, 2012

Auburn University: Ampututation and Prosthesis Create a Dolphin's Tale Story at Vet School Hospital for Miniature Donkey Foal


Emma, a miniature donkey foal, was just two days old when she arrived at Auburn University's John Thomas Vaughan Large Animal Teaching Hospital with a severe hind limb deformity, one that required amputation of the limb and the placement of a prosthesis.

Auburn University's College of Veterinary Medicine and the Hanger Clinic, formerly Hanger Prosthetics and Orthotics, have been working together since April on this case that could have implications in the treatment and rehabilitation of horses, donkeys and other equids with congenital deformities or injuries.

Dr. Fred Caldwell, an assistant professor in the Department of Clinical Sciences and equine surgeon, performed the amputation procedure, and is working with clinician Billy Fletcher from Hanger Clinic – the same company which made the prosthetic tail for Winter, the amputee dolphin and star of the film "Dolphin Tale" – to develop a prosthesis for her limb. The two worked out a plan to both allow Emma time to heal from the surgery and transition from her cast to the prosthesis.

Emma’s caregivers change her bandage and adjust her prosthesis regularly as healing of the surgical site continues.
Emma's fitting session for the new pink prosthesis that accommodates her growth.

"Billy was excited and enthusiastic to assist," Caldwell said. "Once we proceeded with the surgery and amputated the distal limb, he provided a small footplate to incorporate into the cast to even out the length of her hind limbs so she could bear weight until we could get the surgical site healed and have her fitted with a prosthesis. It has been a group effort on behalf of many caring individuals willing to go to great lengths to save her."

Emma's case is providing a unique and beneficial teaching opportunity for everyone involved. The practice of using prostheses with large equids is relatively uncommon because of their size and weight-bearing limitations.

But because Emma is a miniature donkey, she will be fairly small as an adult, weighing approximately 350 pounds when fully grown. This gave Caldwell and Fletcher hope for a positive prognosis and success in Emma's treatment.

Emma is now 11 weeks old and has been thriving with her prosthesis, making an impression on everyone who has worked with her.

A closer look at Emma’s first prosthetic device. As she grows, she could potentially transition through eight or nine variations of the prosthesis before reaching full growth.
An earlier version of Emma's prosthetic hind limb.

"She absolutely loved it from the get-go," Caldwell said. "It was a very impressive design and she did very well in it. She has progressed to the second iteration of her prosthesis, which doesn't incorporate as much of the limb and allows her more range of motion. She is getting stronger; she's growing and doing wonderfully."

Fletcher said that as Emma grows, she could potentially transition through eight or nine variations of the prosthesis before reaching her full size. At that point, she will be fitted with a piece that is more permanent.

The prosthesis is made of carbon fiber, Kevlar and fiberglass. These are materials that are strong and extremely light, and are the same materials used for prostheses for Paralympic athletes. The materials are also flexible and adjustable to allow for growth and progression in Emma's gait.

The first finished prosthesis weighed less than a pound; the most recent iteration, which is pink, is smaller, but weighs a little more to provide stability as she's grown taller and almost doubled her weight since surgery.

"The next step is trying to make sure we keep the prosthesis set up so she's ambulatory and she can run and play and do things uninhibited, but also, to keep the area of concern, the surgical site, offloaded so Dr. Caldwell can do his job in keeping her completely healed," Fletcher said.

A closer look at Emma’s first prosthetic device. As she grows, she could potentially transition through eight or nine variations of the prosthesis before reaching full growth.
Emma shows off her latest prosthesis. Notice how it cups the hock.
"As time goes by," he continued, "we'll continue to provide a prosthesis that's going to allow for growth. We want to provide her with full range of motion, but also give her the ability to use full strength. I think she's got that in her current set-up, so the big thing now is keeping everything offloaded so she heals completely; we'll continue to increase the size of the prosthesis as she grows."

Caldwell said he has learned a tremendous amount from the case and it has given him hope that in the future amputation and prosthesis could be a more feasible option for larger horse patients.

Story by Carol Nelson, Communications Editor at Auburn Univeristy


© 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.

Friday, March 16, 2012

Laminitis Research Highlights Grayson Jockey Club Foundation's Research Lists for 2012


The Grayson-Jockey Club Research Foundation announced today that the charitable organization will fund 16 projects in 2012, totaling $845,646. The research includes the launch of eight new projects, continuation of eight projects entering their second year, and the Storm Cat Career Development Award.

Of special interest is the announcement that a project on laminitis has received the Elastikon™ Equine Research Award. This is funded in part through a contribution by Johnson & Johnson’s Consumer Products Company, manufacturer of Elastikon tape and other equine products.

Of particular interest are the following projects:

LAMINITIS STUDIES

1. Digital Hypothermia in Laminitis: Timing and Signaling
Dr. James Belknap, The Ohio State University (Second Year)

Dr. Belknap
The most recent figures from a study involving the USDA and State Veterinary Medical Officers project that at any given time laminitis affects 8 of every 1,000 horses in the United States. Based on the American Horse Council survey that there are 9.5 million horses in the nation, that would indicate 76,000 horses being affected at any given time. Of those affected, the USDA survey found that 4.7% died or were euthanized, or about 3,572 deaths from laminitis annually.

The authors of this project report that “an integrated research effort over the last decade has enhanced the current understanding of the pathophysiology of equine sepsis-related laminitis (one of numerous causes of the disease). This has mirrored progression of sepsis research in human medicine by moving from (an earlier) concept . . .to determining that a marked inflammatory injury takes place and is likely to play a prominent role in tissue injury and subsequent failure.” However, there have been persistent failure of systemic therapies for organ/laminar injury in both human and equine medicine. One advantage laminitis presents is that it effects the hoof rather than visceral organs, lending itself to artificial cooling more readily.

In a present project funded by the Foundation, digital hypothermia (cooling of the hoof) prior to onset of carbohydrate overload-induced equine sepsis resulted in dramatic decrease in laminar inflammatory signaling. The next goal is to find pharmaceutical therapies which can accomplish the same without the cumbersome aspects of maintaining constant hypothermia to the equine hoof (hooves).

2. Laminar Energy Failure in Supporting-Limb Laminitis
Dr. Andrew Van Eps, University of Queensland (Second Year)

Dr. Van Eps
A frequent and disheartening result of injury repair is that the leg opposite the one injured develops laminitis. This is known as supporting-limb laminitis and is what eventually caused Barbaro to be euthanized. Although it is a common occurrence, the mechanisms of the malady have not been established.

Dr. Pollitt
This project is headed by a young researcher, Dr Andrew Van Eps, but the co-investigators are world renowned Drs. Dean Richardson and Chris Pollitt.

The project involves testing the hypothesis that supporting-limb laminitis is a result of reduced blood supply to the connection between hoof and bone (lamellar tissue). Further, that the blood supply in normal circumstances is encouraged by a regular loading and unloading of the legs and hooves (alternating which one is bearing the most weight). Injury to one leg interrupts that alternating pattern.

Dr. Richardson
The researchers will test the hypothesis with a state of the art, minimally invasive technique known as tissue microdialysis in conjunction with three dimensional computed tomography to develop effective methods of preventing or minimizing lamellar tissue energy failure. Comments in the Research Advisory Committee evaluations included “may well provide immediately applicable strategies to prevent supporting-limb laminitis” and “really nice grant, new idea about a devastating problem.”

Support-limb laminitis is a special area of research interest for the researchers funded by the Grayson Jockey Club Foundation. It is believed to be a unique form of the disease that is precipitated by prolonged weightbearing on one hind limb or one front limb, caused by the opposite (injured) limb's inability to bear weight after surgery or injury. Tragically, the overburdened "good" or "supporting" limb develops laminitis in this scenario. (Hoofcare + Lameness photo)

3. Laminar Signaling in Supporting-Limb Laminitis
Dr. James Belknap, The Ohio State University– First Year (2 Year Grant)

A recent USDA study indicates that approximately 1% of all horses in the USA suffer from laminitis at any given time, and approximately 5% of those animals die or are euthanized while many others remain crippled. Of the conditions which create laminitis, the development of the disease in the supporting limb of an already injured horse is one of the worst, since it is believed that 50% of those cases result in euthanasia.

The author reports that while there are hundreds of published papers in the literature about other forms of laminitis, reports on supporting-limb laminitis are restricted to clinical reports and case studies.

This project will “introduce a novel, non-painful model of supporting-limb laminitis and will allow for cutting edge bench research techniques to not only (1) test the current hypotheses on the cause of laminar failure, but also (2) provide an unbiased technique to determine the cellular events that occur . . .”

The investigator has performed a number of laminitis project for Grayson and the USDA, and has a well developed set of tools and techniques including laser micro-dissection of frozen laminar cells and an advanced “functional genomic” technique called RNA-Seq. By applying these techniques that have previously characterized laminitis caused by sepsis or metabolic syndrome to support limb laminitis, we will get our first understanding of what kind of drugs and treaments might prevent it.

This grant was selected by the board to receive the sixth annual Elastikon™ Equine Research Award.

4. Stem Cell Homing after IV Regional Limb Perfusion
Dr. Alan Nixon, Cornell University (First Year of Two-Year Grant)

Dr. Nixon
“The initial fervor associated with stem cell therapies has been tempered by mediocre clinical results,” states Dr. Nixon, long recognized as a key leader in quest to maximize use of stem cells. “More can be done, including pre-differentiation, gene-directed lineage targeting, and more efficient delivery.” This proposal will deliver by “local vein injection, to back-flow to bowed tendon and other disease conditions such as founder and traumatic arthritis.”

Transplanted cells then exert normalizing and restorative effects . . .” The long-range goal is to provide a simplified approach to stem cell therapy. We cannot do this without verification of cell homing and impact. (The project) will map stem cell distribution in the tendons, ligaments, and joints of the forelimb after direct venous injection.”

LAMENESS STUDIES

1. AAV-IRAP Gene Therapy to Prevent Osteoarthritis
Dr. Laurie Goodrich, Colorado State University (Second Year)

Dr, Goodrich
Osteoarthritis is a common affliction in horses, and current methods of treatment are effective only in reducing the pain, at best. This proposal will utilize gene therapy, which is a technique in which cells can be genetically modified or “re-programmed” to produce beneficial protein that will allow cartilage to heal. The initials in the project title stand for Adenoassociated Virus and Interluken Receptor Antagonist Protein. If cells in the joint could be re-programmed to produce IRAP, the devastating effects of joint inflammation could be halted and the progress of osteoarthritis could be reversed.

These researchers’ preliminary work utilizing AAV-IRAP suggests that cells of joints are easily re-programmed to produce beneficial protein. The aims of this project is to define the most appropriate dose of AAV-IRAP that will result in effective levels and answer the question of whether this approach can prevent osteoarthritis in the horse.

2. Investigation of Cell and Growth-Factor Dependent Tenogenesis
Dr. Martin A. Vidal, University of California-Davis (Second Year)

Dr. Vidal
The crux of this study is to test preliminary indications that a newly developed in vitro tendon/ligament culture model will prove effective at determining the optimal cell type from bone marrow, fat tissue, umbilical cord, tendons, ligaments, and muscle to use in tendon and ligament repair. The model also will allow investigators to learn the early molecular and cellular signals in tendon and ligament tissue formation.

The author states that current methods of healing result in inferior scar tissue and re-injury rates ranging from 23% to 67%. Transforming growth factor (TGF) combined with platelet rich plasma will be utilized, and tests will be done on how they affect tissue growth, strength, and composition. ”

3. Stem Generation of Equine Induced Pluripotent Cells for Regenerative Therapy
Dr. Lisa Fortier, Cornell University (Second Year)

Dr. Fortier
Stem cell based therapies are among avenues being tested with the goal of tendon cell regeneration to address tendonitis. The types of stem cells used so far may improve the structure of tendon healing, but appear to have limited regenerative ability or are limited due to potential issues of immune rejection.

The author explains that, “ . . . this proposal is to generate induced pluripotent stem cells (iPS cells) from equine adult dermal fibroblasts. iPS cells are the only stem cells that are both pluripotenent and autogenous, making them the most useful for clinical application. The expectation is that the results of the studies in this proposal will provide the first published description of the generation and characterization of equine iPS cells.” This is part of a process of testing the overall hypothesis that equine iPS cells will enhance tendon regeneration in cases of tendonitis.

Also, “the technical expertise gained in this study could be used in the future to generate autogenous iPS cells for use in equine cartilage and neuronal regeneration studies.”

Go inside the horse's hoof...you'll be amazed what you'll see--in 3-D, too!
Thanks for ordering; the program is in stock and ready to ship!

© 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
Read this blog's headlines on the Hoofcare + Lameness Facebook Page
 
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.

Tuesday, January 24, 2012

Hoofcare University: Biomechanics of Racehorses' Lower Limbs and Track Surface Interface Video Lectures with the University of Guelph's Dr Jeff Thomason

Dr Jeff Thomason
Go get a cup of coffee or a sandwich or start popping the corn. Hoofcare + Lameness is happy to share a new video series with you from the University of Guelph's Jeff Thomason BA, MSc, PhD, professor of biomedical sciences at Guelph's Ontario Veterinary College.

Dr Thomason is widely known for his research, which currently looks both at the biomechanics of the horse's foot and distal limb as well as the mechanical properties of the track itself, and how they influence the function of the foot.

Recently, Dr. Thomas was part of a group of authors that created an extensive "white paper" reference document for the Grayson-Jockey Club Foundation's Welfare and Safety of the Racehorse Summit on this type of dual research, which will ultimately benefit the safe travel of horses over optimal racing surfaces.

Plan to spend the next 15 (or so) minutes absorbing Dr. Thomason's lecture points, which have been broken down into bite-size videos.

Introduction:


How do you examine limb mechanics?


How do banked surfaces affect impact?


Can optimizing track surface reduce catastrophic injury:


Who will benefit from the racing surfaces 'white paper'?


What is the best track surface for racing?


How does climate affect track surfaces?


How does maintenance affect track surfaces?


To learn more:

Download the Grayson Jockey Club Foundation's Welfare and Safety of the Racehorse Summit White Paper on Racing Surfaces, authored by Drs Mick Peterson, Lars Roepstorff, Jeff Thomason, Christie Mahaffey and Wayne McIlwraith.

Be sure to visit and subscribe to the University of Guelph's YouTube channel with complete "Report on Research" video series

The surest sign of an outstanding lecture is when you go back into the lecture hall half an hour later and the lecturer is still brainstorming with attendees and other speakers. Here's Dr Thomason two years ago at the University of Pennsylvania's  New Bolton Center farrier seminar. With him: Dr Bryan Fraley of Kentucky and farrier Jaye Perry of Georgia. (Hoofcare and Lameness fuzzy file photo)
Learn about web-based courses in equine anatomy taught by Dr Thomason

Read Mechanical Behavior and Quantitative Morphology of the Equine Laminar Junction by Dr. Thomason and researchers Heather McClinchy, Babak Faramarzi, and Jan Jofriet as published in Anatomical Record in 2005. (Free web paper)

Dr Lisa Lancaster, Michigan State University's Dr Robert Bowker and Hoofcare + Lameness teamed up to produce this award-winning anatomy chart. Order yours today!

© 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
Visit the Hoofcare + Lameness Facebook Page
 
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.

Sunday, December 11, 2011

Educational Hoof Anatomy Gifts to Give and to Get from the Hoofcare Collection


Let's make things perfectly clear...educational gifts go on giving!

Click on the arrow in the lower right corner of the Scribd window to scroll between the pages of our new brochure about educational, creative and crystal-clear hoof anatomy specimen preserved by plastination.

The "relief" or "plain" handheld specimen without acrylic $50

These specimen--or ones quite like them--are ready to be shipped from the Hoofcare Collection in time for holiday gifts. Prices range from $50 for the "handheld" sagittal hoof in relief (no acrylic sheet, but the actual tissue is plastinated) to $250 for the most complex models, such as a foal limb showing growth plates.

"Tall" sheet specimen of a foal's limb--size and age vary but growth plates are clearly visible. This specimen was photographed on a flat surface but would look like the others shown if held up to the light. $250
A "sheet" of the whole hoof is usually $95. "Sheets" that are as large as 6x12" likely extend to or beyond the fetlock and are priced by size and speciality up to $250 for special items such as foal limbs.

A standard "slice" or "living x-ray" of the whole foot varies in how much of the pastern is included; shape and thickness of  the acrylic may vary.  No two are alike. $95.

These specimen make great gifts for veterinarians and farriers--it is like carrying a living radiograph with you to illustrate conditions or structures. They are also becoming standard equipment for classrooms. They wipe clean easily and are resistant to heat and breakage. The freestanding "block" specimen are beautiful for display at home, in offices or at clinics and farrier shops.
An entire set of blocks cut from one hoof create a simulation of an MRI image and can be used by equine practitioners for imaging study. These sets are sold by special order and can be horizontal, as shown, or sagittal.
Both normal and laminitis hooves are available, along with all thicknesses of sole, variations of hoof-pastern axis, and conditions of the foot. Laminitis is shown in many forms in these models and is sometimes open to interpretation. The colors of the specimen vary considerably. Some are quite intense while others are pale. Light passes through them to illuminate all the structures.

Freestanding half-inch thick "block" models. $200. 
Note: these specimen are for sale only to US readers. We will gladly arrange for orders to be shipped from Germany to other countries. All orders shipped from the Hoofcare collection are subject to changes in price and 6.25% sales tax to Massachusetts readers.

Laminated posters are also available for $20 each. You can write on them with a dry-erase pen.
An email or telephone consult can determine an exact price, shipping charges, and a low-resolution sample snapshot can be emailed to you for approval. Orders can be made by PayPal, once the price is determined, or by Visa/Mastercard, or you may send a check.
Click on this link to download or view at full size the new Equine Hoof Anatomy Plastinate Brochure. This brochure details many customization alternatives for commercial orders. For educational and professional uses, the plastinates are embedded in clear acrylic without labels. or logos.

Hoof anatomy has never been so clear!

© 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
Read this blog's headlines on the Hoofcare + Lameness Facebook Page
 
Disclosure of Material Connection: ALthough I have not received any direct compensation for writing this post, Hoofcare Publishing acts as a sales agent in North America for these educational models.. 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.

Tuesday, November 01, 2011

Amputation and Prosthetics: Molly the Pony Leads a Parade of Animal Amputees Showing Off Their Artificial Limbs


Here's an old friend: Molly the Pony sent this blog into global "gone viral" paralysis in 2008 when we announced that a children's book had been written about the three-legged Hurricane Katrina survivor. Now she's a global celebrity, and in this little video, she leads a parade of proud prosthesis-wearing animal pals--and rightly so!

This video enhances a spectacular article in the October issue of WIRED Magazine about animal amputees. The music by the way, was a great choice, I thought. It's the uplifting Concerto in D Major for Viola (First Movement) by Stamitz.

This nice portrait of Molly by Adrian Gaut shows the pony who has become such a symbol of hope and resilience to people around the world. She met thousands of people as a star of the show at the 2010 Alltech FEI World Equestrian Games in Kentucky. Molly was abandoned when Hurricane Katrina hit New Orleans. Her barn collapsed around her but she survived--only to be attacked by a pit bull at her rescue farm. Surgeon Rustin Moore DVM at Louisiana State University's vet school (now at Ohio State) took a chance and amputated what was left of her right front leg to save her life. (photo: WIRED Magazine)
Check out WIRED's compelling portrait gallery of amputee animals who are living and moving again, thanks to prosthetic designs that are as creative and inspiring as the spunky animals who wear them.

WIRED story author Emily Anthes says she is working on a book about amputee animals.


If you're interested in what's being done to help animals in need of amputation surgery and prosthesis design, note that the BBC show The Bionic Vet was shown on cable in the USA this fall and now can be viewed as a pay-per-view on iTunes. The show highlights the groundbreaking work on British vet Noel Fitzpatrick. While this trailer is a bit dramatic, and Fitzpatrick can be that way sometimes too, the show really is excellent.


Here's a sample of a case from The Bionic Vet. I have a soft spot for Corgis. I just wish Noel Fitzpatrick had a soft spot for horses. Several other vets, including Dr Ric Redden in Versailles, Kentucky and Dr Ted Vlahos of Cody Equine Hospital in Wyoming are advocates for equine amputation in the United States and have helped a lot of horses.

 TO LEARN MORE


© 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
Read this blog's headlines when you "like" the Hoofcare + Lameness Facebook Page

 
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.

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.  


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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.