Barbaro 7/7/06 Update: Another New Cast, Abscess in Good Foot

I am posting information as it was provided last night by New Bolton Center.
Fran Jurga, HoofBlog editor

July 6, 2006

KENNETT SQUARE, PA – On Wednesday, July 5, Dr. Dean Richardson, Chief of Surgery, replaced the cast on Barbaro that he had received on Monday, July 3. “Barbaro was not comfortable with the second cast, so we decided it would be best to replace it sooner rather than later,” said Dr. Richardson. “His appetite is healthy, and we are continuing to monitor him closely for an elevated temperature or other signs of discomfort.”

New Bolton Center continues to receive requests for additional information on Barbaro’s condition. Below are some of the most recent questions asked with responses from his medical team.

Q. Why was Barbaro’s cast changed again?
A. For several days before the second cast change, Barbaro showed a slight elevation in body temperature and his hind legs appeared uncomfortable, which led to Dr. Dean Richardson’s decision to reassess the leg and then change the cast. He was still not as comfortable as he had been so a new cast was applied on Wednesday.

Q. Why were two screws replaced and three new ones added?
A. Two previously implanted screws that cross the pastern joint were bent, so Dr. Richardson, who had predicted that bent screws in that area were likely, replaced them and added three new screws for additional support. Barbaro has been very active on his cast, and the repairs were needed as a result of force and motion in the affected area. The screws are bridging the pastern joint. They are not part of the repair of the primary fractures. The pastern joint needed to be fused because the proximal phalanx (long pastern bone) was so badly broken that the middle phalanx (short pastern bone) was needed to anchor the distal (lowest) part of the plate.

Q. What do the radiographs show about how well Barbaro is healing?
A. Barbaro's new radiographs show excellent progressive bone healing, a very positive sign.

Q. Were the repairs considered major surgery?
A. Barbaro was put under general anesthesia for the procedure. The repairs themselves were made under fluoroscopic control, which gives surgeons a live-X-ray view of the patient. This means that small one-centimeter incisions were made rather than any large incision.

Q. Did Barbaro have an abscess on his foot?
A. During the examination, doctors found a small infection on the sole of Barbaro’s uninjured left hind hoof near the frog, a V-shaped cushiony growth that helps absorb shock. Dr. Richardson is treating the infection topically; in addition, Barbaro is on systemic antibiotics, which is common post-surgical practice. He also has a new protective shoe.

Q. What is laminitis and what are you doing to prevent it in Barbaro?
A. Laminitis is a painful condition in horses that can be the result of a number of causes, including excessive weight bearing in one limb. It occurs when laminae, the strong connecting tissues that attach the pedal bone and the inner hoof wall, are inflamed. Laminitis is very serious and can result in severe consequences. To reduce this risk, we applied a supportive shoe to Barbaro's left hind foot immediately following the surgery for the fracture of his right hind leg.

Q. How long will Barbaro have to stay in a cast?
A. Barbaro will remain in a cast until we believe that the fracture and joint fusions have developed adequate strength.

Q. How long will Barbaro remain in Intensive Care?
A. Barbaro will remain in the Intensive Care Unit at the George D. Widener Hospital as long as necessary. Even though he is progressing well and has not had major complications, he is not out of danger. Even if things progressed perfectly from this point forward, it is likely that he would be here two more months.

Photos by Sabina Louise Pierce/University of Pennsylvania (except where noted). All rights reserved.

Dressage Direct is free for a week

If you ever wonder where Hoofcare & Lameness or the Hoof Blog comes up with the news, here's the secret: we have friends. Good friends! Good friends all over the world. Good friends who just happen to also be good journalists and are in touch with the horse world and/or the horse health and farrier scenes.

Particular among these friends are people like Mark Andrews, publisher of Equine Science Update (please subscribe: http://www.equinescienceupdate.co.uk) or Bernard Duvernay, aka "The Flying Anvil" who is back and forth between his houseboat on Lake Geneva in Switzerland and the farthest corners of Asia and the Middle East (http://www.farrier.ch).

And those are just two! Their web sites are both worth a visit.

Another good friend is Claartje van Andel , publisher of the Dressage Direct news service. Even if you are not into dressage, her news service is a clear window into the top levels of performance and breeding in Europe (and sometimes other places). Claartje was one of only two (or three?) journalists allowed to attend the FEI conference on rollkur, and her insights are very valuable to absorb. She does NOT just report on who won, but more on how they won. And what it means. She also is very careful about telling you the breeding of the horses. She might be a little prejudiced to the KWPN and the Dutch riders, but that's her business!

Claartje is very generously offering her news service for FREE for one week; with WEG coming up in Aachen in August, a subscription to Dresage Direct will give you a front row seat with a knowledgeable friend next to you to explain what is going on. I know I will count on her, as always. You can too!

To receive Dressage Direct for a free week, send a mail to oneweekfreetrial@dresssagedirect.com with your name and email address. Please tell her I sent you! The web site is http://www.dressagedirect.com

Thanks to everyone who helps us, it is very much appreciated. We are not alone out there!

Hendra Virus Resurfaces in Australia; Vet Exposed to Potentially Fatal Disease

This just in from Oz, courtesy of http://www.news.com.au/story/0,10117,19578115-29277,00.html

A VIRUS fatal to both horses and humans has been found in southeast Queensland.

It has been confirmed by the Department of Primary Industries that a single affected horse has died from the Hendra virus at Peachester, near Beerwah.

"The property on which the horse was kept has been quarantined," primary industries minister Tim Mulherin said.

The diseased horse had been in contact with one other horse and two people, including Peachester veterinarian Rebecca Day.

The virus was first discovered 12 years ago in the Brisbane suburb of Hendra, when well-known horse trainer Vic Rail and 13 horses died of the disease.

One other person has died after acquiring the virus in 1995. This is the sixth separate occurrence of the Hendra since 1994.

Fruit bats are a natural host for the virus and horses are thought to be infected by eating virus-contaminated material.

Newmarket Horse Park? London 2012 Olympics May Build an Equine Hospital to Serve Equestrian Sports

There's more to the Olympics than meets the flame. According to reports in today's UK newspapers, funds may be available in England for the 2012 Olympics that would fund the building of a world-class equestrian sports park, and the race-y town of Newmarket wants first dibs on the available cash.

Among the cash expenditures would be a new equine hospital to service horses competing in the games.

No tongue in the cheek, honest! If you have ever been to Newmarket, you know that the town has almost as many veterinarians as horses. Among the world-renowned institutions already in town are the esteemed Animal Health Trust, where Hoofcare consulting editor Sue Dyson works on equine orthopedics with researcher Rachel Murray, and the Rossdales and Partners which, at last count, had something like three campuses, with separate specialties.

The veterinary college at Cambridge University is only 12 miles away and has an equine hospital as well.

Let's not forget Greenwood Ellis and Partners of Newmarket, where navicular expert and surgeon Ian Wright is hard at work.

And those are just the vets for referrals.

It is this last practice that will be petitioning 2012 Olympics czar Lord Sebastian Coe (right, that Sebastian Coe, remember the film "Chariots of Fire"?) for a role for vet med in a proposed equestrian park to be built on a 100 acre site in Newmarket.

Quoted in East Anglia News: "We would love to bring the Olympic Games in some form to Newmarket and to have some lasting legacy as a result," Mr Wright said.

The actual equestrian competitions are supposed to take place in Greenwich, England, near London. Greenwich is best known for being the home of the world's official clock, as in "Greenwich Mean Time". (That's what those BBC news announcers are always talking about when they give you the hour "GMT".) It is also the home of 0 degrees longitude, still used in all our maps and navigation. The whole world went out from the British empire back in the old days, and Greenwich could arguably have been the center of the universe. I've always wanted to visit the maritime museum there.

Newmarket, on the other hand, is the world's largest training center for Thoroughbred racehorses. Trainers have racing "yards" in the town and train/condition the horses on a magnificent hilly "heath". The little town also has two racetracks and a slew of farriers.

Wouldn't you think that the danger of Olympic horses bringing disease would cause some concern among the racing types, and vice versa?

Stay tuned for more details....

Conference Announcement: The Back and Beyond: Orthopaedic Poor Performance (Hindlimbs and Back)

British Equine Veterinary Association Conference Announcement
The Back and Beyond
Orthopaedic Poor Performance: Hindlimbs and Back
Sponsored by BCF Technology Ltd, EMS Optident and Boehringer Ingelheim

Date 20th – 21st October 2006

Venue Simon Gibson Room, Rossdales Equine Hospital, Newmarket, Suffolk, ENGLAND.

Course Organiser: Andy Bathe MA, VetMB, DipECVS, DEO, MRCVS
Registration Rebecca Hilton (rebecca.hilton@rossdales.com)

Fee: £500 for members
(£550 for non members)
COURSE LIMITED TO 36 DELEGATES

Description
This is an intensive course aimed at delegates with experience of orthopaedic work-ups and aims to explore the typical presentation of “won’t jump / won’t run / won’t engage”. These represent a diagnostic challenge to determine whether there is a primary back problem, hindlimb lameness or a schooling/behavioural issue. The course will cover diagnosis and treatment of conditions affecting the back and hindlimbs including clinical anatomy, biomechanics, diagnostic local analgesia, clinical and gait evaluation as well as imaging techniques. There will be sport-specific sessions for racing, eventing, dressage, and showjumping. Medical treatment, surgery, rehabilitation, farriery, equitation and alternative treatments will be discussed. The course will be limited to small numbers to facilitate audience-speaker interaction and there will be a large number of panel discussions.

Speakers
Prof J M Denoix DVM, PhD, Agrege, France
W Back DVM, PhD, DipECVS, DipIRNVA, Utrecht, Holland
A P Bathe MA, VetMB, DipECVS, DEO, MRCVS, Newmarket
M J Head BVetMed, MRCVS, Newmarket
M O’Donnell BVSc, MRCVS, Newmarket
S E Powell MA, VetMB, MRCVS, Newmarket
A Buthe Dr.med.vet., MRCVS, Cert.Acupuncture (IVAS), Felsted
C Bartle BSc, FBHS,- International Dressage and Eventing trainer, Yorkshire
A Sutton MSc Vet Phys, Grad Dip Phys, Cat A ACPAT, Winchester

Practical Sessions
Practical sessions will include ultrasonography of the back and hindlimbs, diagnostic local analgesia, clinical examination and palpation, gait evaluation and alternative treatments.

The cost of the course will include comprehensive notes, a course dinner, lunches and coffees during the course. A list of local accommodation can be provided.

For further information regarding the course please contact
Miss Rebecca Hilton
Rossdales Equine Hospital, Cotton End Road, Exning, Newmarket CB8 7NN
Tel: (UK 44) 01638 577754
Fax: (UK 44) 01638 577989

The Irony of Farrier Competitions....International Role Reversal?

Is it me, or does anyone else see the irony in the announcement by the new corporate farrier competition group, World Championship Blacksmiths, and a recent report on a big competition in the UK?

WCB is promoting the fact that their regional competitions (and presumably their national championship) will be conducted in rounds, using ten "permanent" stations so farrier competitors can fly in and not need their trucks. On the education side, farriers not in a given round can watch the others, something that competitors currently cannot do when they all compete at once.

Meanwhile, across the pond, Billy Crothers of Handmade Horse Shoes boasts of more than 60 competitors at his recent competition. Impressive...but Billy didn't provide permanent forges and anvils. It was a "bring your own" affair, and what's more, everyone was hammering away at the same time, "American-style", from the backs of 64 rigs and vans.

The UK is known for competitions that stress the actual shoeing of a horse, along with the making of a specimen shoe, and the USA is known for shoemaking contests. Is that changing? Will American judges start wearing white coats next?

2006 AAEP Convention Addresses the Foot; Farriers-Only Program Added

Hoofcare & Lameness has received a document pertaining to the 2006 American Association of Equine Practitioners Convention, to be held in San Antonio December 3-6. While farriers have always been able to attend the convention, this is the first time that a farriers-only program has been offered.

San Antonio will be my 21st AAEP Convention! Hoofcare has always been part of this convention, and we have a busy booth in what is surely the largest horse health trade show in the world. It is worth going just for the trade show!

(Blogger's note: speakers are veterinarians unless otherwise designated, although Mike Pownall is both a DVM and a CF. Also the laminitis presentations are reports on research from the Australian Equine Laminitis Research Unit of Dr. Chris Pollitt. Dr Pollitt will be in San Antonio, but the new data will be presented by research staff).

Here is the message from the AAEP and Dr. Steve O'Grady:

The American Association of Equine Practitioners would like to invite farriers to attend our 52nd Annual Convention to be held in San Antonio, Texas on December 3-6, 2006. This year's program will feature multiple sessions devoted to the equine foot.

Monday Afternoon December 4
In-depth session on Palmar Foot Pain (3 hours)

*Structure and Function of the Equine Digit in Relation to Palmar Foot Pain - Andrew Parks
*Clinical Evaluation and Diagnosis of Palmar Foot Pain - Robert J. Hunt
*Therapeutic Considerations for Horses with Palmar Foot Pain - G. Kent Carter
*Strategies for Shoeing the Horse with Palmar Foot Pain - Stephen E. O'Grady

Tuesday Morning December 5
"Putting Science into Farriery" (session open to Farriers only)
*The Farrier-Veterinary Partnership: The Role of Diagnostic Imaging - Harry Werner
*Lameness evaluation: practice and theory - Andy Parks
*Hoof balance vs. hoof mechanics: is there a difference? - Bob Pethick, CJF
*The "tipping" point: radiographic assessment of the affect of wedge pads -- Mike Pownall
*Using composites to compliment farriery: when, where and how? - Scott Pleasant
*Lets review the landmarks that can be used to evaluate, trim and shoe the equine foot - Dave Duckett, FWCF


Wednesday Morning December 6
"How to" presentations on the hoof
How to...Use Hoof Wall Resection and Amniotic Membrane as a Treatment for Coronary Band Prolapse - Carrie Gatke-Long
How to...Surgically Access Lesions Beneath the Hoof Capsule - Clifford M. Honnas
How to...Radiographically Assess the Hoof Capsule and Related Lameness Problems - J. G. Merriam
How to...Prepare Equine Hoof Defects for Repair - William Moyer
How to...Manage White Line Disease - Stephen E. O'Grady
How to...Perform the Digital Venogram - Amy Rucker
How to...Assess the Equine Foot for Prepurchase - Tracy A. Turner
How to...Safely Perform a Mid-Metacarpal Deep Digital Flexor Tenotomy on a Standing Horse - Daniel J. Burba
How to...Cryotherapy Reduced the Severity of Laminitis Evaluated Seven Days after Induction With Oligofructose - Andrew W. van Eps
How to...Transcription of MMP-2 and MMP-9 in Horses with CHO Induced Laminitis Treated With an Intracecal Buffering Solution - Adriana H. Souza
How to...Acute Laminitis: The Temporal Evaluation of Serial Hoof Biopsies - Emma L. Croser


Additionally, Sunday through Tuesday there will be various 1.5 hour Table Topics including:
• Barefoot vs. shod,
• Foot lameness,
• Hoof wall cracks and defect repair techniques,
• Therapeutic shoeing,
• Managing acute and chronic laminitis.

Advance Registration fee for AAEP and farrier guests is $395*. (Registration includes complimentary lunch Sunday-Tuesday as well as access to the other program sessions and trade show.)

For more detailed program information or to register go to www.aaep.org or call 1-800-443-0177.

(Hoofcare.com and hoofcare.blogspot.com will post updates as available.)

* Update #1...23 October...pre-registration deadline extended to 30 October 2006.

Hoofcare & Lameness Journal Sunday, June 18, 2006
As posted on www. hoofcare.blogspot.com and hoofcare.com.

What is "World Championship Blacksmiths"?

We'll soon find out!
June 19th is the day set for unveiling of the new member-based organization designed at upgrading farrier competitions in the United States. Headed by farrier Craig Trnka of New Mexico and AFA Education Director Jill Ballard, World Championship Blacksmithis (WCB) has an ambitious plan to run regional farrier qualifiers leading to a national championship beginning in 2007.

Until the name catches on, I am sure that this will be called "the competitors' association" but it is more than that.

Among their plans are to use stations provided by the promoters, a la Calgary Stampede's farrier contest, so farriers will not need to bring trucks and anvils to a contest site. The stations will be owned by WCB and moved from site to site.

According to Jill, "The organization is kicking off the 2007 season with a preview competition in Edgewood, New Mexico on September 22nd, 23rd, and 24th, 2006. The first year's regional competitions are slated for Bossier City, LA; Durango, CO; Dillon, MT; West Springfield, MA; and Atlanta, GA." A "Super Clinic" is scheduled for the weekend of January 11.

The Massachusetts event will be held as part of the Equine Affaire horse expo.

Principles of the LLC (Limited Liability Corporation--not a non-profit organization) are three farrier-and-wife teams: Craig and Chris Trnka of New Mexico, Jeff and Julie Ridley of Iowa, and Kyle and Jill Ballard of Nebraska.

Rumors that WBC intends to take over the AFA are premature, according to the authorities I interviewed this week.

I did question Myron McLane, chairman of the American Farrier's Association's Rules Committee, which makes him the de facto czar of the AFA's competition. On June 11, Myron said, "I can't tell you what (WCB's) plans are but I am the chairman of the rules committee and the rules committee runs the AFA contest. I can't comment on rumors. If anyone has questions about the contest in Albuquerque they can contact me at 508-678-0117. We also welcome new ideas and input on the contest from any AFA member."

AFA Acting Executive Director Mike Nolan told me on June 13, "I have been in touch with WBC and urged them to come to the AFA with specifics and how their plans impact the AFA."

A full article with information directly from WCB will be posted on www.hoofcare.com in the next day or so.

By the way, Jill Ballard asked me to convey the important information that she is still working for the AFA, as well as for WCB.

The WCB web site will go live on the 19th; URL is http://www.worldchampionshipblacksmiths.com

EIA in Ireland: Not Good News

Another horse disease is in the news today: Equine Infectious Anemia has hit Ireland for the first time, ever. That's the problem with being an island; your flies don't get exposed to diseases. The horses in Ireland have never needed Coggins tests, so what will they do now? According to news reports, the outbreak is blamed not on imported flies, as you might expect, but to a tainted supply of medication or vaccine.

No matter how it got to Ireland, it's there, and when flies bite an infected horses, the fly becomes a carrier and infects other horses. And horses that recover can be carriers forever.

It's not unusual for Irish horses to pop over to England or Scotland or even France to race, and we all know that every horse in Ireland is for sale. It is a market country and a nursery for the Thoroughbred and jumping horses of all types. This outbreak will require a major national education campaign.

I can hear them down at the pub now, asking "Who's this fellow Coggins, then, and why do our horses need to take his test?"(Good questions, who is/was Coggins?)

Keep an eye on this story. It reminds me of when West Nile Virus arrived in New York. Let's hope Ireland finds a way to stop a major outbreak, and a major change in how they manage and move their fabulous horses.

Barbaro's cast was replaced today

From our friends at New Bolton Center:

KENNETT SQUARE, PA – Today Chief of Surgery Dean W. Richardson replaced the cast that had been on Barbaro’s hind leg since surgery on May 21. “His leg looks excellent,” said Dr. Richardson. “The incision has healed well and judging by the radiographs, the graft is opacifying (“taking”). Callus is forming nicely, and all of the implants (plate and screws) look unchanged.” The cast was replaced under general anesthesia, and Barbaro had a very smooth pool recovery.