Page 399 - The Veterinary Care of the Horse
P. 399

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        Figure 8.22 Broken knees: this wound has gone right through the skin; scarring from an earlier similar injury can be seen on
        the opposite knee



        TREATMENT
        •    The wounds should be thoroughly cleaned and inspected so the damage can be assessed.

             If  clear  synovial  fluid  leaks  from  the  wound  or  the  horse  is  obviously  lame,  the  vet

             should be called straight away as this requires urgent attention.
        •    The first step in the treatment is to hose the wound and then clean it with an appropriately

             diluted antiseptic scrub and sterile saline.
        •    Where necessary, the vet will cut away any severely damaged tissue and remove as much

             of the dirt as possible.

        •    Antibiotics are likely to be given unless the wound is very superficial.
        •    Non-steroidal  anti-inflammatory  drugs,  e.g.  phenylbutazone,  will  help  to  reduce  any

             swelling or discomfort.

        •    As with any wound, the tetanus vaccination status of the horse should be checked. If it is
             not covered, tetanus antitoxin and the first vaccine will be given.



        WOUND MANAGEMENT
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