Page 1140 - Adams and Stashak's Lameness in Horses, 7th Edition
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1106   Chapter 11


            other hand, egg‐bar shoes can be fitted too long, and the   impact, the extension or butt of the egg bar contacts the
            extension beyond the heels acts as a lever, causing excess   ground first. A lateral trailer, either in line with or diverg­
  VetBooks.ir  are known to decrease the force on the navicular bone.    the foot to pivot toward the side of the trailer as the foot
                                                               ing up to 45° from the midsagittal plane of the foot, forces
            pressure on the heels of the hoof capsule. Heel wedges
                                                           5
                                                               lands.  The toe of the foot is directed laterally after
            However, the consequence of this benefit is that it is
            often used on horses with damaged heels and the heels   impact and break‐over is redirected.
            are then placed under greater compressive stress. Heel
            extensions alter the way the foot strikes the ground. If, as   Bar Shoes
            happens frequently, the heels are closer to the ground at
                                                                  A  bar  is  the  part  of  a  shoe  that  extends  from  one
                                                               branch of a shoe toward the other, forming a closed unit.
                                                               In a complete bar shoe, one branch extends to the other.
                                                               In a partial bar shoe, the bar extends part of the way
                                                               across the shoe. Most bars extend from one heel to the
                                                               other to form a closed shoe. A bar may extend from one
                                                               quarter to the other, or even diagonally across the shoe.
                                                               Several patterns of complete bar shoes are commonly
                                                               used, including the straight‐bar, egg‐bar, heart‐bar,
                                                               heart‐bar–egg‐bar (or full‐support shoe), and Z‐bar
                                                               shoe (Figure 11.24).
                                                                  Indications for a bar shoe include increased stability
                                                               to the hoof capsule, increased ground surface area, local
                                                               protection, recruitment of additional weight‐bearing
                                                               area of the foot, and ability to unload a section of the
                                                               foot. Some type of bar shoe is frequently used, often in
                                                               conjunction  with  other  shoeing methods,  to  increase
                                                               stability within the hoof capsule or distal phalanx. Bars
                                                               that extend palmar/plantar to  the normal position of
                                                               the heel of the shoe act as a palmar/plantar extension.
                                                               Bars that are set under the ground surface of the foot
                                                               can be adjusted to protect that part of the foot from
                                                               ground contact, apply pressure to that part of the foot,
                                                               unload that part of the foot, or recruit that part of the
                                                               foot for weight‐bearing.  A straight‐bar shoe may
                                                               decrease pressure on the palmar/plantar third of the
                                                               frog and protect the underlying navicular bone.  The
                                                               heart‐bar shoe is used to recruit or increase the role of
            Figure 11.22.  Shoe with one branch wider than the other,   the frog in weight‐bearing, thus using the frog to create
            showing the flotation effect on one side of the foot.  a weight‐sharing relationship with the hoof wall and



























             A                                          B
            Figure 11.23.  A shoe with a trailer (A) and its application on the left hind foot of a horse (B). The trailer should be as long as the width of
                                             the horse shoe. Source: Courtesy of Jeff Ridley.
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