10/05/2022
Every horse owner’s worst fear…the dreaded nail/screw in the hoof! This guy was pretty lucky and this screw managed to miss a lot of the important structures in the foot like the coffin joint, coffin bone, tendon sheath, and navicular bursa. In this case, it actually went into what we call the digital cushion which gives him a better prognosis of returning to soundness. We were able to remove the screw, curette the area, soak the foot and perform a regional limb perfusion. A regional limb perfusion is a procedure that delivers a high concentration of antibiotics to a certain area in order to treat the infection while minimizing any systemic side effects. This guy was then sent home on oral medications the same day!
If this happens to your horse DO NOT IMMEDIATELY PULL THE NAIL/SCREW OUT! First thing you do is call us. This is an emergency situation and we will walk you through the next steps. If you can keep the nail/screw in without causing it to travel further in the foot, that is ideal. That way we can see exactly what structures the nail/screw penetrated by taking a couple x rays. In some cases you have to remove it to prevent it from causing further damage. In these cases, you should take multiple picture of it before you remove it so that we can see where it was in the foot and in what direction it was traveling. That way we can do more accurate diagnostics to determine what structures might have been injured/infected so that we can treat it accordingly.
These cases can be nerve-racking to say the least but try not to panic and give us a call so we can work through it together!