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Peer-reviewed veterinary case report

Horse lameness from hoof tumor - new treatment options

By Leonardi, Fabio et al.·Published in Journal of equine veterinary science·2020·Department of Veterinary Science, Italy·View original on PubMed

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Original publication title: Platelet-rich Plasma Combined With a Sterile 3D Polylactic Acid Scaffold for Postoperative Management of Complete Hoof Wall Resection for Keratoma in Four Horses.

Species:
horse
Equine sarcoidsMovement & jointsHorses

Plain-English summary

Four horses with a noncancerous hoof tumor called a keratoma were treated after having part of their hoof wall surgically removed. To help heal the surgical site, the vets used a combination of platelet-rich plasma (PRP) and a special scaffold material. Over the next few weeks, the horses received PRP treatments, and by 6 to 21 days after surgery, healthy tissue began to grow. Within 6 to 8 months, the hoof wall was fully healed, and all horses were able to return to their normal activities without any signs of lameness.

People also search for: horse hoof tumor treatment · keratoma surgery recovery · platelet-rich plasma for horses

Abstract

Keratoma is a nonmalignant horse tumor that grows in the space between the horn of the hoof and the distal phalanx. Keratoma causes lameness in the horse, and surgical excision is the treatment of choice. Four horses underwent removal of a keratoma by complete hoof wall resection. The remaining wound was treated with platelet-rich plasma (PRP) combined with a sterile three-dimensional polylactic acid scaffold. The PRP was applied at 3, 6, 9, 12, 15, and 18 days postoperatively. The surgical site was cleaned with gauzes and swabs soaked in Ringer's lactate solution before applying PRP and the foot bandage. Healthy granulation tissue developed at 6-21 days postoperatively. The hoof wall defect was completely filled with new hoof wall within 6-8 months after surgery. All horses returned to their previous exercise level, and no recurrence of lameness was reported by the owner.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32797800/