etch the contracted tendon, and the shoe, being thin at the heels,
admits of this. The advantage of this form of toe-piece over the ordinary
form of fixed toe-lever is that it can be removed when the horse is in the
stable; while the curved point diminishes the danger of the horse hurting
itself--a danger always present if it is on a hind-foot. (See also
Treatment of Purulent Arthritis in Chapter XII.)
[Illustration: FIG. 108.--COLONEL NUNN'S SHOE WITH DETACHABLE TOE
EXTENSION.]
_Should a Sinuous Wound remain in the region of the Lateral Cartilage_,
it should be explored, and its depth and likely number of branches
ascertained. Should this exploration denote that the cartilage itself is
diseased, or that the wound is not able to be sufficiently drained from
the sole, then we know that we have on our hands a case of quittor. The
treatment necessary in such a case will be found described in Chapter X.
_When the Complication of Purulent Arthritis has arisen_, the surgeon has
to admit to himself, reluctantly no doubt, that the case is often beyond
hope of aid from him. Nothing can be done save to order continuous
antiseptic baths and antiseptic irrigation of the wounds with a quittor
syringe, and to attend to the general health and condition of the patient.
At the best it is but a sorry look-out both for the veterinary attendant
and the owner of the animal. Even with resolution incurable lameness
results, and the animal is afterwards more or less a walking exhibition of
the limitations of surgery, while the owner, unless the animal is valuable
for the purpose of breeding, finds himself encumbered with a life that is
practically useless. (See Treatment of Purulent Arthritis, Chapter XII.)
_In the case of Lameness Persisting after the healing of all appreciable
lesions_, then neurectomy is followed by good results. The animal,
apparently recovered, is for a long time useless. Lameness persists for
several months, as if the nail had at the moment of its penetration caused
lesions, which doubtless it sometimes does, similar to those of navicular
disease. Examination of the foot in this case reveals no lesion, and the
pain has evidently a deep origin. The lameness caused by it is subject to
variation. Frequently it becomes lessened during rest, and increased by
hard work, while sometimes it is very much more pronounced at starting than
after exercise.
It is here that neurectomy is called for. The operation does nothing t
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