96 CLINICAL VETERINARY MEDICINE AND SURGERY. 



The wound was cleansed and the skin brought together with three 

 small sutures. 



The results of this second operation were satisfactory. On rising 

 the horse no longer w^alked lame. The wound healed by first intention. 

 At the present moment the animal is exercised night and morning. 

 At a trot it only shows trifling lameness, and as it is used for heavy 

 draught it will soon be able to return to work, 



I shall recommend the owner to keep careful watch over the con- 

 dition of the foot and of lower parts of the limb. We must bear in 

 mind the possibility of trophic changes and of sloughing, which I 

 referred to when treating of plantar neurectomy. 



You will not often see this double neurectomy performed. Even 

 neurectomy of the median alone often has serious drawbacks. It should 

 be reserved, as I have already said, for old-standing chronic affections 

 of the fore-limb, and — particularly in dealing with valuable animals — 

 should not be tried until all other methods of treatment, especially 

 firing, have proved unsuccessful. 



I do not agree with the advice of the savant who recommended it 

 for all cases of strained tendon uncured at the end of six weeks. That 

 would have ended in a perfect debauch of neurectomy. 



