45° CLINICAL VETERINARY MEDICINE AND SURGERY. 



During the following days the general condition improved, though 

 considerable pain still persisted. The temperature varied between 

 38-5° and 397° C. 



On the 19th the horse began to place weight on the limb. Tempera- 

 ture 38-2° to 38-4'' C. 



From the 20th to the 23rd improvement increased. More weight 

 was placed on the diseased limb. 



On the 24th the dressing was renewed. There was little pus. The 

 wound appeared healthy and granulating throughout, both opposite the 

 ligament and at the back. It was thoroughly cleansed, a shoe applied, 

 and the parts dressed with iodoform. In consequence of the concussion 

 produced during shoeing, and the much greater compression caused by 

 the new dressing, less weight was placed on the limb. Lameness was 

 more marked, and lancinating pain returned to a slight degree. From 

 the 25th to the 2gth the condition gradually improved. On the 30th 

 as much weight was placed on the diseased as on the healthy limb. 



On the 5th November the dressing was renewed. There was little 

 pus. The wound had almost completely healed, and the horse showed 

 no lameness at a walk. 



154. A ten-year-old mare with quittor of the near fore-foot, left in 

 hospital August 5th, 1898. 



Two months before the coronet of the near fore-foot had been 

 injured. The wound was complicated by necrosis of the internal 

 lateral cartilage. Treatment by caustic injections and cauterisation 

 was unsuccessful, and partial operation also failed. 



State on Entry. — At rest no weight was placed on the near fore-limb, 

 which was advanced and rested on the toe. At a walk the animal was 

 very lame. Over the internal lateral cartilage the coronet, which 

 showed signs of having been tired in points, exhibited a considerable 

 swelling, especially towards the heel. Above the centre of the lateral 

 cartilage was a sinus about an inch in depth, running obliquely for- 

 wards and downwards, and discharging liquid, greenish, abundant pus. 



Treatment. — The shoe was removed, the inner heel, bar, sole, and 

 frog of the injured foot thinned, the hair clipped away from the coronet 

 and pastern, and a large antiseptic moist dressing applied. Next day 

 the mare was cast on the left side on the table, and the limb suitabl}' 

 fixed. 



The foot, coronet, and pastern having been disinfected, operation 

 was proceeded with. The sinus ended over the anterior lateral 

 ligament. After having removed the remaining portion of the cartilage 

 the surface of the ligament appeared in a necrotic condition, dull, 

 softened, and yellowish grey in colour, its fibres swollen and separated. 

 The dead portions were removed with a sharp knife. The remaining 

 part of the ligament was several times touched with tincture of iodine. 

 The operation wound having been irrigated with warm i per 1000 

 sublimate solution, an iodoform dressing was applied. The evening 

 temperature was 38 "5° C. 



Next day the general condition was good. The animal showed a 

 little lancinating pain in the diseased limb ; temperature 39*0° C. 



