EXCISION OF LATERAL CARTILAGE IN QUITTOR. 1075 



Any remaining should be removed with the curette, for on their 

 complete removal depends much of the success of operation. 



The wound is washed out with sublimate solution, again examined, 

 and any loose shreds or particles of cartilage excised. The surface 

 of the wound is then rubbed with 10 per cent, solution of zinc chloride, 

 and after removing unhealthy granulations with the curette, the 

 whole wound is douched with an antiseptic solution, the sensitive 

 membrane replaced in position, and a dressing applied. French 

 operators touch any " doubtful " spots with tincture of iodine. 

 A couple of pads of gauze saturated with carbolic solution are placed 

 under the coronary band to partially fill the cavity resulting from 

 removal of the cartilage, and to check the bleeding which results 

 after taking off the Esmarch's bandage. The hoof is then enveloped 

 in carbolic jute or sublimate wood-wool, and a bandage firmly applied 

 to bring the deep surfaces of the wound in contact and keep the 

 dressing in place. This ends the operation, which is, of course, carried 

 out under antiseptic precautions, the hands being properly cleansed, 

 and the instruments disinfected. Bournay, Sendrail, and others 

 do not approve of placing tampons under the coronary band. They 

 consider that the tampons retard healing, and have no influence in 

 maintaining the coronary band in proper position. 



The first dressing remains in position twenty-four to forty-eight 

 hours. After removing it the hoof is washed with a disinfectant, 

 the wound freed from blood, again rinsed out, and a smaller gauze 

 tampon inserted. The dressing is similar to that employed after 

 operation, and need not be renewed for eight to ten days, provided 

 fever be not marked, or pain severe, and the covering show no signs 

 of becoming saturated with discharge. It is of particular importance 

 that union should start from the base of the wound. Excessive 

 granulations around the coronet are removed by astringents or 

 caustics. 



This treatment is continued until the coronary band is adherent 

 to the underlying tissues throughout its entire length, i.e., until 

 the space between the divided coronary band and its foundation 

 is completely obliterated. A tar dressing is then applied, the wound 

 surface being smeared with tar, and a bandage saturated with the 

 same material wound round the hoof. If pain be slight, a bar-shoe 

 can be put on, and the horse sent to slow work. The time occupied 

 up to this point is from three to six weeks, so that, as a rule, operation 

 considerably shortens the duration of the disease. Siedamgrotzky's 

 cases, on an average, occupied thirty-one days in healing. Many 

 carriage-horses on which Moller operated recovered so perfectly 



