224 



DISEASES OF THE HORSE'S FOOT 



is necessai\y in making this last incision, in order that the 

 synovial sac may not be penetrated. 



All structures showing spots of necrosis should now be 

 carefully removed, either with the knife or with the curette. 

 The knives most suitable for the last stages of this opera- 

 tion are those depicted in Fig. 45 (c, d, and e). The 

 curette, or Volkmann's spoon, we show in Fig. 106. 



Fig. 107.— Resection of Terminal Portion of the Perforans. 



The horny sole and the horny frog stripped from off the 

 sensitive structures. 



a, The plantar cushion ; b, b, the plantar aponeurosis, or terminal portion of 

 perforans ; c, the navicular bone ; d, interosseous ligaments of the pedal 

 articulation ; e, e, semilunar crest of the os pedis ; /, inferior surface of os 

 pedis ; f/, g, the sensitive lamiuie of the bars ; h, h, bearing surface of 

 the wall ; i, i, the sensitive sole ; k, the sensitive frog. 



When at all diseased the glenoidal surface of the navi- 

 cular bone should be curetted, even to the extent of the 

 removal of the whole of the cartilage. A healthy, granu- 

 lating surface is thus insured. 



The above figure from Gutenacker's * Hufkrankheiten ' 



