454 VETERINARY SURGICAL THERAPEUTICS. 
plastered bands from the hoof to the hock, so as to form an apparatus four 
centimeters thick; after eighteen days the animal rested the foot firmly: 
on the ground; a complete recovery was anticipated, notwithstanding the 
rather exaggerated size of the region. Johne has cured in two months a. 
horse with transverse fracture of the first phalanx. Rouillard and many 
others have also obtained good results with plastered bandage. Gayot: 
has seen recovery of a transverse fracture of the first phalanx of the right. 
foreleg and a longitudinal fracture of the second of the left foreleg. Even. 
bilateral phalangeal fractures do not constitute incurable lesions ; still, even. 
with the use of slings, recovery is very uncertain. 
If the fracture is comminuted or compound, killing is imposed. Immov- 
able bandages, antiphlogistic and antiseptic, give only half success. 
In presence of a fracture of the sccond or third phalanx, the veterinarian. 
should prescribe antiphlogistics (cold compresses, cold baths, continued 
irrigation) or a blistering application; a strengthening bandage is not. 
necessary. ; 
In most of cases, as we have already said, union of a phalangeal fracture- 
_ does not take place without the formation of a thick callus, a ringbone,. 
which demands treatment. Blistering and firing are generally little useful. 
When after two or three months the lameness still prevents the animal from 
work, neurotomy is indicated. 
XITL.— Sesamotds. 
Although made of a thick layer of compact tissue, lined up witha 
fibro-cartilaginous padding, the arge sesamoids may be fractured. Warnell, 
Salle, Dubos, Williams, Leisering, Rutherford, Schoneck, Moller, Delavenne: 
have recorded many cases. In several observations they were animals. 
kept for some time at rest on account of lameness; the accident being 
produced by a mis-step or a slip. Most often, it is during efforts of loco- 
motion, specially jumping, that it occurs (Williams, Warne, Salle). Going 
at a full speed, the horse of Salle struck the left anterior fetlock with the 
hind foot of the same side. Immediately the animal was unable to stand 
on his leg, the bruised part became swollen and “shook loose” in 
walking. At rest the standing was normal. In a similar case, fractures. 
of the large sesamoids were found (Schoneck, Moller, Delavenne). 
Standing is almost impossible when the suspensory ligament is torn from 
its insertion on the sesamoids; at each step the fetlock drops down close: 
to the ground. The perforans tendon may be more or less altered at its 
passage in the sesamoid groove. Sometimes the bones are broken in 
several fragments. 
If treatment is: attempted, it is better to apply a solid plastered or 
