801 
EXCISION OF LATERAL CARTILAGE IN QUITTOR. 
dressing forceps. By thrusting the finger under the coronary band, 
it is easy to discover whether portions of the cartilage have been left. 
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 with scissors and 
forceps. The surface of the wound is then rubbed with 10 per cent, 
solution of chloride of zinc, the fistulie scraped out with the curette, and 
dressed with chloride of zinc. Sublimate solution is then injected once 
more, and a dressing applied. French operators touch any “ doubtful ” 
spots with tincture of iodine. A couple of masses of gauze saturated 
with 5 per cent, carbolic solution are thrust 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. A linen wrapper is placed over 
all, and supported by a straw rope passed round the fetlock. This 
ends the operation, which is, of course, carried out under antiseptic 
precautions, the hands being properly cleansed, and the instruments 
disinfected. 
The first dressing remains in position twenty-four to forty-eight hours. 
Soon after the animal has risen, it may appear saturated with blood, 
but the bleeding is of little consequence, especially if the animal is not 
upset. It is usually best to place the horse in a stall. High-couraged 
horses should be operated on under chloroform. 
After removing the first dressing, the hoof is washed with a dis¬ 
infectant, 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. The after-dressings are similar, 
though, as the granulations increase, and occupy more space, the quantity 
of carbolic gauze placed under the coronet should be diminished. It is 
of particular importance that union should start from the base of the 
wound. Under no circumstances should the lower portions of the 
coronet be allowed to come into contact with the upper part of the hoof 
before the deeper surfaces have completely united or the entire space 
above is filled up, otherwise a cavity is left at the base of the wound 
which, in case of suppuration occurring, would retain the discharge. 
For a similar reason, the newly-formed horn should be regularly trimmed 
away from the coronet. Excessive granulations around the coronet are 
removed by astringents or caustics. 
v.s. 3 f 
