Stepped out of my comfort zone today and took on a big (metal) project. glued on a vet prescribed open toe heart bar with a reversed Sigafoos Series III cuff for a horse with a large subsolar and toe abscess with sole penetration after two bouts of laminitis. he has almost no frog (lost it with the abscess) and only part of the sole has keratinized. decided to boot over the shoe instead of hospital plate since the toe is also wide open and for ease of cleaning for older owner. will probably shorten the heart bar next cycle when he has more frog to prevent too much pressure. hoping after that we can switch to just a reverse shoe and cut away the remaining detached wall at the toe as it comes down. other hoof got a urethane clog nailed and cast on to help with weight-bearing associated laminitis. in the beginning this horse was so lame, it was originally thought he had broken his pelvis. he felt pretty good after, so we’re hopeful!
Update from 2.5 weeks ago: granulating and keratinizing nicely, adhesive holding strong. horse able to go on limited turnout with a buddy to keep him calm. Going to reset 10/13/18
Update for 10/13: keratinizing nicely and no longer sensitive when the exposed coffin bone is touched. opened up the old wall abscess which was completely hollow. next time we’ll use just a plain reverse rim shoe and probably add a hospital plate. also added a couple pictures of the plastic clog on his opposite hind (before glue and cast were applied).
11/12/18 update
Took off the shoe, left him booted with an open toe heart bar in the bottom of the boot to keep weight off the sole still. The reason we did this was the heel contraction and thrush he started to experience since the last time I was there. That was always a drawback to glueing so close to the heels, but it’s a reversible side effect at least so I don’t regret doing it. He’s quite comfortable without pain meds, so we also removed the clog on the opposite foot. I’ve included a photo of one of his front feet that had a significant amount of white line disease that is finally starting to get better.



















