b'LEARNING/RESEARCHWin win opportunity of referralLaminitis referral case study of a 10-year-old15.3hh hunter cob (now aged 14). BackgroundThis horse first suffered an acute laminitic attack in June 2015. Being a hunter he had been on holiday and had not seen the farrier for some time and was initially under veterinary treatment alone. This was not achieving the desired result. When the farrier John Stanley AWCF was involved the veterinary prognosis was poor due to the radiographic and clinical condition of the patient. Andrew Poyntons initial involvement was on 29 September 2015.Visit 1Materials: 6 Imprint First round front shoes, Imprint Hoof Repair, Adhesive and Freezer. Hunter that suffered an acute laminitic attackReportThe horse was not responding to treatment so the vet advised deep digital flexor tenotomy or euthanasia. The farrier John Stanley AWCF, then suggested seeking a second-opinion from referral farrier. An appointment was made when both farriers could attend. The perceived merit in this was that Andrew Poynton with particular expertise in this area and much experience of such cases may be able to offer sound objective advice.On arrival the horse was viewed in some discomfort in his stable. The sole had perforated on the right fore with some proud flesh. The left foot had come close to but not quite. The horse was in an advanced stage of laminitis, the acute onset was approximately 14 weeks previously. Chronic changes were showing but also showing signs of recovery. Although the hoof wall and sole were in a state of significant detachment, there was a ring of new horn growth from heel to heel growing in the right direction albeit no more than 10mm. The owner had used some form of hoof boot which had a frog support areaSolear lesionwhich appeared to have helped the horse.The fact that he had such thick soles has also helped.TreatmentTrimming and shoe fitting were carried out taking reference from radiographs of the front feet, mailed on 22nd September, which showed significant P3 detachment and hoof deviation. The hind hooves were trimmed; there were signs of bruising in the sole. There was a lot of hoof to trim, as with the front feet. The whole frog came away with a new one above it. The Imprint First shoes were fitted with extra Imprint Hoof Repair on the frogplate to create a frog Cradle to support the weight of the horse and alleviate some tearing from the lamellae. The shoe was set under the toe but off the sole to minimise leverage and create solar elevation.Result and post shoe fitting and the quarter crack excavated prior to repair.Post shoeing he looked relatively comfortable, left and right turns were fine. He had had excess amount ofhoof and the beginnings of superficial quarter cracks on lateralReportaspect of both front feet. We had the chat about revised dietThe horse was surprisingly walking around like a sound horse, and restricted exercise with the owner. Next visit six weeks. no signs of lameness. He has regenerated sole on both front Visit 2: 11 November 2015 Interval: 6 weeks feet just healing across the toe, the right fore was the most vulnerable. He was having restricted turnout. All appeared to Materials: 6 Imprint Sport fronts and accesssories. be going as well as could be expected.26 |FORGE|November 2019 18-30 NOV section 3.indd 26 29/10/2019 10:18'