* Case Study: Warning Graphic Images*
When Jumping a metal gate goes a little wrong!
4yr old Craig was admitted to the clinic last April after his attempt at jumping a field gate went
wrong. The metal bar of the gate had staked through his leg, causing significant damage to the soft tissue and vasculature of the limb as well as entering the carpal sheath (a pouch of synovial
fluid surrounding the tendons at the back of the knee) and radiocarpal joint (the top knee joint), and resulting in sepsis of both these structures.
After taking radiographs to confirm there was no additional bone damage, the decision to take
Craig to surgery was made. He was anaesthetised to allow ‘keyhole’ arthroscopic flushing of the
septic synovial structures and full exploration and debridement of the wound. A great deal of
foreign material was removed from the wound, including grass, gravel and mud!
He remained in the hospital for a couple of weeks to under-go intensive monitoring of the wound
and antibiotic treatment including intravenous regional perfusion (IVRP), where antibiotics are
injected into a vein in the limb and held there for 20 minutes using a tourniquet, allowing greater
concentration of the antibiotic in the contaminated tissues in and around the wound.
Despite an initially guarded prognosis due to the degree of damage to the limb and the high risk
of wound breakdown, we are thrilled to hear that Craig has exceeded all expectations with his
recovery and is now sound and back in full work under saddle as you can see in the pictures below. We wish him and his owners all the luck in his future career!