A severe traumatic wound treated with MANUKA HONEY wound dressings Case Courtesy: Dr Caroline Tessier, DMV, DACVS, DECVS Pôle Equin, Chirurgie Equine, Oniris Nantes University, France Presentation: A 2-yo Appaloosa filly is presented on emergency after being hit by a car 2 hours before. She suffers from a large traumatic wound of the left shoulder. On examination of the wound, a large skin flap is present on the distal aspect of the wound. The bicipital bursa and the shoulder joint are opened. The biceps tendon, infraspinatus tendon and triceps muscles are partially or completely severed. Severe shoulder instability with shoulder subluxation is present. Management: On the day of admission (04/01/2012), the wound is debrided, many small pieces of glass and dirt are removed. The joint is lavaged and the joint capsule sutured. The muscles are partially sutured to cover the joint. The large skin flap is moderately hypothermic and bleeding is diminished. However, it is re-apposed to cover the wound and act as a natural bandage. The skin sutures are covered with a dry dressing and a support bandage is applied over the shoulder and around the thorax to limit the instability. The mare is placed on broad spectrum antibiotics and non-steroidal anti-inflammatories. www.kruuse.com
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