Wounds

Question 1

4 phases of wound healing

Answer 1

Haemostasis/coagulation
Inflammation
Proliferation (epithelization and contraction)
Maturation/remodelling

Question 2

Is what ways is wound healing different in ponies than horses

Answer 2

Epithelization and contraction happens much faster and to a much greater degree in ponies than horses

Question 3

What is appropriate for wound cleaning

Answer 3

Water
0.05% chlorhexidine - superior antibacterial properties
0.1-0.2% povidone iodine - inactivated by organic material

Question 4

Important areas of wound evaluation

Answer 4

Bone
soft tissue
Synovial
Other eg FB

Question 5

Wound evaluation

Answer 5

Really good clean
Digital palpation
Probe wound digitally or by probe

Question 6

Wound diagnostics

Answer 6

Limb position
Radiography
Ultrasound
Synoviocenthesis - pressure test

Question 7

Wound treatment

Answer 7

Desensitization
Debridement - sharp/lavage
Repair - suture, tension relief, suture closed
Drains

Question 8

What suture should be used for wound closure

Answer 8

Cutting needle
Monofilament to stop tracking into wound

Question 9

Wound dressing options

Answer 9

Non adherent gauze - when no discharge - melonin
Foam dressing - exudate, proliferative phase - allevyn
Silicone - helps excessive granulation
Silver - if the wound needs to granulate