s are absent. In making examinations
one must not be deceived by the inconspicuous and seemingly
insignificant exostosis which has a broad base. In some cases of this
kind, dealers style the condition as "rough in the hock" when as a
matter of fact, in some instances, incurable spavin lameness develops.
Treatment.--Many incipient cases of spavin yield to vesication and a
protracted period of rest. Results depend primarily upon the nature of
the affection. However, in every instance if there is involvement of the
tibial tarsal (astragalus) bone, complete recovery is highly improbable.
When the disease is confined to the lower tarsal bones, lameness
subsides as soon as the degenerative changes are checked and ankylosis
occurs.
The use of the actual cautery when properly employed constitutes an
excellent method of treatment. The "auto-cautery" when equipped with a
point of about one-eighth of an inch in diameter and about three-fourths
of an inch in length is well suited for this particular operation.
Before deciding to cauterize, it is necessary to ascertain the extent of
area affected. The nearness of the exostosis to the tibiotarsal
articulation can be definitely determined by palpation. The hair over
the entire surgical field is clipped and the cautery at white heat is
pushed through the overlying soft tissues and into the central part of
the exostosis. Care is taken to keep the cautery-point away from the
articular margin of the tibial tarsal bone about three-fourths of an
inch. No danger will result from cauterizing to a depth of three-fourths
of an inch in the average case. Two or three (and not more) centrally
located points for penetration with the cautery are sufficient.
Experience has shown that several (five or six or more) punctures are
not productive of good results. When considerable cicatricial tissue is
present, due to the action of depilating vesicants or other chemicals,
sloughing of tissue is very apt to follow deep cauterization, if one is
not careful to keep the punctures at least one-half inch apart when
three are made. It is best, in such cases, to make but two deep
penetrations with the cautery but additional superficial punctures may
be made if kept about three-fourths of an inch distant and not nearer
than this to one another. Sloughing of tissue is not necessarily
productive of bad results but there is occasioned an open wound which
usually becomes infected and necrosis of tissue may extend i
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