1 Preparation topenlarge
A medial and lateral palmar/plantar nerve block is applied at the level of the proximal sesamoid bone.
The involved foot is picked up and thoroughly cleaned.
With the appropriate preparation and draping of the surgical site, this procedure is performed with the patient placed in lateral recumbency
2 Fragment removal topenlarge
The solar margin in the fracture region or around the draining tract if there is one is thinned with a “clean” hoof knife layer for layer until the fragment is encountered.
The fragment is identified, isolated, and removed.
The fracture bed and surrounding bone is carefully curetted. All undermined sole, if present, is removed down to healthy sole/bone.
A postoperative radiograph is taken to assure complete removal of the/all fragment(s).
If possible follow-up pictures are taken.