A keratoma was diagnosed in a six-year-old Clydesdale gelding with recurrent ‘pus in the foot’. The keratoma was excised through an inverted ‘V’ dorsal wall hoof resection up to 2 cm distal to the coronary band, the foot was bandaged and shod, and the horse treated with antibiotics and phenylbutazone. The dorsal hoof wall regrew completely and the horse gradually returned to full work.
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