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[RC] the healing process and proud flesh - spiritwood@xxxxxxxxx

Hi,
I am looking for some helpful advice on the best way to help a slow healing
deep cut 
wound on the front of a rear ankle.  For background, this mare cut the
front of her 
ankle the last weekend in June.  Vet came out and stitched it up on both
sides but 
couldn't do the middle as a piece of skin was missing.  Wound is right over
the ankle 
where it bends on the front.  Well, for 5 days horse got SMZ antibiotics
and ankle 
looked good.  WHen the medicine was finished, things started to go bad.  We
were 
able to keep the wound wrapped and clean but it seemed to be oozing and
looked 
like it was starting to swell.  After another day or so, ankle was visibly
swollen and vet 
was called out to recheck it.  By the time vet came out ankle has swollen
enough to 
have popped most of the stitches out.   
Now horse(mare, need I say more), was having no more of all this messing
with her 
now very sore leg.  We were able to remove the rest of the stitches, hose
out the 
wound and squirt betadine in the general direction of her now kicking foot,
but are no 
longer able to wrap the leg as she has had enough!  Vet did put her back on
the SMZ 
for 10 days this time, with injectable Gentamycin once daily for 5 days
which the 
horse doesn't mind.  Now we are on the last day of the SMZ and the leg
wound does 
seem to be healing from the inside out but very slowly.  Mare has been kept
in since 
we couldn't wrap her anymore, with twice daily hosing of wound and
betadine, now 
followed up by some Wonder dust powder to help keep things dry and
hopefully 
prevent some of the proud flesh.  Flies don't seem to be bothering the leg
either.
 Now I am trying to figure out the best way to manage this horse. 
My questions are"
Would it be all right to turn this horse back out on pasture when its not
muddy since 
she does allow us to hose and clean the wound daily!
What is the best way to continue treatment and help prevent or limit the
amount of 
proud flesh?
What is the best product to use on the still open area that will probably
take some time 
to completly heal shut?  
Should I ask the vet(new grad) for any additional antibiotics since the
wound is still 
open?
Help, my daughter is driving me nuts as this is her endurance horse who has
done 
one very tough 50 and now is so out of shape and continuing to loose weight
as she 
is missing out on most of the grass since she is still staying in the
stall.  
Becky and Rave (a very opinionated mare)

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