Any suggestions for kick starting the edges of a 2" diameter wound to keep coming towards each other?? The wound is from October 2014 on the front of the cannon bone on the rear leg - the proud flesh was partly to blame, but we are maintaining that and yet the edges still are not coming in.
Looking for suggestions on products, or even alternative therapies that might help us win this battle!
I realize its not an alternative theory but…what does the vet say?
What are you doing for the proud flesh? It may be that being too aggressive is keeping it from healing. Most treatments don’t differentiate between good flesh and prod flesh.
Is the leg bandaged while healing? If not, I woud be bandaging it if the edges are not healing. Is proud flesh still growing/attempting to grow? As said above, some of the products that are dynamite at preventing proud flesh will also slow down the healing. I find prednoderm excellent for preventing proud flesh. Then good old honey is terrific when you are through the proud flesh stage, it is great for promoting healing and keeping the wound moist. I have at times used honey, then found the wound is looking a little proud, gone back to prednoderm for a few days, then onto the honey again. Good luck. And yes - as above, what does your vet say?
We’re coming into foaling season–look into using placental membranes in wound healing.
The vet is suggesting a skin graft, but I am hoping there is some other way to get the edges to come together again without having to go that route 
The leg is bandaged. We have not used anything too caustic on the proud flesh, aside from twice we tried some Proud Flesh Dust. When I used the Proud Flesh Dust I did put some vaseline on the edges of the skin that we did not want to damage.
The wound was debrided again December 18th by the vet. But still the wound edges are not closing up.
Just hoping someone out there might have a suggestion of something else to try…
There’s a product called Equi-aide I use for summer sores in Florida that works wonders under a bandage. I had a vet come out twice to cauterize proud flesh on a summer sore with little results but it once I started bandaging with equi-aide underneath the result was amazing.
I have a similar situation. I did everything possible to try and get rid of it but it was huge. It was debrided by the vet. It was so vascular and the blood loss was crazy. Once removed and over time I got it down to the size of a loonie. 
(Ironically I am from the same area as you). Vet thought for sure he would have to come out again. Although it still hasn’t closed due to all the clay we had to deal with in our area. Now we have a snow base and it is naturally kept clean. When he comes into his stall at night I put the Wonder dust on to form a scab. Every few days if you uses epsom salts/warm water to soften and remove scab it should gradually get it smaller. Vet has given me derma-gel I may try that or the unpasturized honey.
You asked about alternative therapies - how about MDT? that would be (sterile) Maggot Debridement Therapy, and yes the bot fly larvae. My vet ordered them from Monarch Labs in CA. They aren’t inexpensive BUT not any more expensive than ongoing vet care. The good thing is they destroy the necrotic/diseased tissue and leave the healthy tissue alone and may also stimulate healthy growth. See if you or your vet can consult w/ Scott Morrison, DVM at Rood and Riddle for his opinion.
Cut heal, works great, in healing lower leg wounds. You don’t bandage.
It promotes healing from the inside out, keeping proud flesh at bay, while encouraging that epithelium to march across the wound
I have healed several very nasty lower leg wounds that way, so that only a hairline scar is left, if you look for it in the hair. it does sting. You wash the wound every second or third day. Keeps edges debrided and wound moist
There is also a product called Cothivet, that many have had success with
I second looking into placenta.
[QUOTE=Firefilly;7958481]
The vet is suggesting a skin graft, but I am hoping there is some other way to get the edges to come together again without having to go that route
The leg is bandaged. We have not used anything too caustic on the proud flesh, aside from twice we tried some Proud Flesh Dust. When I used the Proud Flesh Dust I did put some vaseline on the edges of the skin that we did not want to damage.
The wound was debrided again December 18th by the vet. But still the wound edges are not closing up.
Just hoping someone out there might have a suggestion of something else to try…[/QUOTE]
I’d absolutely get my hands on some placenta.
I first heard about it from Jorene Downs, years and years ago on rec.eq. Maybe she still has it up on her website…
Hmmm, doesn’t look like it. But some absolutely amazing wound healing with it, for a mare that had been (IIRC) degloved. The placenta was rinsed when fresh, cut into squares and frozen for use.
Barring that, find one of the wound healing gels used in human medicine.
Has anyone used Silverdine? aka Silvadene? Or something like that? It is not the same as colloidal silver… but it has been suggested to me.
And this placenta idea is very interesting!!! I have friend just down the road that will have foals coming very soon… I need to do some more research on it!!
Cold laser is excellent for wounds.
SSD, or silver sulfadiazene (sp?) is a silver based antibiotic ointment. I had a jar prescribed for a surgical scar for me and took the remainder to the barn. It is good stuff, and has healed wounds that did not respond well to other treatments. IIRC, it was developed for burn patients. I’m definitely a fan.
Firefilly, I have amnion in my freezer if you are interested.
Let me do some research on what exactly I am to do with it - and then let’s chat K~2!! 
I’ve used SSD and it’s worked well. I have a friend who is a wound care nurse recommend (and give me) Aquacel AG, which I’ve found works very well. (I think you can get it online, might be expensive, but possibly worth it at this point!)
Sangre de Drago caused my horse’s massive wound to start healing before my eyes; it’s known for helping pull wound edges together. Now where did I buy it… the place may have had “rainforest” in the name. I still have 80% of it left somewhere.
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