With rupture of the deep flexor tendon (perforans), especially when it occurs at or near its point of insertion and sometimes following disease, prognosis is unfavorable.
Rupture of the suspensory ligament constitutes a condition which is, as a rule, hopeless, because of the impracticability of treating such cases.
The salient feature which characterizes any practical attempt at treatment of ruptured tendons or other portions of the inhibitory apparatus of the fetlock region, is to retain the phalanges in their normal position for a sufficient length of time that the approximated ends of ruptured tendons or ligaments may unite. The length of time required for this to occur, together with the difficulties encountered in confining the affected extremities in suitable braces or supportive appliances, precludes all possibility of this condition's being practically amenable to treatment when the deep flexor tendon (perforans) and suspensory ligament are simultaneously ruptured. It does not follow, even so, that recovery does not succeed treatment in some of these unfavorable cases.
Fig. 27—A good style of shoe for bracing the fetlock where tenotomy has been performed, or in case of traumatic division of the flexor tendons. An invention of Dr. G.H. Roberts.
Affected subjects are kept in slings as long as it seems necessary—until they learn to get up without deranging the braces worn.
Several styles of braces are in use and each has its objections; nevertheless some sort of support to the affected member is necessary and steel braces which are connected with shoes are usually employed.