Update on Barbaro and video

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Barbaro was sedated and backed off the van from the track without putting any weight on the leg, reported another vet, Nick Meittinis. "After we X-rayed the leg and found what it consisted of, we put a very large padded bandage on him, and the entire time the bandage went on, he never moved a muscle."
Track veterinarian Dan Dreyfuss was the one who put the splint on, on the track.

"I saw an unstable right hind leg," Dreyfuss said.

Gate crash video
http://www.youtube.com/watch?v=ZJOM...earch=preakness

Breakdown Video:
http://www.youtube.com/watch?v=rkg_...earch=preakness






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Dr. Larry Bramlage - the internationally renowned equine orthopedic surgeon in Lexington, and who frequently is on-site for racing’s major events to explain any serious injuries – said it could be two months before we know if Barbaro is out of harm’s way. For certain, he will never race again. The hope is to save his life. The best scenario is that he’ll some day be a stallion breeding mares.

Most horses who sustained such injuries would be euthanized on the track. But Barbaro will be given every chance to survive. Much of it depends on how he handles his recovery.

“He can stand on three legs; he just can’t survive on three legs,” Bramlage said. “He needs four legs to survive and live out a happy life.”

Bramlage speculated that the initial fracture – presumably above the ankle - happened after only an eighth-mile, but that it took jockey Edgar Prado another 100-200 yards to pull Barbaro up, during which a second fracture below the fracture occurred.

Because its survival mechanism is flight, a horse that suffers a leg fracture usually tries to run, which often damages the limb's circulatory and soft-tissue support systems beyond repair. The only good news is that the bone did not break through the skin, what is known as a compound fracture.

The two main arteries in the lower limb are right over the sesamoids or ankles, and when those bones shatter the vessels can be severely damaged in a matter of strides.

Another complication is that horses have no muscle, a major source of blood supply, below the knees in front and hocks in back. The major components of that part of the limb -- tendons, skin, bone -- have the worst blood supply of the tissues.

The circulation disruption often is a greater problem than broken bones because blood supply is critical for healing. Without circulation to bring in white blood cells, antibiotics can't be delivered to the site of infection, and gangrene readily sets in.

Another problem is that horses cannot lie down for extended periods because their internal organs won't function well. A horse that can't bear its weight evenly on four legs after six weeks is unlikely to survive.

Injured horses frequently shift their weight onto the opposite limb, causing great risk of the hoof disease laminitis (or founder), where the side of the hoof can fall of. Often, the original fracture has begun healing when horses must be destroyed because of founder.
 

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