Patient Presentation
A foal previously treated for an angular limb deformity (varus conformation, commonly referred to as “pigeon-toed” or “toeing in”) presented for removal of a transphyseal screw following successful limb alignment correction.

Initial Evaluation and Findings
The foal had undergone earlier surgical placement of a transphyseal screw across the growth plate to modulate bone growth and correct the angular limb deviation. Follow-up evaluation confirmed improved limb conformation and appropriate timing for screw removal.

Medical or Surgical Management
Dr. Daniel Devis performed removal of the transphyseal screw once the desired correction was achieved. Transphyseal screw placement is a growth modulation technique that slows growth on one side of the physis, allowing the opposite side to catch up and correct limb deviation. Timely removal is critical to prevent overcorrection.

Outcome
The foal demonstrated corrected limb conformation following screw removal and is expected to continue normal growth and development with appropriate monitoring.

Educational Takeaway
Angular limb deformities in foals can often be corrected with growth modulation techniques such as transphyseal screw placement. Early evaluation, precise timing of intervention, and timely implant removal are essential to achieving optimal limb alignment and long-term soundness.

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