Patient Presentation
Paloma, a young Quarter Horse foal, presented with a severe laceration to the left hind limb that exposed bone without evidence of fracture. She was initially treated by the Rood & Riddle team in Wellington, Florida.

Initial Evaluation and Findings
Initial wound management was implemented promptly. Approximately one month later, the wound began to drain, and radiographs revealed a sequestrum—an infected fragment of devitalized bone—within the injury site.

Medical or Surgical Management
Paloma underwent surgical removal of the sequestrum to eliminate the source of infection and promote healing. The procedure was completed without complications, and appropriate postoperative care was provided to support recovery.

Outcome
Paloma recovered well following surgery and is now back with her field mates, enjoying normal foal activities.

Educational Takeaway
Severe limb lacerations in foals can lead to bone sequestration even when fractures are not present. Early wound management, diagnostic imaging, and timely surgical removal of sequestra are essential to prevent chronic infection and ensure successful healing in young equine patients.

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