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This Concept Map, created with IHMC CmapTools, has information related to: Sole ulcers, Complicated soul ulcer Step 1 Due to the extension of infection of necrosis and infection into the coffin joint., Treatment of sole ulcers that is relief pinching and inflammation are by utilising the Dutch 5 step hoof trimming Steps 1-3 of the Dutch method involves correcting the claw shape thereby, correcting foot angle and toe overgrowth and confirming the sole ulcer. Step 4 relieves weight off the ulcerated claw. This is most effectively done using a block but trimming down back 2/3 of heel on the affected claw will add a height difference. Step 5 involves trimming the loose collar of horn from around the neck of the sole ulcer and creating some thinning sole around the base of the ulcer so the sole is flexible. + Complicated soul ulcer, Fenestrate the coffin joint and fuse it over the next couple of months Firstly drill a hole ia half inch width into the sole ulcer site and exit through the coronary band on the opposites side Step 3 Once fenestrated it serves as a continuous drain and debridement from the infection site therefore a tube is placed through the hole from the ulcer site out the other end, above the coranary band and secured by doubling with a square knot., Sole ulcer ???? Treatment of sole ulcers that is relief pinching and inflammation are by utilising the Dutch 5 step hoof trimming Steps 1-3 of the Dutch method involves correcting the claw shape thereby, correcting foot angle and toe overgrowth and confirming the sole ulcer. Step 4 relieves weight off the ulcerated claw. This is most effectively done using a block but trimming down back 2/3 of heel on the affected claw will add a height difference. Step 5 involves trimming the loose collar of horn from around the neck of the sole ulcer and creating some thinning sole around the base of the ulcer so the sole is flexible., Due to the extension of infection of necrosis and infection into the coffin joint. Step 2 Fenestrate the coffin joint and fuse it over the next couple of months Firstly drill a hole ia half inch width into the sole ulcer site and exit through the coronary band on the opposites side