Case Study: A Simple Hospital Plate Solution for a Tough Hoof Abscess

Megan Mix • December 24, 2025

Removable Plate Allows for Access to Wound

When a horse has a deep hoof abscess, treatment can quickly become frustrating for owners. The foot needs protection, but it also needs regular access for cleaning and medication. In this case, an off-track Thoroughbred (OTTB) with a painful front-foot abscess needed a solution that balanced both.


Rather than relying on bulky bandages or repeated shoe removal, I built a custom hospital plate shoe that allowed the owner to safely remove the plate each day, treat the foot, and put everything back together without disturbing the shoe.


The Challenge


Deep subsolar abscesses often require daily care over an extended period of time. The main challenges here were:

  • Protecting a sore front foot
  • Allowing consistent daily cleaning and dressing changes
  • Keeping the hoof stable and supported during healing


Bandaging alone can fail quickly, and pulling shoes repeatedly isn’t ideal for the hoof or the horse.


The Solution


A removable hospital plate shoe provided the best balance of protection and access. The plate covered and protected the sole while still allowing the owner to remove it daily for treatment.


This setup:

  • Kept the hoof clean and protected
  • Made daily care easier for the owner
  • Maintained consistent hoof support throughout recovery


The Outcome


With the hospital plate in place, daily treatment was straightforward and reliable. The horse stayed more comfortable, and the abscess could be managed without setbacks from lost bandages or unnecessary disruption to the hoof.


Thoughtful Shoeing for Medical Hoof Issues


Cases like this show how a simple, well-planned shoeing solution can make a difficult hoof problem easier to manage. When protection and access are both essential, a hospital plate can be a practical option for the right horse and situation.

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