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Barbaro Survives Marathon Surgery

The surgery to repair life-threatening injuries on Kentucky Derby winner Barbaro took longer than expected, stretching out from the few hours that veterinarians had planned into a marathon almost-seven-hour session.

The horse "practically jogged back to the stall," said Dr. Dean Richardson, who performed the procedure a day after the colt broke his right rear leg in three places at the Preakness.

At this moment "he is extremely comfortable in the leg," said Richardson, who stressed before the marathon procedure that he's never worked on so many catastrophic injuries to one horse.

Barbaro was treated — in an intensive care unit at the University of Pennsylvania's New Bolton Center for Large Animals in Chester County.



To minimize post-surgery injury risk, Barbaro was expected to be put into a pool of water. The horse is fitted with a sling on the operating table, placed on a raft and lowered into the water, allowing it to safely flail until fully conscious.

At the front gate, well-wishers already had tacked up signs: "Thank you, Barbaro," "Believe in Barbaro" and "We Love you Barbaro."

Barbaro sustained "life-threatening injuries" after breaking bones above and below his right rear ankle at the start of the Preakness Stakes.

"You do not see this severe injury frequently because the fact is most horses that suffer this typically are put down on the race track," said Richardson, the chief of surgery for the center. "This is rare."

Unbeaten and a serious contender for the Triple Crown, Barbaro broke down Saturday only a few hundred yards into the 1 3-16-mile Preakness. The record crowd of 118,402 watched in shock as Barbaro veered sideways, his right leg flaring out grotesquely. Jockey Edgar Prado pulled the powerful colt to a halt, jumped off and awaited medical assistance.

"It's about as bad as it could be," Richardson said of the injury. "The main thing going for the horse is a report that his skin was not broken at the time of injury. It's a testament to the care given to the team of doctors on the track and (jockey) Mr. Prado on the racetrack."

Horses are often euthanized after serious leg injuries because circulation problems and deadly disease can occur if they are unable to distribute weight on all fours.

Barbaro was fitted for an inflatable cast by the attending veterinarian, Dr. Nicholas Meittinis, and the colt trained so expertly by trainer Michael Matz was taken to the Bolton Center.

There had been no sightings Sunday of Matz or owners Roy and Gretchen Jackson at the facility, which was swarming with media awaiting an update. The Jacksons reportedly were at the center for the start of surgery, but left.

"Two weeks ago we were on such a high and this is our worst nightmare," Matz said Saturday night at the center. "Hopefully, everything will go well with the operation and we'll be able to save him."

Richardson outlined Barbaro's medical problems: a broken cannon bone above the ankle, a broken sesamoid bone behind the ankle and a broken long pastern bone below the ankle. The fetlock joint — the ankle — was dislocated.

"The aspects of the surgery will be dictated slightly by what we find," Richardson said. "But the bottom line is we will attempt to perform a fusion of that joint and to stabilize it and make it comfortable enough for him to walk on."

The breaks occurred as a result of an "athletic injury," Sweeney said.

"It's an injury associated with the rigors of high performance," she said. "They were designed as athletes and they are elite athletes, thus they incur injuries associated with performance. The frame sometimes plays a role, absolutely."

If the surgery is successful, Barbaro will be lowered into a large swimming pool before he is awakened — part of New Bolton's renowned recovery system that minimizes injury risk. The horse is fitted with a sling on the operating table, placed on a raft and lowered into the water, allowing it to safely flail until fully conscious.

After about an hour the horse is transported via monorail back to the stable. Richardson "anticipated the horse would have a pool recovery," Sweeney said.

Barbara Dallap, a clinician at the center, was present when Barbaro arrived at the center Saturday night.

"When we unloaded him, he was placed in intensive care and we stabilized him overnight," Dallap said. "He was very brave and well behaved under the situation and was comfortable overnight."

Tucked away on a sprawling, lush 650-acre campus in Chester County, the New Bolton Center is widely considered the top hospital for horses in the mid-Atlantic region. The center is renowned for its specialized care, especially on animals needing complicated surgery on bone injuries.

The Jacksons live less than 10 miles away on their farm in West Grove, outside Philadelphia in the horse country of Chester County.

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