Kentucky Derby winner Barbaro underwent more than five hours of surgery Sunday to repair three broken bones in his right rear leg and afterward "practically jogged back to the stall," the colt's surgeon said.
At this moment "he is extremely comfortable in the leg," said Dr. Dean Richardson, who stressed before the marathon procedure that he's never worked on so many catastrophic injuries to one horse.
Barbaro sustained "life-threatening injuries" Saturday when he broke bones above and below his right rear ankle at the start of the Preakness Stakes. His surgery began around 1 p.m. Sunday at the University of Pennsylvania's New Bolton Center for Large Animals.
Although the operation was successful, Richardson warned that Barbaro was far from home free. He said it was still "a coin toss" that the strapping 3-year-old colt would be able to survive what had been termed catastrophic injuries.
"I feel much more comfortable now," trainer Michael Matz said afterward. "I feel at least he has a chance."
Barbaro sustained 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.
Richardson said the pastern bone was shattered in "20-plus pieces."
The bones were put in place to fuse the joint by inserting a plate and 23 screws to repair damage so severe that most horses would not be able to survive it.
When he came out of surgery, Barbaro was lifted by sling and placed on a raft in a pool so he could calmly awake from the anesthetic. When he went back to his stall, he was wearing a cast from just below the hock to the hoof.
"He's a real genuine athlete, there's no doubt about it," Richardson said. "Even the way he woke up from anesthesia, he was very much the athlete waking up from general anesthesia."
Matz, who attended the briefing with Richardson, looked fatigued, but relieved.
"From the last time I saw him to now was a big relief," Matz said. "They did an excellent job. It's just an amazing thing to see him walk in like that."
Richardson again stressed that surgery was just the first step on a long road to recovery.
"Getting the horse up is a big step, but it is not the last step by any means," he said. "Horses with this type of injury are very, very susceptible to lots of other problems, including infection at the site."
Horses are often euthanized after serious leg injuries because circulation problems and deadly disease can arise if they are unable to distribute weight on all fours.
Richardson said he expects Barbaro to remain at the center for several weeks, but "it wouldn't surprise me if he's here much longer than that."
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 breaks occurred as a result of an "athletic injury," said Corinne Sweeney, a veterinarian and the hospital's executive director.
"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."
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."
Barbaro's injury came a year after Afleet Alex's brush with catastrophe at the Preakness. Turning for home, the horse was bumped by another and nearly knocked to his knees before gathering himself and going on to win.
Thoroughbreds have broken down in the past in big races: In the 1993 Preakness, Union City broke down and was euthanized; in the 1993 Belmont Stakes, Preakness winner Prairie Bayou broke down; in the 1999 Belmont Stakes, with Charismatic trying to win the Triple Crown, he was pulled up while finishing third with a fractured ankle; Go For Wand broke down in the stretch of the 1990 Breeders' Cup Distaff and was euthanized; and in 1975, the great Ruffian broke down in a match race with Foolish Pleasure. She was operated on, but was later euthanized.
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