What the heck – I posted this originally at Fathom, to answer a question, why can a broken leg kill a horse. I’m sure the vets here can correct anything I misstated:
Why a broken leg can kill a horse
Horses are designed by nature to be four-legged, and to carry their weight almost evenly divided between those four legs. The forehand (front part of the horse) carries somewhat more weight than the hindquarters,so in that respect it’s a sliver of good news that the break is in a hind leg. Still, that’s a thousand-pound-or-so animal with all rather than half of his hindquarters’ weight now concentrated on one leg.
The danger from that is laminitis – a painful, often agonizing inflammation of crucial soft tissue within the hoof that connect the interior structures with the hoof wall. Laminitis isn’t fully understood even today, but it’s been killing horses as long as they’ve been domesticated. Infection can trigger it, and so can prolonged or extreme overloading. Here is one article explaining it; there are tons more you can Google. If Barbaro founders (reaches the stage of laminitis where the pedal bone tears free and sinks through the hoof sole) in his good foot, he literally will have no hind foot to stand on, since even with a strong walking cast he can’t take all of his weight on the broken leg. The very good news this morning is that Barbaro is putting appropriate weight on the broken leg and moving around.
Another danger of course is from infection. Barbaro’s fortunate in that according to reports the skin wasn’t broken despite the horrendous shattering of the bones within, so his first line of defense held. Surgery would be under sterile conditions as strict as in any human operating room, but the risk of course can’t be totally eradicated.
The bones may not heal sufficiently for Barbaro to be fully weight-bearing on them. If he doesn’t heal well enough to be four-legged (no doubt with a gimpy gait because he’ll never be able to bend that ankle again) he’ll inevitably develop laminitis, founder and intractable pain requiring euthanasia.
Another danger is colic. This is an athlete trained to a peak of fitness, accustomed to galloping a mile or more most days, or being free to roam a paddock on his rest time at the owners’ farm. Now he’ll be confined for months to a stall, eventually allowed strictly limited hand-walking, and horses in such situations can develop colic because their digestive efficiency is upset by the change in routine. Colic can require major surgery – itself a risk – and can be incurable, requiring euthanasia to relieve the suffering.
Let’s see, what else? He could kick out with the injured leg, rebreak something, and further surgery might not be able to fix it. Or… Hey, I just found another article that does a great job of summing up all the dangers facing Barbaro, even with the surgery being successful.
I can’t find statistics – I know they’re out there somewhere but my Google-fu is lacking this morning – on how often racehorses break down during a race. I did find this report of an Australian study of racehorse fractures. It includes information about steeplechasers as well as flat racers but has useful information. I also found this Google cache article.