In hoof tissue debridement, which type of corium tissue should be excised?

• A. Fibrous
• B. Necrotic
• C. Granulation tissue
• D. Granulating

Answer: (D)

In hoof wound management, you remove tissue that blocks healing. Granulating tissue is the new tissue that forms during healing, but when it becomes excessive and protrudes above the wound margins—often called proud flesh or exuberant granulation—it actually hinders epithelialization and closure. Excisng this granular overgrowth helps reestablish a proper wound bed so the wound can heal from the base outward. Normal granulation tissue signals healing, but when it’s excessive, removing it is the best step to move the healing process forward. Fibrous tissue represents scar tissue, and necrotic tissue is dead tissue that should be removed as well, but the specific tissue to excise here is the exuberant granulation tissue.