A wound in the distal part of the horse’s limb with involvement of the foot can lead to large impacts in life prognosis and, depending on the severity of the lesion, may render successful recovery of the horse difficult or even questionable. Due to that fact and the high frequency of complications associated with wounds in the foot, the approach and management is not always straightforward, nor easy. In this case report a 9-year-old mare is presented with a chronic wound in the inner surface of foot of the right hind limb. The wound involves the medial coronary band with its proximal displacement and an inadequate push of horny tissue. For treatment, a surgical approach was chosen with application of a uniaxial traction device between the coronary band and the hoofwall in order to direct and adapt as much as possible the growth direction of coronary papillae after resection of the scar tissue. The aim of this approach was to reduce, firstly the defect in the proximal hoof wall, and secondly, the deviated growth of the hoof wall. 15 days after surgery and a resin casting, an orthopaedic shoe (three-quarter bar shoe) was placed to stabilize the hoof and eliminate weight bearing on that portion of the hoof wall This additional management changed the deviation from a 135° to a completely parallel growth, with complete healing of the tissue. This case example demonstrates the importance of working together between the farrier and the veterinarian to improve the aspect and functionality of the hoof.