This is a case of an aged miniature horse with severe, lifetime foot deformity that had not been trimmed in a long time.
It was unable to walk comfortably because the hoof "capsule" (the hoof wall bars and and sole) was so bent that when it rolled over to the inside, twisting the entire fetlock and pastern sideways. The goal was to find the "real" bottom of the foot under the coffin bone by finding and following the live sole . The sole is a good guide to levelling the bottom of the coffin bone, the base that the horse should be standing on . This will create a flat platform for the horse to stand on. This foot was always going to tend to grow this way because the bones were deformed, but we got him a lot more comfortable with regular trimming. He eventually died of old age complications (severe cushings disease and arthritis) after about a year and a half of at least being more comfortable with proper trimming .