Pre-purchase examination (PPE) for horses - & purchase examination

Buying a horse is exciting—but it’s not a gamble. With a pre-purchase examination (PPE/AKU) from Dr. Nina Rödig, you can be sure that your new horse isn’t just good-looking, but also healthy. We follow the protocol of the Society for Equine Medicine (GPM) – carefully, transparently, and using state-of-the-art technology.

Why a pre-purchase inspection is worthwhile

  • Health Check: Many problems aren't immediately apparent.
  • Check suitability: Leisure, sports, or breeding – is this the right horse?
  • Cost control: A thorough PPE/AKU often saves a lot of money down the road.
  • Basis for negotiation: Findings provide transparency regarding the price.
Image of a fox undergoing a pre-purchase examination (PPE)

In short: the PPE/AKU is your TÜV with a tail and hooves 🐴

Small vs. large PPE/AKU in horses

Small / clinical PPE/AKU

  • Clinical examination, gait, flexion tests, heart, lungs, eyes, teeth, skin, coat
  • Written report

Large medical examination (including X-rays)

  • Everything from the small pre-purchase examination (PPE) for a horse
  • 18 digital standard X-rays (forelimbs and hindlimbs, fetlocks, knees, navicular bones)
  • Further examinations possible: Ultrasound, Gynaecology, Endoscopy, Gastroscopy, Doping control

Procedure for a pre-purchase examination (PPE/AKU) on a horse

  1. Preliminary consultation: Purpose, scope (small or large medical examination) and individual wishes.
  2. Clinical examination General condition, heart, lungs, eyes, teeth, skin, musculoskeletal system, gait, flexion tests.
    • For orthopaedic examination: flat stretch (≥25 m) and sand arena for lunging.
  3. X-rays (large PPE/AKU): 18 standard images with a modern DR system, directly in the stable, digital evaluation possible immediately.
  4. Evaluation & Report Written report including X-rays, possible recommendation for further investigations.

Overview: 18 Standard X-ray views

  • Toes & Fetlocks (all 4 legs): 4 takes, lateral view
  • Fetlock joints (front legs) 2 views, side profile
  • Ankles (hind legs): 6 exposures, three projections per hind leg
  • Knee joints (hind legs): 4 exposures, both knees in two planes
  • Hoof roll (according to Oxspring): 2 special shots

Note: Rear shots are not standard, optional. A total of 20+ shots are possible.

Optional additional examinations

  • Ultrasound (tendons, ligaments, organs)
  • Gynaecology (in breeding mares)
  • Endoscopy (e.g. airways)
  • Gastroscopy (stomach, stomach ulcers)
  • Doping control (tournament or export horses)

Equine Pre-Purchase Examination Checklist

✔ Equine Passport & Health Records
✔ Vaccinations, worming treatment, previous findings
✔ Parking space with electricity for DR X-ray system
✔ Flat stretch (≥25 m) for gait analysis
✔ Sand arena for lunging
✔ Clarify cost coverage
✔ Set aside time – a thorough diagnosis requires a calm environment

Conclusion

The PPE/AKU Horse is the best investment you can make before purchasing a horse. With 18 digital X-rays, a state-of-the-art DR system right in the stable, and optional additional examinations, you’ll be on the safe side.

Book an appointment now — for a pre-purchase inspection that gives you real peace of mind.

📞 Contact

Veterinary Practice for Horses Dr. Nina Rödig
Phone: +49 151 23063527
E-mail: