They're too big? Too heavy? Too what?
On Friday, a colt named Chelokee, trained by Barbaro's trainer Michael Matz, dislocated an ankle during an undercard for the Kentucky Oaks and was given a 50 percent chance of survival.
Check out this link, it will answer some questions.
http://www.vet.upenn.edu/newsandevents/news/Barbaro.htm
1st, they break the bones, which leads to tearing of tendons, ligaments and blood vessels-there is no longer any supporting structure to the leg, and if the blood vessels cannot be repaired, no blood supply to heal the wounds. Also, if it is a compound fracture, bacteria will enter the wound which can lead to infection. If the horse manages to survive all that, THEN the problem is one of off-leg laminitis, where the horse is supporting all it’s weight on the uninjured leg/hoof. This is what ultimatley killed Barbaro. There is also the problem of colic due to inactivity-the horse is stall ridden until healing takes place. Horses were meant to move constantly while grazing and do not take well to confinement, though this can be mitigated somewhat by careful monitoring of diet and handling.