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Twilight tries to help
safe1676589 artist:anticular537 tempest shadow16603 twilight sparkle296704 alicorn218724 pony939402 unicorn311179 my little pony: the movie18780 book32841 broken horn13672 clothes448930 encouragement88 glowing horn19070 horn62071 magic71769 orange background766 simple background383670 telekinesis27063 wholesome431


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The age of the injury shouldn't make a difference with respect to attaching a prosthesis (though it might for healing magic/alchemy). It'd be cool to have Tempest get one, come up againast some villain, and then dramatically yank the thing off to unleash her signature magic blasts.
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If humans can make cochlear implants and prosthetic limbs, magical ponies can make prosthetic horns. Though, if the injury is as old as Tempest's, there might not be much to salvage. Besides, she seems happy with her fireworks.
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If broken horns are common enough that somepony saw fit to write a book on coping with that, then there's definitely no excuse for there not to be a decent amount of prosthetics research going on:

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