Título:
PRELIMINARY STUDY ON EFFICACY OF A SINGLE INTRA-ARTICULAR ADMINISTRATION OF TRIAMCINOLONE ACETONIDE, HYALURONAN AND A COMBINATION OF BOTH FOR MANAGEMENT OF HIP OSTEOARTHRITIS IN DOGS
Tipo:
Comunicación Libre
Área temática:
Traumatología
Instituciones:
(1) Divisão de Medicina Veterinária, Guarda Nacional Republicana
(2) ICAAM – Instituto de Ciências Agrárias e Ambientais Mediterrâneas – Universidade de Évora
(3) Faculty of Veterinary Medicine, University of Lisbon (FMV/ULisboa)
(4) Interdisciplinary Centre for Research in Animal Health (CIISA)
(5) Anjos of Assis Veterinary Medicine Centre (CMVAA)
Autores:
João Carlos Alves (1)
João Carlos Alves (2)
Ana Santos (1)
Patrícia Jorge (1)
Catarina Lavrador (2)
L. Miguel Carreira (3)
L. Miguel Carreira (4)
L. Miguel Carreira (5)
Ponencia:
RESUMEN CORTO - SHORT SUMMARY

To describe the use and effectiveness of intra-articular triamcinolone acetonide (TA), hyaluronan (HA) and a combination of both (TA+HA), thirty police working dogs with naturally occurring hip osteoarthritis (OA) were selected. Sample comprised 6 females and 24 males, with a mean age of 6 years old and weight of 33.3 kg. Animals were randomly divided in three groups and treated with either a single administration of 20mg of TA (GT), 20mg of HA (GH) or a combination of 20mg of TA and 20mg of HA (GTH) per hip joint.

Response to treatment, measured by the Canine Brief Pain Inventory (CBPI) and the Hudson Visual Analogue Scale (HVAS), was evaluated at T0 (before treatment), T1 (after 15 days), T2, T3, T4, T5 and T6 (after 1, 2, 3, 4 and 5 months respectively). Results were compared using a Kruskal-Wallis test or a Wilcoxon signed ranks test.

Comparing results of the different time points considered with T0, significant differences were observed in GH at T1 for HVAS (p=0.03) and PIS (p=0.04); and in GTH at T1 (p=0.05 for HVAS and p<0.05 for PIS), T2 (p<0.04 for PIS), T3 (p<0.03 for HVAS and p=0.05 for PIS), T4 (p<0.03 for HVAS and p<0.05) and T5 (p<0.05 for HVAS). No significant differences were found between groups when comparing results by time point. Intra-articular TA and HA may be a treatment option for dogs with naturally occurring OA, but their simultaneously use seems to improve the results. Further studies are required.



BIBLIOGRAFÍA

1.        Anderson KL, O’Neill DG, Brodbelt DC, et al. Prevalence, duration and risk factors for appendicular osteoarthritis in a UK dog population under primary veterinary care. Sci Rep. 2018;8(1):5641. doi:10.1038/s41598-018-23940-z.

2.        Pelletier J-P, Martel-Pelletier J. Protective effects of corticosteroids on cartilage lesions and osteophyte formation in the pond-nuki dog model of osteoarthritis. Arthritis Rheum. 1989;32(2):181-193. doi:10.1002/anr.1780320211.

3.        Sieker JT, Ayturk UM, Proffen BL, Weissenberger MH, Kiapour AM, Murray MM. Immediate Administration of Intraarticular Triamcinolone Acetonide After Joint Injury Modulates Molecular Outcomes Associated With Early Synovitis. Arthritis Rheumatol. 2016;68(7):1637-1647. doi:10.1002/art.39631.

4.        Colen S, van den Bekerom MP, Bellemans J, Mulier M. Comparison of intra-articular injections of Hyaluronic Acid and Corticosteroid in the treatment of Osteoarthritis of the hip in comparison with intra-articular injections of Bupivacaine. Design of a prospective, randomized, controlled study with blinding . BMC Musculoskelet Disord. 2010;11(1):264. doi:10.1186/1471-2474-11-264.

5.        Brown DC, Bell M, Rhodes L. Power of treatment success definitions when the Canine Brief Pain Inventory is used to evaluate carprofen treatment for the control of pain and inflammation in dogs with osteoarthritis. Am J Vet Res. 2013;74(12):1467-1473. doi:10.2460/ajvr.74.12.1467.

6.        Hudson JT, Slater MR, Taylor L, Scott HM, Kerwin SC. Assessing repeatability and validity of a visual analogue scale questionnaire for use in assessing pain and lameness in dogs. Am J Vet Res. 2004;65(12):1634-1643. doi:10.2460/ajvr.2004.65.1634.

7.        Alves JC, Santos AM. Evaluation of the Effect of Mesotherapy in the Management of Osteoarthritis-Related Pain in a Police Working Dog Using the Canine Brief Pain Inventory. Top Companion Anim Med. 2017;32(1):41-43. doi:10.1053/j.tcam.2017.07.002.

8.        Labens R, Mellor DJ, Voûte LC. Retrospective study of the effect of intra-articular treatment of osteoarthritis of the distal tarsal joints in 51 horses. Vet Rec. 2007;161(18):611-616. http://www.ncbi.nlm.nih.gov/pubmed/17982139.

9.        Rezende MU, Andrusaitis FR, Silva RT, et al. Joint lavage followed by viscosupplementation and triamcinolone in patients with severe haemophilic arthropathy: objective functional results. Haemophilia. 2017;23(2):e105-e115. doi:10.1111/hae.13115.