The Combined Use of Triamcinolone and Platelet-Rich Plasma in Equine Metacarpophalangeal Joint Osteoarthritis Treatments: An In Vivo and In Vitro Study
2024

Using Triamcinolone and Platelet-Rich Plasma to Treat Joint Pain in Horses

Sample size: 32 publication 10 minutes Evidence: moderate

Author Information

Author(s): Guidoni Kübra, Chiaradia Elisabetta, Pepe Marco, Di Meo Antonio, Tognoloni Alessia, Seccaroni Matteo, Beccati Francesca

Primary Institution: University of Perugia

Hypothesis

The use of PRP after a single dose of TA may potentially improve the clinical signs of MCP joint OA longer than injection of TA alone.

Conclusion

Combining PRP with TA could enhance chondrocyte viability and provide a better long-term therapeutic option for treating OA in racehorses.

Supporting Evidence

  • Platelet-rich plasma (PRP) protects cartilage cells from the adverse effects of triamcinolone acetonide.
  • Horses treated with TA and PRP had better treatment outcomes than those treated with TA alone.
  • PRP may improve clinical outcomes by reducing corticosteroid-induced adverse effects on cartilage cells.
  • Both treatments showed improved flexion assessments one week after the last treatment.

Takeaway

This study looked at how two treatments for joint pain in horses work together. Using a special blood treatment with a common medicine helped horses feel better for longer.

Methodology

The study included in vitro tests on chondrocytes and an in vivo trial with 32 racehorses, comparing outcomes between those treated with TA alone and those treated with TA followed by PRP.

Potential Biases

Individual responses to treatment may vary, and the timing of PRP administration could influence results.

Limitations

Lack of diagnostic analgesia in some horses and no analysis of synovial samples to assess changes in biomarkers.

Participant Demographics

32 Thoroughbred racehorses aged between 2 and 5 years, with 13 females and 19 intact males.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/ani14243645

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