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软骨保护剂和双醋瑞因治疗十字韧带病继发骨关节炎犬的术后疗效。

Postoperative efficacy of chondroprotectors and diacerein in dogs with osteoarthritis secondary to cranial cruciate ligament disease.

机构信息

Small Animal Surgery and Anesthesia Unit, Department of Clinics and Veterinary Hospital, Faculty of Veterinary Medicine, Universidad de la República, Montevideo, Uruguay.

出版信息

Open Vet J. 2023 Mar;13(3):297-306. doi: 10.5455/OVJ.2023.v13.i3.6. Epub 2023 Mar 9.


DOI:10.5455/OVJ.2023.v13.i3.6
PMID:37026069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10072838/
Abstract

BACKGROUND: Cranial cruciate ligament disease is one of the leading causes of pelvic limb claudication in canines and osteoarthritis in the stifle joint. Historically, studies have focused on surgical options to improve the stability of the stifle joint, although none of the techniques described in the literature prevents the development of osteoarthritis. AIM: This study aimed at proving the presence of osteoarthritis at the time of diagnosis of cranial cruciate ligament rupture, as well as evaluating the benefits of administering diacerein (DAR) or chondroprotective coadjuvants to the extracapsular fabelo-tibial technique. METHODS: Seventeen dogs aged between 2 and 8, weighing more than 25 kg, with no predilection for breed or sex, were operated on using this technique. These were divided into three groups: DAR, Chondroprotector (CP), and Control. The animals were treated for 90 days and controlled clinically, radiologically, and using multidimensional scales for pain and quality of life. The statistical analysis used was descriptive and through non-parametric tests. RESULTS: All patients had some degree of osteoarthritis at the beginning of the study associated with the presence of pain. The treated groups improved the claudication scores; however, the changes were significant for the DAR group. The pain score improved in all animals, including those in the Control group; however, the differences were significant only in the treated groups. On the other hand, no significant differences were detected in the radiological studies, so it would be convenient to perform this study over more than 90 days. CONCLUSION: The surgical treatment accompanied by drugs that act on the degradation of articular cartilage has better clinical results.

摘要

背景:十字韧带疾病是犬只后肢跛行和膝关节骨关节炎的主要原因之一。历史上,研究集中在改善膝关节稳定性的手术选择上,尽管文献中描述的技术都不能预防骨关节炎的发展。

目的:本研究旨在证明在诊断十字韧带断裂时存在骨关节炎,并评估在关节囊外法氏骨-胫骨技术中使用二乙酰氨己酸(DAR)或软骨保护剂辅助剂的益处。

方法:17 只年龄在 2 至 8 岁之间、体重超过 25 公斤、无品种或性别偏好的犬只接受了该技术的手术。这些犬只被分为三组:DAR 组、软骨保护剂(CP)组和对照组。动物接受了 90 天的治疗,并进行了临床、放射学和多维疼痛及生活质量评分的控制。使用描述性和非参数检验进行统计分析。

结果:所有患者在研究开始时都有一定程度的与疼痛相关的骨关节炎。治疗组改善了跛行评分;然而,DAR 组的变化具有统计学意义。所有动物的疼痛评分都有所改善,包括对照组的动物;然而,只有在治疗组中差异具有统计学意义。另一方面,放射学研究没有检测到显著差异,因此在 90 天以上进行这项研究将更加方便。

结论:手术治疗结合作用于关节软骨降解的药物具有更好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/13afe3bd0507/OpenVetJ-13-297-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/fbf6550c39e3/OpenVetJ-13-297-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/0cee9edfa9aa/OpenVetJ-13-297-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/15316bf5d656/OpenVetJ-13-297-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/13afe3bd0507/OpenVetJ-13-297-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/fbf6550c39e3/OpenVetJ-13-297-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/0cee9edfa9aa/OpenVetJ-13-297-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/15316bf5d656/OpenVetJ-13-297-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51d/10072838/13afe3bd0507/OpenVetJ-13-297-g004.jpg

相似文献

[1]
Postoperative efficacy of chondroprotectors and diacerein in dogs with osteoarthritis secondary to cranial cruciate ligament disease.

Open Vet J. 2023-3

[2]
Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog.

Vet Surg. 2005

[3]
Diagnostic accuracy of a short-duration 3 Tesla magnetic resonance protocol for diagnosing stifle joint lesions in dogs with non-traumatic cranial cruciate ligament rupture.

BMC Vet Res. 2013-2-28

[4]
Biceps femoris muscle transposition for treatment of cranial cruciate ligament rupture in small breed dogs.

J Vet Sci. 2012-3

[5]
Progression of radiographic evidence of osteoarthritis following tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 295 cases (2001-2005).

J Am Vet Med Assoc. 2007-6-1

[6]
Cranial cruciate ligament rupture in the dog--a retrospective study comparing surgical techniques.

Aust Vet J. 1995-8

[7]
Stifle joint osteoarthritis at the time of diagnosis of cranial cruciate ligament injury is higher in Boxers and in dogs weighing more than 35 kilograms.

Vet Radiol Ultrasound. 2019-5

[8]
Long-term outcome after surgical treatment of cranial cruciate ligament rupture in small breed dogs. Comparison of tibial plateau leveling osteotomy and extra-articular stifle stabilization.

Tierarztl Prax Ausg K Kleintiere Heimtiere. 2015

[9]
Long-term outcome and progression of osteoarthritis in uncomplicated cases of cranial cruciate ligament rupture treated by tibial plateau leveling osteotomy in dogs.

J Vet Med Sci. 2020-7-10

[10]
Radiographic assessment of the progression of osteoarthrosis in the contralateral stifle joint of dogs with a ruptured cranial cruciate ligament.

Vet Rec. 2007-12-1

本文引用的文献

[1]
Proinflammatory polarization of stifle synovial macrophages in dogs with cruciate ligament rupture.

Vet Surg. 2019-8

[2]
Effect of an Oral Joint Supplement When Compared to Carprofen in the Management of Hip Osteoarthritis in Working Dogs.

Top Companion Anim Med. 2017-12

[3]
Efficacy of an oral nutraceutical for the treatment of canine osteoarthritis. A double-blind, randomized, placebo-controlled prospective clinical trial.

Vet Comp Orthop Traumatol. 2017-9-12

[4]
Review of dietary supplements for the management of osteoarthritis in dogs in studies from 2004 to 2014.

J Vet Pharmacol Ther. 2016-2

[5]
Effects of diacerein on cartilage and subchondral bone in early stages of osteoarthritis in a rabbit model.

BMC Vet Res. 2015-7-2

[6]
Use of an owner questionnaire to evaluate long-term surgical outcome and chronic pain after cranial cruciate ligament repair in dogs: 253 cases (2004-2006).

J Am Vet Med Assoc. 2013-9-1

[7]
Effects of diacerein at the molecular level in the osteoarthritis disease process.

Ther Adv Musculoskelet Dis. 2010-4

[8]
Inter- and intra-operator variability associated with extracapsular suture tensioning: an ex vivo study.

Vet Comp Orthop Traumatol. 2012

[9]
An investigation into risk factors for bilateral canine cruciate ligament rupture.

Vet Comp Orthop Traumatol. 2011

[10]
Psychometric testing of the Helsinki chronic pain index by completion of a questionnaire in Finnish by owners of dogs with chronic signs of pain caused by osteoarthritis.

Am J Vet Res. 2009-6

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