The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.

The purpose of this study was to investigate whether platelet-rich plasma (PRP) enhances osseous healing in conjunction with a high tibial osteotomy in dogs.Randomized controlled trial.Sixty-four client-owned pet dogs with naturally occurring rupture of the anterior cruciate ligament and that were t...

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Main Authors: Samuel P Franklin, Emily E Burke, Shannon P Holmes
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5433731?pdf=render
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spelling doaj-191a865f610f4d69867396c6aa80741b2020-11-25T00:08:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01125e017759710.1371/journal.pone.0177597The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.Samuel P FranklinEmily E BurkeShannon P HolmesThe purpose of this study was to investigate whether platelet-rich plasma (PRP) enhances osseous healing in conjunction with a high tibial osteotomy in dogs.Randomized controlled trial.Sixty-four client-owned pet dogs with naturally occurring rupture of the anterior cruciate ligament and that were to be treated with a high tibial osteotomy (tibial plateau leveling osteotomy) were randomized into the treatment or control group. Dogs in the treatment group received autologous platelet-rich plasma activated with calcium chloride and bovine thrombin to produce a well-formed PRP gel that was placed into the osteotomy at the time of surgery. Dogs in the control group received saline lavage of the osteotomy. All dogs had the osteotomy stabilized with identical titanium alloy implants and all aspects of the surgical procedure and post-operative care were identical among dogs of the two groups. Bone healing was assessed at exactly 28, 49, and 70 days after surgery with radiography and ultrasonography and with MRI at day 28. The effect of PRP on bone healing was assessed using a repeated measures analysis of covariance with radiographic and ultrasonographic data and using a t-test with the MRI data.Sixty dogs completed the study. There were no significant differences in age, weight, or gender distribution between the treatment and control groups. Twenty-seven dogs were treated with PRP and 33 were in the control group. The average platelet concentration of the PRP was 1.37x106 platelets/μL (±489x103) with a leukocyte concentration of 5.45x103/μL (±3.5x103). All dogs demonstrated progressive healing over time and achieved clinically successful outcomes. Time since surgery and patient age were significant predictors of radiographic healing and time since surgery was a significant predictor of ultrasonographic assessment of healing. There was no significant effect of PRP treatment as assessed radiographically, ultrasonographically, or with MRI.The PRP used in this study did not hasten osseous union in dogs treated with a high tibial osteotomy.http://europepmc.org/articles/PMC5433731?pdf=render
collection DOAJ
language English
format Article
sources DOAJ
author Samuel P Franklin
Emily E Burke
Shannon P Holmes
spellingShingle Samuel P Franklin
Emily E Burke
Shannon P Holmes
The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.
PLoS ONE
author_facet Samuel P Franklin
Emily E Burke
Shannon P Holmes
author_sort Samuel P Franklin
title The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.
title_short The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.
title_full The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.
title_fullStr The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.
title_full_unstemmed The effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.
title_sort effect of platelet-rich plasma on osseous healing in dogs undergoing high tibial osteotomy.
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2017-01-01
description The purpose of this study was to investigate whether platelet-rich plasma (PRP) enhances osseous healing in conjunction with a high tibial osteotomy in dogs.Randomized controlled trial.Sixty-four client-owned pet dogs with naturally occurring rupture of the anterior cruciate ligament and that were to be treated with a high tibial osteotomy (tibial plateau leveling osteotomy) were randomized into the treatment or control group. Dogs in the treatment group received autologous platelet-rich plasma activated with calcium chloride and bovine thrombin to produce a well-formed PRP gel that was placed into the osteotomy at the time of surgery. Dogs in the control group received saline lavage of the osteotomy. All dogs had the osteotomy stabilized with identical titanium alloy implants and all aspects of the surgical procedure and post-operative care were identical among dogs of the two groups. Bone healing was assessed at exactly 28, 49, and 70 days after surgery with radiography and ultrasonography and with MRI at day 28. The effect of PRP on bone healing was assessed using a repeated measures analysis of covariance with radiographic and ultrasonographic data and using a t-test with the MRI data.Sixty dogs completed the study. There were no significant differences in age, weight, or gender distribution between the treatment and control groups. Twenty-seven dogs were treated with PRP and 33 were in the control group. The average platelet concentration of the PRP was 1.37x106 platelets/μL (±489x103) with a leukocyte concentration of 5.45x103/μL (±3.5x103). All dogs demonstrated progressive healing over time and achieved clinically successful outcomes. Time since surgery and patient age were significant predictors of radiographic healing and time since surgery was a significant predictor of ultrasonographic assessment of healing. There was no significant effect of PRP treatment as assessed radiographically, ultrasonographically, or with MRI.The PRP used in this study did not hasten osseous union in dogs treated with a high tibial osteotomy.
url http://europepmc.org/articles/PMC5433731?pdf=render
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