Document Detail


Randomised controlled clinical trial for the use of deracoxib during intense rehabilitation exercises after tibial plateau levelling osteotomy.
MedLine Citation:
PMID:  20740263     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During intense physical exercise, the cyclo-oxygenase-2 (COX-2) pathway is upregulated which contributes to soreness. The aim of this study was to determine if there was a clinical affect of deracoxib (COX-2 selective antagonist) on dogs engaged in intense rehabilitation following tibial plateau levelling osteotomy for cranial cruciate ligament rupture. Our hypothesis was that dogs receiving deracoxib would demonstrate less lameness, better range-of-motion (ROM), and faster muscle mass recovery than the control dogs. Thirty dogs were randomised to the treatment (deracoxib at 1-2 mg/kg once daily by mouth) or control (no treatment) group. Outcomes including gait analysis, thigh circumference, and goniometry, were measured by one investigator, who was masked to group preoperatively, and at the end of each intense rehabilitation week (3, 5, and 7 weeks postoperatively). The only difference between groups for any outcome measure at any time point was a greater preoperative stifle ROM in the group receiving deracoxib (p = 0.04). This study showed that treatment with deracoxib did not provide better outcomes when dogs were subjected to intense rehabilitation after tibial plateau levelling osteotomy. Each patient should be evaluated individually to determine if administration of deracoxib is appropriate.
Authors:
W J Gordon-Evans; D Dunning; A L Johnson; K E Knap
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2010-08-25
Journal Detail:
Title:  Veterinary and comparative orthopaedics and traumatology : V.C.O.T     Volume:  23     ISSN:  0932-0814     ISO Abbreviation:  Vet Comp Orthop Traumatol     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-17     Completed Date:  2010-11-16     Revised Date:  2010-12-10    
Medline Journal Info:
Nlm Unique ID:  8906319     Medline TA:  Vet Comp Orthop Traumatol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  332-5     Citation Subset:  IM    
Affiliation:
Department of Veterinary Clinical Medicine, University of Illinois at Urbana-Champaign, 1008 W Hazelwood Drive, Urbana, IL 61802, USA. wjgevans@illinois.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Anterior Cruciate Ligament / surgery*
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
Dog Diseases / surgery*
Dogs
Osteotomy / adverse effects,  veterinary*
Physical Conditioning, Animal / methods
Posterior Cruciate Ligament / surgery*
Range of Motion, Articular
Rehabilitation / methods
Stress, Mechanical
Sulfonamides / therapeutic use*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents, Non-Steroidal; 0/Sulfonamides; 169590-41-4/deracoxib
Comments/Corrections
Comment In:
Vet Comp Orthop Traumatol. 2010;23(6):472

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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