Evaluation of a filter-prepared platelet concentrate for the treatment of suspensory branch injuries in horses.
Abstract: Platelet preparations have become a treatment for soft tissue injuries in horses. This study evaluated a novel filter-based system to concentrate platelets and assesses its value in the treatment of suspensory ligament branch desmitis. Methods: Filtered platelet concentrate was prepared from 55 ml of venous blood obtained from 21 normal horses. Platelets and white blood cells in whole blood and filtered platelet concentrate were measured, as was platelet activating factor (PAF)-induced platelet-derived growth factor-BB (PDGF-BB) release. Eleven horses with 18 focal acute suspensory ligament branch injuries were treated intra-lesionally with autologous filtered platelet concentrate and evaluated clinically and ultrasonographically for one to three years. Results: The increase in concentration of platelets in the filtered concentrate in comparison with whole blood (6.9 ± 1.9-fold) was significantly greater than the increase in white blood cells (3.8 ± 0.8-fold) (p 100-fold higher levels of PDGF release over basal levels. All hypoechoic lesions re-evaluated within three months had resolved. Five of the 11 horses returned to their previous level of work, one was exercising at a lower level, three were retired, one died for unrelated reasons, and one was still convalescing. Conclusions: Filtered platelet concentrate was easily and reliably prepared and injected into suspensory ligament branch injuries without short-term complications. This treatment was associated with rapid resolution of ultrasonographic lesions and lameness. Filtered platelet concentrate represents a convenient alternative for the treatment of suspensory ligament branch injuries.
Publication Date: 2011-09-02 PubMed ID: 21887455DOI: 10.3415/VCOT-11-01-0001Google Scholar: Lookup
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- Clinical Trial
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research investigates a new filtering method for preparing platelet concentrate to treat ligament injuries in horses. It explores the efficacy of this approach and its impact on the horses’ recovery and return to previous activity levels.
Research Methodology
- To evaluate the new method, platelet concentrate was prepared using the filter-based system from the venous blood of 21 healthy horses.
- The researchers measured platelets and white blood cells in both the whole blood and the filtered platelet concentrate.
- In addition, they also measured the release of a growth factor named PDGF-BB when the platelet activating factor (PAF) stimulated the platelets.
- The researchers then used this concentrate to treat 11 horses with ligament injuries, keeping track of their progress for 1 to 3 years post-treatment.
Results of the Study
- The platelet concentrate prepared through the filtering method had a higher platelet concentration than whole blood, indicating the effectiveness of the filtering system.
- Platelets in the concentrate responded actively to PAF, indicating the presence of healthy and functional cells.
- All horses treated with this method showed resolution of ultrasonographic lesions within three months, suggesting the therapy was effective for treating these injuries.
- Among the treated horses, fewer than half were able to return to their previous activity level. Some retired, continued convalescing, exercised at a lower level, or passed away due to unrelated causes.
Conclusions
- The preparation of filtered platelet concentrate was straightforward and reliable.
- The injected concentrate into ligament injuries was performed without short-term complications.
- The treatment demonstrated rapid resolution of ultrasonographic lesions and lameness.
- This method could be a beneficial alternative treatment for suspensory ligament branch injuries in horses.
The study effectively highlights the potential benefits of using filtered platelet concentrate for treating ligament injuries in horses. However, more research, perhaps with larger sample sizes and varied equine demographics, may be needed for a more comprehensive understanding of this treatment method’s benefits and potential limitations.
Cite This Article
APA
Castelijns G, Crawford A, Schaffer J, Ortolano GA, Beauregard T, Smith RK.
(2011).
Evaluation of a filter-prepared platelet concentrate for the treatment of suspensory branch injuries in horses.
Vet Comp Orthop Traumatol, 24(5), 363-369.
https://doi.org/10.3415/VCOT-11-01-0001 Publication
Researcher Affiliations
- Equihealth Vetrinarios SL, Real Club de Polo de Barcelona, Barcelona, Spain.
MeSH Terms
- Animals
- Blood Platelets
- Horse Diseases / therapy
- Horses / injuries
- Ligaments / injuries
- Treatment Outcome
Citations
This article has been cited 15 times.- Duddy HR, Schoonover MJ, Hague BA. Outcome following local injection of a liquid amnion allograft for treatment of equine tendonitis or desmitis - 100 cases. BMC Vet Res 2022 Nov 7;18(1):391.
- Jaafar SE, Al-Bayti AAH, Abdullah SI. Using Short Term of High Power Laser Therapy in Horse's Tendon Injuries. Arch Razi Inst 2021 Nov;76(5):1437-1444.
- Montano C, Auletta L, Greco A, Costanza D, Coluccia P, Del Prete C, Meomartino L, Pasolini MP. The Use of Platelet-Rich Plasma for Treatment of Tenodesmic Lesions in Horses: A Systematic Review and Meta-Analysis of Clinical and Experimental Data. Animals (Basel) 2021 Mar 12;11(3).
- Ribitsch I, Oreff GL, Jenner F. Regenerative Medicine for Equine Musculoskeletal Diseases. Animals (Basel) 2021 Jan 19;11(1).
- Smit Y, Marais HJ, Thompson PN, Mahne AT, Goddard A. Clinical findings, synovial fluid cytology and growth factor concentrations after intra-articular use of a platelet-rich product in horses with osteoarthritis. J S Afr Vet Assoc 2019 May 23;90(0):e1-e9.
- Bozorgmanesh R, Magdesian KG, Sutton-Burges JW, Owens SD, Tablin F. Equine platelet concentrate preparation and validation. J Vet Intern Med 2019 May;33(3):1500-1506.
- Torrero JI, Martínez C. New developments in the treatment of osteoarthritis - focus on biologic agents. Open Access Rheumatol 2015;7:33-43.
- Geburek F, Gaus M, van Schie HT, Rohn K, Stadler PM. Effect of intralesional platelet-rich plasma (PRP) treatment on clinical and ultrasonographic parameters in equine naturally occurring superficial digital flexor tendinopathies - a randomized prospective controlled clinical trial. BMC Vet Res 2016 Sep 7;12(1):191.
- Brossi PM, Moreira JJ, Machado TS, Baccarin RY. Platelet-rich plasma in orthopedic therapy: a comparative systematic review of clinical and experimental data in equine and human musculoskeletal lesions. BMC Vet Res 2015 Apr 22;11:98.
- Giraldo CE, Álvarez ME, Carmona JU. Effects of sodium citrate and acid citrate dextrose solutions on cell counts and growth factor release from equine pure-platelet rich plasma and pure-platelet rich gel. BMC Vet Res 2015 Mar 14;11:60.
- Giraldo CE, López C, Álvarez ME, Samudio IJ, Prades M, Carmona JU. Effects of the breed, sex and age on cellular content and growth factor release from equine pure-platelet rich plasma and pure-platelet rich gel. BMC Vet Res 2013 Feb 12;9:29.
- Carmona JU, López C, Argüelles D. Addressing Heterogeneity in Equine PRP Therapies: A Scoping Review of Methods, Evidence, and Commercial Validation. Animals (Basel) 2025 Dec 13;15(24).
- Carmona JU, López C. Efficacy of Platelet-Rich Plasma in the Treatment of Equine Tendon and Ligament Injuries: A Systematic Review of Clinical and Experimental Studies. Vet Sci 2025 Apr 18;12(4).
- Guest DJ, Birch HL, Thorpe CT. A review of the equine suspensory ligament: Injury prone yet understudied. Equine Vet J 2025 Sep;57(5):1167-1182.
- Miglio A, Rocconi F, Cremonini V, D'Alessandro A, Reisz JA, Maslanka M, Lacroix IS, Tiscar G, Di Tommaso M, Antognoni MT. Effect of leukoreduction on the metabolism of equine packed red blood cells during refrigerated storage. J Vet Intern Med 2024 Mar-Apr;38(2):1185-1195.
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