This case demonstrates how platelet-rich plasma therapy can provide a non-surgical alternative for CCL injuries in dogs, with significant functional improvement in just 8 weeks.
Case Courtesy of Dr. Christine Nestor, Girard, Pennsylvania
Signalment
Canine, Golden Retriever, 7 years 5 months, FS
History
Presented with right rear lameness of 4 weeks.
Diagnostics and Exam Findings
Initial exam showed the hips and stifles with mild decreased extension, right rear quad measurement 1 cm decreased, and grade ¼ lameness right rear. Radiographs taken on the day of PRP injection supported a CCL tear right rear and mild hip dysplasia. One week post-PRP showed grade ¾ lameness right rear but was walking consistently in the water treadmill. At 2 weeks post-PRP, patient had grade 2/4 lameness right rear with the stifle more solid and using the leg better.
At 4 weeks post-PRP, patient was using the leg more confidently. At 6 weeks post-PRP, patient had grade ¼ lameness right rear and was walking at home, sometimes trotting and accidently running. Patient was still stiff on rising, but hips extended more normally with water therapy going well. At 8 weeks post-PRP, quad measurement was almost equal, and was using the leg very well. Fibrosis felt very strong with minimal drawer movement.
PRP Treatment Details
PRP with IA injection into right stifle
Frequency of Treatment
One PRP injection with routine rehab and 8 weeks of follow up
Other Treatments
Novox BID for 2 weeks prior to initial exam. At initial exam started water therapy and controlled movement at home.
Comments
"PRP seems much quicker than conservative recovery alone especially without surgery – we are all impressed"