Comparison of intra-articular injection of 2 ml of 0.9% NaCl solution with rest alone for treatment of horses with traumatic arthritis

Abstract

Objective - To compare effects of intra-articular injection of 2 ml of 0.9% NaCl solution with rest alone for treatment of horses with traumatic arthritis. Animals - 38 Standardbred horses with moderate to severe lameness that resulted from traumatic arthritis. Procedure - Horses were stratified on the basis of number of affected joints. In each stratum, horses were allocated randomly to treatment groups (intraarticular injection of 2 ml of 0.9% NaCl solution vs rest only). Treatment was for a period of 3 weeks. Horses were inspected weekly with a final examination 2 to 4 weeks after completion of treatment. Results - Mean lameness index was significantly lower during the 3-week treatment period and the entire study period for the NaCl-injected group. A significant decrease in the lameness index during the first 3-week treatment period also was detected for the rest-only group; however, the lameness index increased significantly for this group during the follow-up period, and an overall significant decrease was not detected. Comparison of the lameness index curve indicated a difference in favor of NaCl injection, with a significant difference between the 2 groups at final examination. Nine horses became sound during treatment with rest only, but 6 relapsed before final examination. In the NaCl-injected group, 5 of 10 sound horses relapsed. Conclusions and Clinical Relevance - Intra-articular injection of 2 ml of 0.9% NaCl solution was beneficial in horses with traumatic arthritis. Use of rest alone for a limited period was inadequate for treatment of young Standardbred horses with traumatic arthritis.