Influence of topically applied cold treatment on core temperature and cell viability in equine superficial digital flexor tendons

Abstract

Objective - To determine rate and degree of cooling for the superficial digital flexor tendon (SDFT) during a standard cryotherapy application in horses and evaluate in vitro effects of cooling on survival of tendon cells. Sample Population - 6 limbs of 5 adult horses and cultured cells obtained from SDFT of 3 adult horses during necropsy. Procedure - In vivo data were acquired by use of a thermocouple temperature probe inserted into the SDFT of a forelimb of each standing sedated horse. After baseline temperatures were recorded, a commercial compression splint with circulating coolant was placed on each selected limb, which was then exposed to cold treatment for 60 minutes. Temperatures were recorded at 30-second intervals, Mean minimum core temperature was calculated and used to design a protocol for in vitro cold treatment of cells. Specimens were obtained from the SDFT of horses during necropsy; tendon cells were cultured in suspension and exposed to 1-hour of cold treatment that mimicked the in vivo procedure. Viability of cells after cold treatment was compared with viability of cells maintained at body temperature. Results - After 1 hour of cold treatment, SDFT core temperature was reduced by a mean of 21.8°C, reaching a mean minimum temperature of 10°C. Viability did not differ significantly between cold-treated and control cells. Conclusion and Clinical Relevance - Results indicated that topical application of cryotherapy significantly reduced core SDFT temperature in standing sedated horses. Temperatures achieved in vivo during cold treatment were not detrimental to the in vitro viability of tendon cells.