Abstract
SummaryIntra‐articular corticosteroids are an effective treatment for equine osteoarthritis, however, there is increasing evidence for the effectiveness of other treatments such as biologics. Whilst current evidence does support biologics and their use in patients diagnosed with osteoarthritis, there remains to be a lack of evidence regarding their long‐term outcomes and the efficacy of their use as a treatment, especially when compared to corticosteroids. This paper reviewed the evidence comparing intra‐articular corticosteroids and biologics in the treatment of equine osteoarthritis and found that whilst they are both effective treatments, more evidence directly comparing them is required.
Highlights
Do biologics, such as autologous conditioned serum and autologous processed plasma, show an improved clinical outcome and prognosis compared to corticosteroids when treating osteoarthritis in equids?
Investigated the treatment of experimentally induced osteoarthritis (OA) in horses with either autologous conditioned serum (ACS) or placebo (Phosphate Buffered Saline; PBS) as control. 16 horses were split into two groups of 8; placebo (PBS) or treatment (ACS)
Without further studies implicating the use of biologics as a treatment when clinical signs first present, it is difficult to ascertain their effectiveness as a firstline treatment, and so further studies relating to the stage of OA that biologics are used for treatment are required
Summary
Intra-articular corticosteroids are an effective treatment for equine osteoarthritis, there is increasing evidence for the effectiveness of other treatments such as biologics. Whilst current evidence does support biologics and their use in patients diagnosed with osteoarthritis, there remains to be a lack of evidence regarding their long-term outcomes and the efficacy of their use as a treatment, especially when compared to corticosteroids. This paper reviewed the evidence comparing intra-articular corticosteroids and biologics in the treatment of equine osteoarthritis and found
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