1. Relationship between vitamin D status and clinical outcomes in dogs with a cranial cruciate ligament rupture.
- Author
-
Clements DN, Ryan JM, Handel IG, Gow AG, Campbell S, Hurst E, and Mellanby RJ
- Subjects
- Animals, Anterior Cruciate Ligament Injuries blood, Anterior Cruciate Ligament Injuries surgery, Cohort Studies, Dog Diseases diagnosis, Dog Diseases surgery, Dogs, Female, Male, Rupture, Spontaneous surgery, Rupture, Spontaneous veterinary, Treatment Outcome, Vitamin D blood, Anterior Cruciate Ligament surgery, Anterior Cruciate Ligament Injuries veterinary, Dog Diseases blood, Vitamin D analogs & derivatives, Vitamins blood
- Abstract
Cranial cruciate ligament rupture (CCLR) is one of the most common orthopaedic disorders diagnosed in dogs yet the factors which influence postoperative clinical outcomes are poorly understood. Low vitamin D status has been linked to poorer clinical outcomes in human patients undergoing elective orthopaedic surgery. The aim of this study was to examine the relationship between pre-operative vitamin D status, as defined by serum 25 hydroxyvitamin D (25(OH)D) concentrations, and initial disease severity and clinical outcomes in dogs undergoing surgical treatment for a CCLR. Serum 25(OH)D concentrations were measured in 44 dogs with a CCLR on the day before surgery. C-reactive protein concentrations were measured at a median time of 1 day post-surgery and the patient's clinical and radiographic response to CCLR surgical treatment was assessed at a median timepoint of 60 days post-surgery. Serum 25(OH)D concentrations in dogs with a CCLR was not significantly different to a population of healthy dogs (median 74.1 nmol/L and 88.40 nmol/L, respectively). There was no significant correlation between pre-operative serum 25(OH)D concentrations and length of pre-diagnosis clinical signs, pre-operative lameness scores or day 1 post-operative CRP concentrations. Thirty nine of the 44 dogs were re-examined at a median 60 days post-surgery. There was no relationship between the day 60 lameness scores and pre-operative serum 25(OH)D concentrations. In summary, we discovered that the vitamin D status of dogs with a CCLR was not significantly lower than healthy dogs and pre-operative serum 25(OH)D concentrations were not correlated to either pre-surgical disease severity or post-operative clinical outcomes., (Copyright © 2021. Published by Elsevier Ltd.)
- Published
- 2021
- Full Text
- View/download PDF