Comparison of two cold compression therapy protocols after tibial plateau leveling osteotomy in dogs

Tierarztl Prax Ausg K Kleintiere Heimtiere. 2017 Aug 10;45(4):226-233. doi: 10.15654/TPK-170049. Epub 2017 Jul 26.


Objective: To evaluate two different protocols of cold compression therapy (CCT) for pain management and functional recovery in dogs undergoing tibial plateau leveling osteotomy (TPLO).

Material and methods: A total of 27 adult dogs (n = 30 stifles; staged bilateral procedures: n = 3) undergoing routine TPLO were randomly allocated to three groups (n = 10/group). Dogs of group I received CCT once before and immediately after surgery. In dogs of group II CCT was performed postoperatively four times at 6-hour intervals. Dogs of the control group did not receive CCT. Circumference of the stifle joint and the following pain-related parameters were measured by a single blinded observer before surgery and 1, 10 and 42 days after surgery: stifle joint range of motion (ROM), subjective degree of lameness, and score of a modified Glasgow Pain Scale (GPS).

Results: Both CCT groups showed significantly greater ROM and lower GPS scores 24 hours after surgery compared to the control group. Ten days after surgery there was a significantly lower degree of lameness in both CCT groups compared to the control group. Fourty-two days after surgery a significantly greater ROM was observed in both CCT groups compared to the control group. Group II also showed a significant improvement in the degree of lameness and GPS. There were no significant differences in any of the parameters between the two CCT groups at any time point.

Conclusion: CCT applied preoperatively and immediately postoperatively showed similar short- and long-term beneficial results compared to a previously established protocol of applying CCT four times postoperatively. This protocol may be more suitable for practical use.

Clinical significance: The reported data can be used to establish the new protocol of CCT in a clinical surrounding and to support postoperative rehabilitation of the canine patient.

Keywords: Cranial cruciate ligament rupture; TPLO; postoperative pain management; postoperative rehabilitation.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Anterior Cruciate Ligament / surgery
  • Anterior Cruciate Ligament Injuries
  • Compression Bandages / veterinary*
  • Dogs / injuries
  • Dogs / surgery
  • Female
  • Male
  • Osteotomy / methods
  • Osteotomy / veterinary*
  • Stifle
  • Tibia / injuries*
  • Tibia / surgery