Yıl: 2012 Cilt: 23 Sayı: 1 Sayfa Aralığı: 44 - 48 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model

Öz:
Amaç: Bu çalışmada deneysel tavşan modelinde sefazolinsodyumun kırık iyileşmesi üzerine olumsuz etkisinin olup olmadığı araştırıldı. Gereç ve yöntemler: Çalışma 50 adet Yeni Zelanda tipi beyaz erkek tavşan üzerinde gerçekleştirildi. Genel anestezi altında deneklerin sağ alt ekstremitesinde tibia-fibula yaklaşık üçte birlik orta kısmında manuel kompresyon yöntemi ile kapalı çift kırık oluşturulduktan sonra, kapalı yöntemle kırık redüksiyonu sağlandı ve uzun bacak sirküler alçı uygulandı. Denekler her grupta 10’ar tavşan olacak şekilde rasgele beş gruba ayrıldı. Birinci ve ikinci gruplara kırığın yedinci gününde günde iki kere siprofloksasin 50 mg/kg subkutan ve sefazolin-sodyum 50 mg/kg intramusküler olarak uygulandı. Üçüncü gruba kırık sonrasında yüksek dozda (50.000 IU/kg) D vitamini bir kez İM olarak verildi. Dördüncü gruba ise kırık oluşturulmadan bir saat önceden başlayarak, günde bir kere, toplam beş gün süreyle E vitamini (alfa-tokoferol) 20 mg/kg İM olarak uygulandı. Kontrol grubuna kırık öncesinde ve sonrasında herhangi bir ilaç verilmedi. Tüm deneklere kırık oluşturulduktan hemen sonra ve dört hafta sonra başlangıç ve kontrol X-ışını incelemesi yapıldı. Dördüncü haftanın sonunda denekler sakrifiye edildi ve kırık bölgesine histolojik inceleme yapıldı. Bulgular: Histolojik incelemede siprofloksasin grubunda kırık iyileşmesi histolojik evresinin anlamlı olarak düşük olduğu, sefazolin-sodyum, D vitamini, E vitamini gruplarındaki kırık iyileşmesinin kontrol grubuna göre anlamlı olarak daha fazla olduğu saptandı (p<0.005). Sonuç: Çalışmamızın sonuçlarına göre sefazolin-sodyum grubunda histolojik kırık iyileşmesi evresinin kontrol grubuna göre anlamlı olarak daha iyi olduğunun saptanması, kemik kırığı olan hastalarda enfeksiyon tedavisi için antibiyotik tedavisi olarak sefazolin-sodyumun tercih edilebileceğini düşündürmektedir.
Anahtar Kelime: Vitamin D Sefazolin Tavşanlar Vitamin E Kırık iyileşmesi Yan etkiler

Konular: Ortopedi

Deneysel tavşan modelinde sefazolin-sodyumun kırık iyileşmesi üzerine olumsuz etkisi yoktur

Öz:
Objectives: This study aims to investigate whether cefazolinsodium has any adverse effect on fracture healing in an experimental rabbit model. Materials and methods: The study was performed on 50 male New-Zealand white rabbits. Under general anesthesia, closed double fracture of middle one-third of the tibia-fibula of the left lower extremity of the subjects was produced by manual compression followed by closed reduction of fracture and long leg circular cast was applied. Subjects were divided randomly into five groups including 10 rabbits in each group. The first and second group were administered ciprofloxacin 50 mg/kg SC bid and cefazolin-sodium 50 mg/kg IM on the seventh day of fracture. The third group was applied a single high-dose of vitamin D (50.000 IU/kg) IM following fracture. The fourth group was applied daily vitamin E (alpha tocopherol) 20 mg/kg IM for five days from one hour before the production of fracture. Control group did not receive any treatment before and after fracture. Initial and control X-ray examinations were performed immediately and four weeks after production of fracture, respectively. At the end of the fourth week, animals were sacrificed and a histological examination of the fracture site was performed. Results: Histological evaluation showed that the histological grade of the fracture healing was significantly lower in the ciprofloxacin group, while it was significantly higher in the cefazolin-sodium, vitamin D and vitamin E groups, compared to control group (p<0.005). Conclusion: Significantly improved histological grade of the fracture healing in subjects treated with cefazolin-sodium than controls suggest that it may be reasonable to choose cefazolin-sodium as an antibiotic therapy for the treatment of infection in patients with bone fractures.
Anahtar Kelime: Vitamin E Fracture Healing Adverse effects Vitamin D Cefazolin Rabbits

Konular: Ortopedi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Alturfan AK. Ortopedik travmatoloji. In. Akalın Y. Genel bilgiler. İstanbul: Nobel Tıp Kitabevleri; 2002. s. 10-5.
  • 2. Çetinus E, Akgümüş M, Cever İ, Atay ÖF, Bakariş S. Kırık iyileşmesi üzerine kalsitonin hormonunun etkisi. Eklem Hastalik Cerrahisi 2000;11:179-83.
  • 3. Huddleston PM, Steckelberg JM, Hanssen AD, Rouse MS, Bolander ME, Patel R. Ciprofloxacin inhibition of experimental fracture healing. J Bone Joint Surg [Am] 2000;82:161-73.
  • 4. Bouxsein ML, Turek TJ, Blake CA, D’Augusta D, Li X, Stevens M, et al. Recombinant human bone morphogenetic protein-2 accelerates healing in a rabbit ulnar osteotomy model. J Bone Joint Surg [Am] 2001;83:1219-30.
  • 5. Sun YQ, Ashhurst DE. Osteogenic growth peptide enhances the rate of fracture healing in rabbits. Cell Biol Int 1998;22:313-9.
  • 6. Omeroglu S, Cam M, Omeroglu H, Ates Y, Erdogan D. Effect of prophylactic dose low molecular weight heparin on fracture healing: An Experimental Study in Guinea Pigs. Eklem Hastalik Cerrahisi 1998;9:32-35.
  • 7. Yorgancıgil H, Ozerdemoglu RA, Korkusuz F, Erdogan N. The Effects of nicotine on fracture healing in rats. Eklem Hastalik Cerrahisi 1998;9:36-39.
  • 8. Durak K, Sonmez G, Sarisozen B, Ozkan S, Kaya M, Ozturk C. Histological assessment of the effect of alpha-tocopherol on fracture healing in rabbits. J Int Med Res 2003;31:26-30.
  • 9. Omeroğlu S, Erdoğan D, Omeroğlu H. Effects of single highdose vitamin D3 on fracture healing. An ultrastructural study in healthy guinea pigs. Arch Orthop Trauma Surg 1997;116:37-40.
  • 10. Keskin D, Karsan O, Ezirmik N, Çiftçioğlu A. Tavşanlarda kırık iyileşmesi üzerine alfa-tokoferolün etkisi. Eklem Hastalik Cerrahisi 1999;10:207-10.
  • 11. Bendele AM, Hulman JF, Harvey AK, Hrubey PS, Chandrasekhar S. Passive role of articular chondrocytes in quinolone-induced arthropathy in guinea pigs. Toxicol Pathol 1990;18:304-12.
  • 12. Kato M, Onodera T. Morphological investigation of cavity formation in articular cartilage induced by ofloxacin in rats. Fundam Appl Toxicol 1988;11:110-9.
  • 13. Rathbone CR, Cross JD, Brown KV, Murray CK, Wenke JC. Effect of various concentrations of antibiotics on osteogenic cell viability and activity. J Orthop Res 2011;29:1070-4.
  • 14. Tuncay I, Ozbek H, Köşem M, Unal O. A comparison of effects of fluoroquinolones on fracture healing (an experimental study in rats). Ulus Travma Acil Cerrahi Derg 2005;11:17-22.
  • 15. Curl JL. Ketamine-xylazine anaesthesia in the Djungarian hamster: Phodopus sungorus. Lab Anim 1988;22:309-12.
  • 16. Allen HL, Wase A, Bear WT. Indomethacin and aspirin: effect of nonsteroidal anti-inflammatory agents on the rate of fracture repair in the rat. Acta Orthop Scand 1980;51:595-600.
  • 17. Goldberg VM, Powell A, Shaffer JW, Zika J, Bos GD, Heiple KG. Bone grafting: role of histocompatibility in transplantation. J Orthop Res 1985;3:389-404.
  • 18. Altman RD, Latta LL, Keer R, Renfree K, Hornicek FJ, Banovac K. Effect of nonsteroidal antiinflammatory drugs on fracture healing: a laboratory study in rats. J Orthop Trauma 1995;9:392-400.
  • 19. Huo MH, Troiano NW, Pelker RR, Gundberg CM, Friedlaender GE. The influence of ibuprofen on fracture repair: biomechanical, biochemical, histologic, and histomorphometric parameters in rats. J Orthop Res 1991;9:383-90.
  • 20. Motoki DS, Mulliken JB. The healing of bone and cartilage. Clin Plast Surg 1990;17:527-44.
  • 21. Karaoglu S, Baktir A, Kabak S, Arasi H. Experimental repair of segmental bone defects in rabbits by demineralized allograft covered by free autogenous periosteum. Injury 2002;33:679-83.
  • 22. Grundnes O, Reikerås O. Effects of instability on bone healing. Femoral osteotomies studied in rats. Acta Orthop Scand 1993;64:55-8.
  • 23. Göktürk E, Turgut A, Bayçu C, Günal I, Seber S, Gülbas Z. Oxygen-free radicals impair fracture healing in rats. Acta Orthop Scand 1995;66:473-5.
  • 24. Simmons DJ. Fracture healing perspectives. Clin Orthop Relat Res 1985;200:100-13.
  • 25. Lane JM, Yasko AW, Tomin E, Cole BJ, Waller S, Browne M, et al. Bone marrow and recombinant human bone morphogenetic protein-2 in osseous repair. Clin Orthop Relat Res 1999;361:216-27.
  • 26. Kabak S, Balkar F, Duygulu F. The importance of fracture hematoma in fracture union: Replacement of hematoma over the fracture site. An experimental study. Acta Orthop Traumatol Turc 2001;35:252-9.
APA AKKAYA S, NAZALI M, Kilic A, BİR F (2012). Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. , 44 - 48.
Chicago AKKAYA Semih,NAZALI Mühterem,Kilic Alper,BİR Ferda Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. (2012): 44 - 48.
MLA AKKAYA Semih,NAZALI Mühterem,Kilic Alper,BİR Ferda Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. , 2012, ss.44 - 48.
AMA AKKAYA S,NAZALI M,Kilic A,BİR F Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. . 2012; 44 - 48.
Vancouver AKKAYA S,NAZALI M,Kilic A,BİR F Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. . 2012; 44 - 48.
IEEE AKKAYA S,NAZALI M,Kilic A,BİR F "Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model." , ss.44 - 48, 2012.
ISNAD AKKAYA, Semih vd. "Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model". (2012), 44-48.
APA AKKAYA S, NAZALI M, Kilic A, BİR F (2012). Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 23(1), 44 - 48.
Chicago AKKAYA Semih,NAZALI Mühterem,Kilic Alper,BİR Ferda Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 23, no.1 (2012): 44 - 48.
MLA AKKAYA Semih,NAZALI Mühterem,Kilic Alper,BİR Ferda Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.23, no.1, 2012, ss.44 - 48.
AMA AKKAYA S,NAZALI M,Kilic A,BİR F Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2012; 23(1): 44 - 48.
Vancouver AKKAYA S,NAZALI M,Kilic A,BİR F Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2012; 23(1): 44 - 48.
IEEE AKKAYA S,NAZALI M,Kilic A,BİR F "Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 23, ss.44 - 48, 2012.
ISNAD AKKAYA, Semih vd. "Cefazolin-sodium has no adverse effect on fracture healing in an experimental rabbit model". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 23/1 (2012), 44-48.