Yıl: 2021 Cilt: 32 Sayı: 3 Sayfa Aralığı: 688 - 697 Metin Dili: İngilizce DOI: 10.52312/jdrs.2021.42 İndeks Tarihi: 29-12-2021

The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats

Öz:
Objectives: In this study, we aimed to investigate the effect oftranexamic acid (TXA) on osteotendinous junction healing in arat model, both biomechanically and histologically. Materials and methods: Sixty-four male Wistar-Albino ratsweighing 450 to 600 g were used in this study. The ratswere divided into two groups as the experimental (n=16) andcontrol (n=16) groups. Achillotomy and subsequent repairsite was exposed to 1 mL of TXA in the experimental group,while 1 mL of saline was given to the control group. Forbiomechanical and histopathological investigation, each groupwas further divided into two subgroups. At the end of fourweeks, all rats were sacrificed. Biomechanical tests wereperformed using the M500-50CT device. The Bonar, Movin,and Nourissat bone-tendon junction scoring systems were usedfor histopathological evaluation. Results: There was no statistically significant differencein the elongation at a maximum point, maximum loading,and maximum stress variables in the biomechanical study(p=0.558 p=0.775, and p=0.558, respectively). In thehistopathological evaluation, the collagen content and layoutwere close to the native tissue in the experimental group(p=0.047 and p=0.008, respectively). Vascularity, hyalinization,and glycosaminoglycan content were significantly lower inthe experimental group (p=0.004, p=0.014, and p=0.026,respectively). The total Bonar and Movin scores were morefavorable in the experimental group (p<0.001). Conclusion: This experimental study showed that localadministration of TXA accelerated bone-tendon junction healingin rats.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
  • 1. Lu H, Chen C, Xie S, Tang Y, Qu J. Tendon healing in bone tunnel after human anterior cruciate ligament reconstruction: A systematic review of histological results. J Knee Surg 2019;32:454-62.
  • 2. Galatz LM, Gerstenfeld L, Heber-Katz E, Rodeo SA. Tendon regeneration and scar formation: The concept of scarless healing. J Orthop Res 2015;33:823-31.
  • 3. Newsham-West R, Nicholson H, Walton M, Milburn P. Long-term morphology of a healing bone-tendon interface: A histological observation in the sheep model. J Anat 2007;210:318-27.
  • 4. Uhthoff HK, Sano H, Trudel G, Ishii H. Early reactions after reimplantation of the tendon of supraspinatus into bone. A study in rabbits. J Bone Joint Surg [Br] 2000;82:1072-6.
  • 5. Forward AD, Cowan RJ. Tendon suture to bone. An experimental investigation in rabbits. J Bone Joint Surg 1963;45A:807-23.
  • 6. Scranton PE Jr, Lanzer WL, Ferguson MS, Kirkman TR, Pflaster DS. Mechanisms of anterior cruciate ligament neovascularization and ligamentization. Arthroscopy 1998;14:702-16.
  • 7. Robert H, Es-Sayeh J, Heymann D, Passuti N, Eloit S, Vaneenoge E. Hamstring insertion site healing after anterior cruciate ligament reconstruction in patients with symptomatic hardware or repeat rupture: A histologic study in 12 patients. Arthroscopy 2003;19:948-54.
  • 8. Atesok K, Fu FH, Wolf MR, Ochi M, Jazrawi LM, Doral MN, et al. Augmentation of tendon-to-bone healing. J Bone Joint Surg Am 2014;96:513-21.
  • 9. Derwin KA, Galatz LM, Ratcliffe A, Thomopoulos S. Enthesis Repair: Challenges and opportunities for effective tendon-to-bone healing. J Bone Joint Surg [Am] 2018;100:e109.
  • 10. Sun Q, Li J, Chen J, Zheng C, Liu C, Jia Y. Comparison of intravenous, topical or combined routes of tranexamic acid administration in patients undergoing total knee and hip arthroplasty: A meta-analysis of randomised controlled trials. BMJ Open 2019;9:e024350.
  • 11. CRASH-2 collaborators, Roberts I, Shakur H, Afolabi A, Brohi K, Coats T, et al. The importance of early treatment with tranexamic acid in bleeding trauma patients: An exploratory analysis of the CRASH-2 randomised controlled trial. Lancet 2011;377:1096-101.
  • 12. Simonazzi G, Bisulli M, Saccone G, Moro E, Marshall A, Berghella V. Tranexamic acid for preventing postpartum blood loss after cesarean delivery: A systematic review and meta-analysis of randomized controlled trials. Acta Obstet Gynecol Scand 2016;95:28-37.
  • 13. Pundir V, Pundir J, Georgalas C, Fokkens WJ. Role of tranexamic acid in endoscopic sinus surgery - a systematic review and meta-analysis. Rhinology 2013;51:291-7.
  • 14. Adler Ma SC, Brindle W, Burton G, Gallacher S, Hong FC, Manelius I, et al. Tranexamic acid is associated with less blood transfusion in off-pump coronary artery bypass graft surgery: A systematic review and meta-analysis. J Cardiothorac Vasc Anesth 2011;25:26-35.
  • 15. Spahn DR. Anemia and patient blood management in hip and knee surgery: A systematic review of the literature. Anesthesiology 2010;113:482-95.
  • 16. Teng Y, Feng C, Liu Y, Jin H, Gao Y, Li T. Anti-inflammatory effect of tranexamic acid against trauma-hemorrhagic shock-induced acute lung injury in rats. Exp Anim 2018;67:313-20.
  • 17. McLean M, McCall K, Smith IDM, Blyth M, Kitson SM, Crowe LAN, et al. Tranexamic acid toxicity in human periarticular tissues. Bone Joint Res 2019;8:11-8.
  • 18. Hast MW, Zuskov A, Soslowsky LJ. The role of animal models in tendon research. Bone Joint Res 2014;3:193-202.
  • 19. Cook JL, Feller JA, Bonar SF, Khan KM. Abnormal tenocyte morphology is more prevalent than collagen disruption in asymptomatic athletes' patellar tendons. J Orthop Res 2004;22:334-8.
  • 20. Movin T, Gad A, Reinholt FP, Rolf C. Tendon pathology in long-standing achillodynia. Biopsy findings in 40 patients. Acta Orthop Scand 1997;68:170-5.
  • 21. Nourissat G, Diop A, Maurel N, Salvat C, Dumont S, Pigenet A, et al. Mesenchymal stem cell therapy regenerates the native bone-tendon junction after surgical repair in a degenerative rat model. PLoS One 2010;5:e12248.
  • 22. Thomopoulos S, Genin GM, Galatz LM. The development and morphogenesis of the tendon-to-bone insertion - what development can teach us about healing -. J Musculoskelet Neuronal Interact 2010;10:35-45.
  • 23. Scranton PE Jr, Lanzer WL, Ferguson MS, Kirkman TR, Pflaster DS. Mechanisms of anterior cruciate ligament neovascularization and ligamentization. Arthroscopy 1998;14:702-16.
  • 24. Wong MW, Qin L, Lee KM, Tai KO, Chong WS, Leung KS, et al. Healing of bone-tendon junction in a bone trough: A goat partial patellectomy model. Clin Orthop Relat Res 2003;(413):291-302.
  • 25. Robert H, Es-Sayeh J, Heymann D, Passuti N, Eloit S, Vaneenoge E. Hamstring insertion site healing after anterior cruciate ligament reconstruction in patients with symptomatic hardware or repeat rupture: A histologic study in 12 patients. Arthroscopy 2003;19:948-54.
  • 26. Rodeo SA, Potter HG, Kawamura S, Turner AS, Kim HJ, Atkinson BL. Biologic augmentation of rotator cuff tendonhealing with use of a mixture of osteoinductive growth factors. J Bone Joint Surg [Am] 2007;89:2485-97.
  • 27. Karaoglu S, Celik C, Korkusuz P. The effects of bone marrow or periosteum on tendon-to-bone tunnel healing in a rabbit model. Knee Surg Sports Traumatol Arthrosc 2009;17:170-8.
  • 28. Mutsuzaki H, Sakane M, Nakajima H, Ito A, Hattori S, Miyanaga Y, et al. Calcium-phosphate-hybridized tendon directly promotes regeneration of tendon-bone insertion. J Biomed Mater Res A 2004;70:319-27.
  • 29. Thomopoulos S, Zampiakis E, Das R, Kim HM, Silva MJ, Havlioglu N, et al. Use of a magnesium-based bone adhesive for flexor tendon-to-bone healing. J Hand Surg Am 2009;34:1066-73.
  • 30. Hjorthaug GA, Søreide E, Nordsletten L, Madsen JE, Reinholt FP, Niratisairak S, et al. Negative effect of zoledronic acid on tendon-to-bone healing. Acta Orthop 2018;89:360-6.
  • 31. Ferry ST, Dahners LE, Afshari HM, Weinhold PS. The effects of common anti-inflammatory drugs on the healing rat patellar tendon. Am J Sports Med 2007;35:1326-33.
  • 32. Çıraklı A, Gürgör PN, Uzun E, Erdem H, Şahin AA, Baş O. Tranexamic acid has positive effect in early period of tendon healing by stimulating the tumor necrosis factoralpha and matrix metalloproteinase-3 expression levels. Jt Dis Relat Surg 2020;31:463-9.
  • 33. Çevik HB, Eceviz E, Çilingir Kaya ÖT, Ercan F, Çeçen GS. The effect of topical and systemic tranexamic acid on fracture healing in rats. Acta Orthop Traumatol Turc 2020;54:207-12.
APA Bozkurt O, Bagir M, Mirioğlu A, TEKIN M, Bicer O, ozkan c, Erdogan K (2021). The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. , 688 - 697. 10.52312/jdrs.2021.42
Chicago Bozkurt Orçin,Bagir Melih,Mirioğlu Akif,TEKIN MUSTAFA,Bicer Omer,ozkan cenk,Erdogan Kivilcim The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. (2021): 688 - 697. 10.52312/jdrs.2021.42
MLA Bozkurt Orçin,Bagir Melih,Mirioğlu Akif,TEKIN MUSTAFA,Bicer Omer,ozkan cenk,Erdogan Kivilcim The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. , 2021, ss.688 - 697. 10.52312/jdrs.2021.42
AMA Bozkurt O,Bagir M,Mirioğlu A,TEKIN M,Bicer O,ozkan c,Erdogan K The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. . 2021; 688 - 697. 10.52312/jdrs.2021.42
Vancouver Bozkurt O,Bagir M,Mirioğlu A,TEKIN M,Bicer O,ozkan c,Erdogan K The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. . 2021; 688 - 697. 10.52312/jdrs.2021.42
IEEE Bozkurt O,Bagir M,Mirioğlu A,TEKIN M,Bicer O,ozkan c,Erdogan K "The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats." , ss.688 - 697, 2021. 10.52312/jdrs.2021.42
ISNAD Bozkurt, Orçin vd. "The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats". (2021), 688-697. https://doi.org/10.52312/jdrs.2021.42
APA Bozkurt O, Bagir M, Mirioğlu A, TEKIN M, Bicer O, ozkan c, Erdogan K (2021). The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. Joint diseases and related surgery, 32(3), 688 - 697. 10.52312/jdrs.2021.42
Chicago Bozkurt Orçin,Bagir Melih,Mirioğlu Akif,TEKIN MUSTAFA,Bicer Omer,ozkan cenk,Erdogan Kivilcim The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. Joint diseases and related surgery 32, no.3 (2021): 688 - 697. 10.52312/jdrs.2021.42
MLA Bozkurt Orçin,Bagir Melih,Mirioğlu Akif,TEKIN MUSTAFA,Bicer Omer,ozkan cenk,Erdogan Kivilcim The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. Joint diseases and related surgery, vol.32, no.3, 2021, ss.688 - 697. 10.52312/jdrs.2021.42
AMA Bozkurt O,Bagir M,Mirioğlu A,TEKIN M,Bicer O,ozkan c,Erdogan K The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. Joint diseases and related surgery. 2021; 32(3): 688 - 697. 10.52312/jdrs.2021.42
Vancouver Bozkurt O,Bagir M,Mirioğlu A,TEKIN M,Bicer O,ozkan c,Erdogan K The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats. Joint diseases and related surgery. 2021; 32(3): 688 - 697. 10.52312/jdrs.2021.42
IEEE Bozkurt O,Bagir M,Mirioğlu A,TEKIN M,Bicer O,ozkan c,Erdogan K "The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats." Joint diseases and related surgery, 32, ss.688 - 697, 2021. 10.52312/jdrs.2021.42
ISNAD Bozkurt, Orçin vd. "The histological effect of tranexamic acid ontendon-to-bone healing histologically in rats". Joint diseases and related surgery 32/3 (2021), 688-697. https://doi.org/10.52312/jdrs.2021.42