Yıl: 2022 Cilt: 33 Sayı: 1 Sayfa Aralığı: 172 - 179 Metin Dili: İngilizce DOI: 10.52312/jdrs.2022.190 İndeks Tarihi: 21-06-2022

Tetracalcium phosphate treatment on experimental fracture model in rats

Öz:
Objectives: This study aims to investigate the efficacy of tetracalcium phosphate (TTCP) on fracture healing in rat femurs. Materials and methods: Forty-two female Wistar Albino rats were randomized into two groups (Group 1 and Group 2, n=21 for each). The left femur of all animals was fractured by osteotomy after deep anesthesia with ketamine. Additional procedure was not applied to the rats in Group 1. Rats in Group 2, following osteotomy, were applied to the fracture line approximately 2 mL TTCP. The animals were sacrificed at Weeks 1, 2, and 3 after surgery (seven animals were sacrificed from each group each week) and the broken femurs were removed. The femurs were examined first radiographically and second histopathologically. Results: Radiologically, callus maturity and bone union increased with time in both groups. However, no significant differences were found regarding callus maturity and bone union in weekly comparisons (anteroposterior plain: p=0.53, p=0.37, p=0.42, lateral plain: p=0.26, p=0.42, p=0.87). Histopathologically, the fractures healed normally as the weeks progressed in both groups. The histological scores of Group 2 were higher at Weeks 1, 2, and 3. In the evaluation, no significant difference was found between the groups in terms of histological scores except for the first week (p=0.024, p=104, p=462, respectively). Conclusion: Although there was no statistically significant difference in the histological evaluation of both groups, except for the first week, the histological scores of Group 2, which underwent TTCP in all weeks, were higher. According to the results of this study, we believe that TTCP may be beneficial, particularly in the early stages of fracture healing.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bahney CS, Zondervan RL, Allison P, Theologis A, Ashley JW, Ahn J, et al. Cellular biology of fracture healing. J Orthop Res 2019;37:35-50.
  • 2. Ghiasi MS, Chen J, Vaziri A, Rodriguez EK, Nazarian A. Bone fracture healing in mechanobiological modeling: A review of principles and methods. Bone Rep 2017;6:87-100.
  • 3. Buckwalter JA, Einhorn TA, Marsh JL. Bone and joint healing. In: Rockwood CA, Green DP, Bucholz RW, Heckman JD, editors. Fracture in adults. Vol 1. 6th ed. Philadelphia: Lippincott WilliamsWilkins; 2006. p. 297-311.
  • 4. Einhorn TA. Enhancement of fracture-healing. J Bone Joint Surg [Am] 1995;77:940-56.
  • 5. Rodriguez-Merchan EC, Forriol F. Nonunion: General principles and experimental data. Clin Orthop Relat Res 2004;(419):4-12.
  • 6. Hulth A. Current concepts of fracture healing. Clin Orthop Relat Res 1989;(249):265-84.
  • 7. Goldstein C, Sprague S, Petrisor BA. Electrical stimulation for fracture healing: Current evidence. J Orthop Trauma 2010;24 Suppl 1:S62-5.
  • 8. Heckman JD, Ryaby JP, McCabe J, Frey JJ, Kilcoyne RF. Acceleration of tibial fracture-healing by non-invasive, low-intensity pulsed ultrasound. J Bone Joint Surg [Am] 1994;76:26-34.
  • 9. Kobayashi M, Chijimatsu R, Yoshikawa H, Yoshida K. Extracorporeal shock wave therapy accelerates endochondral ossification and fracture healing in a rat femur delayed-union model. Biochem Biophys Res Commun 2020;530:632-7.
  • 10. Gorter EA, Hamdy NA, Appelman-Dijkstra NM, Schipper IB. The role of vitamin D in human fracture healing: A systematic review of the literature. Bone 2014;64:288-97.
  • 11. Yilmaz C, Erdemli E, Selek H, Kinik H, Arikan M, Erdemli B. The contribution of vitamin C to healing of experimental fractures. Arch Orthop Trauma Surg 2001;121:426-8.
  • 12. Hong H, Song T, Liu Y, Li J, Jiang Q, Song Q, et al. The effectiveness and safety of parathyroid hormone in fracture healing: A meta-analysis. Clinics (Sao Paulo) 2019;74:e800.
  • 13. Gürbüz K, Yerer MB, Gürbüz P, Halıcı M. Icariin promotes early and late stages of fracture healing in rats. Eklem Hastalik Cerrahisi 2019;30:282-8.
  • 14. Özmeriç A, Tanoğlu O, Ocak M, Çelik HH, Fırat A, Kaymaz FF, et al. Intramedullary implants coated with cubic boron nitride enhance bone fracture healing in a rat model. J Trace Elem Med Biol 2020;62:126599.
  • 15. Moseke C, Gbureck U. Tetracalcium phosphate: Synthesis, properties and biomedical applications. Acta Biomater 2010;6:3815-23.
  • 16. Cohen MS, Whitman K. Calcium phosphate bone cement- -the Norian skeletal repair system in orthopedic surgery. AORN J 1997;65:958-62.
  • 17. Larsson S, Bauer TW. Use of injectable calcium phosphate cement for fracture fixation: A review. Clin Orthop Relat Res 2002;(395):23-32.
  • 18. Bonnarens F, Einhorn TA. Production of a standard closed fracture in laboratory animal bone. J Orthop Res 1984;2:97-101.
  • 19. Claes L, Blakytny R, Göckelmann M, Schoen M, Ignatius A, Willie B. Early dynamization by reduced fixation stiffness does not improve fracture healing in a rat femoral osteotomy model. J Orthop Res 2009;27:22-7.
  • 20. Close B, Banister K, Baumans V, Bernoth EM, Bromage N, Bunyan J, et al. Recommendations for euthanasia of experimental animals: Part 1. DGXI of the European Commission. Lab Anim 1996;30:293-316.
  • 21. 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.
  • 22. 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.
  • 23. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74.
  • 24. Cho TJ, Gerstenfeld LC, Einhorn TA. Differential temporal expression of members of the transforming growth factor beta superfamily during murine fracture healing. J Bone Miner Res 2002;17:513-20.
  • 25. Frankenburg EP, Goldstein SA, Bauer TW, Harris SA, Poser RD. Biomechanical and histological evaluation of a calcium phosphate cement. J Bone Joint Surg [Am] 1998;80:1112-24.
  • 26. Wolff D, Goldberg VM, Stevenson S. Histomorphometric analysis of the repair of a segmental diaphyseal defect with ceramic and titanium fibermetal implants: Effects of bone marrow. J Orthop Res 1994;12:439-46.
  • 27. Schildhauer TA, Bauer TW, Josten C, Muhr G. Open reduction and augmentation of internal fixation with an injectable skeletal cement for the treatment of complex calcaneal fractures. J Orthop Trauma 2000;14:309-17.
  • 28. Yetkinler DN, Ladd AL, Poser RD, Constantz BR, Carter D. Biomechanical evaluation of fixation of intra-articular fractures of the distal part of the radius in cadavera: Kirschner wires compared with calcium-phosphate bone cement. J Bone Joint Surg [Am] 1999;81:391-9.
  • 29. Kiakojoori K, Najafi F, Nojehdehyan H. Improvement of the strength of calcium phosphate cements: Systematic and meta-analysis. EurAsian Journal of Biosciences 2020;14:1379-85.
APA KAYMAZ B, yılmaz o, TAŞOVA A, ANAPA D (2022). Tetracalcium phosphate treatment on experimental fracture model in rats. , 172 - 179. 10.52312/jdrs.2022.190
Chicago KAYMAZ Burak,yılmaz onur,TAŞOVA Ali Osman,ANAPA Doğukan Tetracalcium phosphate treatment on experimental fracture model in rats. (2022): 172 - 179. 10.52312/jdrs.2022.190
MLA KAYMAZ Burak,yılmaz onur,TAŞOVA Ali Osman,ANAPA Doğukan Tetracalcium phosphate treatment on experimental fracture model in rats. , 2022, ss.172 - 179. 10.52312/jdrs.2022.190
AMA KAYMAZ B,yılmaz o,TAŞOVA A,ANAPA D Tetracalcium phosphate treatment on experimental fracture model in rats. . 2022; 172 - 179. 10.52312/jdrs.2022.190
Vancouver KAYMAZ B,yılmaz o,TAŞOVA A,ANAPA D Tetracalcium phosphate treatment on experimental fracture model in rats. . 2022; 172 - 179. 10.52312/jdrs.2022.190
IEEE KAYMAZ B,yılmaz o,TAŞOVA A,ANAPA D "Tetracalcium phosphate treatment on experimental fracture model in rats." , ss.172 - 179, 2022. 10.52312/jdrs.2022.190
ISNAD KAYMAZ, Burak vd. "Tetracalcium phosphate treatment on experimental fracture model in rats". (2022), 172-179. https://doi.org/10.52312/jdrs.2022.190
APA KAYMAZ B, yılmaz o, TAŞOVA A, ANAPA D (2022). Tetracalcium phosphate treatment on experimental fracture model in rats. Joint diseases and related surgery, 33(1), 172 - 179. 10.52312/jdrs.2022.190
Chicago KAYMAZ Burak,yılmaz onur,TAŞOVA Ali Osman,ANAPA Doğukan Tetracalcium phosphate treatment on experimental fracture model in rats. Joint diseases and related surgery 33, no.1 (2022): 172 - 179. 10.52312/jdrs.2022.190
MLA KAYMAZ Burak,yılmaz onur,TAŞOVA Ali Osman,ANAPA Doğukan Tetracalcium phosphate treatment on experimental fracture model in rats. Joint diseases and related surgery, vol.33, no.1, 2022, ss.172 - 179. 10.52312/jdrs.2022.190
AMA KAYMAZ B,yılmaz o,TAŞOVA A,ANAPA D Tetracalcium phosphate treatment on experimental fracture model in rats. Joint diseases and related surgery. 2022; 33(1): 172 - 179. 10.52312/jdrs.2022.190
Vancouver KAYMAZ B,yılmaz o,TAŞOVA A,ANAPA D Tetracalcium phosphate treatment on experimental fracture model in rats. Joint diseases and related surgery. 2022; 33(1): 172 - 179. 10.52312/jdrs.2022.190
IEEE KAYMAZ B,yılmaz o,TAŞOVA A,ANAPA D "Tetracalcium phosphate treatment on experimental fracture model in rats." Joint diseases and related surgery, 33, ss.172 - 179, 2022. 10.52312/jdrs.2022.190
ISNAD KAYMAZ, Burak vd. "Tetracalcium phosphate treatment on experimental fracture model in rats". Joint diseases and related surgery 33/1 (2022), 172-179. https://doi.org/10.52312/jdrs.2022.190