Yüksel Serdar, Adanır Oktay, Gültekin Muhammet Zeki, Çağlar Aysel, Küçükyıldırım Bedri Onur, Güleç Mehmet Akif, Alagöz Ender
Trabzon Kanuni Training and Research Hospital, Department of Orthopedics and Traumatology, Trabzon, Turkey.
Bağcılar Training and Research Hospital, Department of Orthopedics and Traumatology, İstanbul, Turkey.
Acta Orthop Traumatol Turc. 2015;49(5):544-51. doi: 10.3944/AOTT.2015.15.0028.
The purpose of this study is to investigate, both histopathologically and biomechanically, the effect of platelet-rich plasma (PRP) on surgically repaired Achilles tendon rupture recovery in rats.
The study included 25 17-month-old male Sprague-Dawley rats with an average weight of 500-550 g. Five rats were used as donors, while 20 rats were separated as PRP group (n=10) and control group (n=10). The Achilles tendons of the rats were cut transversely, and PRP was administered to the PRP group, while the control group received serum physiologically to create the same surgical effect. In previous studies, it was shown that this serum does not affect tendon recovery. Fifteen and 30 days post-treatment, the rats were sacrificed, and their Achilles tendons were extracted and examined histopathologically and biomechanically.
Based on the obtained findings, it was observed that the histopathologic Movin and Bonar scores of PRP group on the 15th and 30th day post-treatment were significantly lower than those of the control group (p=0.019, p=0.017, respectively), while no significant difference was found in maximum force (Fmax) values in biomechanical measures on the 15th and 30th day post-treatment.
It is thought that PRP use in Achilles tendon ruptures positively affects histopathological recovery in the early period, but that it does not produce the same biomechanical effect. We believe that PRP use for qualified tendon recovery is histopathologically beneficial.
本研究旨在从组织病理学和生物力学两方面研究富血小板血浆(PRP)对大鼠手术修复的跟腱断裂恢复的影响。
本研究纳入25只17月龄雄性Sprague-Dawley大鼠,平均体重500 - 550克。5只大鼠作为供体,20只大鼠分为PRP组(n = 10)和对照组(n = 10)。将大鼠的跟腱横向切断,对PRP组给予PRP,而对照组给予生理盐水以产生相同的手术效果。在先前的研究中表明,这种生理盐水不影响肌腱恢复。治疗后15天和30天,处死大鼠,取出其跟腱并进行组织病理学和生物力学检查。
根据获得的结果,观察到PRP组在治疗后第15天和第30天的组织病理学Movin和Bonar评分显著低于对照组(分别为p = 0.019,p = 0.017),而在治疗后第15天和第30天的生物力学测量中,最大力(Fmax)值未发现显著差异。
认为在跟腱断裂中使用PRP对早期组织病理学恢复有积极影响,但不会产生相同的生物力学效果。我们认为,使用PRP促进合格的肌腱恢复在组织病理学上是有益的。