Iryanov Yuri Mikhailovich
Russian Ilizarov Scientific Center Restorative Traumatology and Orthopedics, Russian Federation.
J Lasers Med Sci. 2016 Summer;7(3):134-138. doi: 10.15171/jlms.2016.23. Epub 2016 Jul 18.
The use of non-medicinal facilities of correcting processes for various pathological conditions is one of the most urgent problems of modern medicine. The purpose of the work is to study the efficiency of low-intensive of infrared laser irradiation in promoting reparative osteogenesis and angiogenesis during fracture treatment under transosseous osteosynthesis with a qualitative and quantitative morphological analysis. A tibial fracture was modeled experimentally in rats from control and experimental groups, then repositioning and fixation of fragments performed. The fracture zone of the experimental group animals was exposed to pulsed infrared laser irradiation of low intensity. The animals from control group underwent irradiation simulation. The operated bones were investigated using x-ray, light and electron microscopy, x-ray electron probe microanalysis. The sessions of laser irradiation decreased inflammatory process severity, activated fibrillogenesis and angiogenesis, accelerated the compactization of newly formed bone tissue, and enhanced its maturity degree while primary healing occurred in the fracture. Laser therapy of fracture zone ensures the formation of regenerated bone and fragment union within earlier periods.
利用非药物手段对各种病理状况进行矫正治疗是现代医学最为紧迫的问题之一。本研究的目的是通过定性和定量形态学分析,研究低强度红外激光照射在经骨内固定治疗骨折过程中促进修复性骨生成和血管生成的效率。对对照组和实验组大鼠进行实验性胫骨骨折建模,然后进行骨折碎片复位和固定。实验组动物的骨折区域接受低强度脉冲红外激光照射。对照组动物进行假照射。使用X射线、光学和电子显微镜、X射线电子探针微分析对手术部位的骨骼进行研究。激光照射疗程降低了炎症反应的严重程度,激活了纤维形成和血管生成,加速了新形成骨组织的致密化,并提高了其成熟度,同时骨折部位实现了一期愈合。骨折区域的激光治疗可确保在更早的时期内形成再生骨并实现骨折碎片愈合。