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富血小板血浆和磷酸三钙在动物粉碎性骨折治疗中的应用

Application of Platelet-rich Plasma and Tricalcium Phosphate in the Treatment of Comminuted Fractures in Animals.

作者信息

Szponder Tomasz, Wessely-Szponder Joanna, Sobczyńska-Rak Aleksandra, Żylińska Beata, Radzki Radosław P, Polkowska Izabella

机构信息

Clinic of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences, Lublin, Poland

Department of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences, Lublin, Poland.

出版信息

In Vivo. 2018 Nov-Dec;32(6):1449-1455. doi: 10.21873/invivo.11398.

DOI:10.21873/invivo.11398
PMID:30348700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6365725/
Abstract

AIM

To assess the applicability of β-tri-calcium phosphate (TCP) and platelet-rich plasma (PRP) in the treatment of comminuted fractures in small animals.

MATERIAL AND METHODS

The experimental study was carried out on 16 New Zealand White rabbits. After creating the bone defect and performing tibial osteotomy, TCP implants containing activated PRP were introduced into the fracture and the defect. The fracture was stabilised using external fixators or intramedullary nails. After 12 weeks, the animals were euthanised, and radiological, histological, scanning electron microscopy and peripheral quantitative computed tomography examinations were performed. The analysis also covered the results of fracture treatment in 37 small animals (cats and dogs) in which treatment with TCP containing PRP was used as an alternative to cancellous bone implantation.

RESULTS

Correct bone union was observed in the experimental groups, TCP remained visible at the site of the fracture after 12 weeks. In the clinical application in small animals, bone union was observed in over 91% of treated animals.

CONCLUSION

β-TCP and activated PRP may be an effective method of bone union enhancement in the treatment of comminuted fractures in small animals.

摘要

目的

评估β-磷酸三钙(TCP)和富血小板血浆(PRP)在小动物粉碎性骨折治疗中的适用性。

材料与方法

对16只新西兰白兔进行实验研究。制造骨缺损并进行胫骨截骨后,将含有活化PRP的TCP植入物植入骨折部位和缺损处。使用外固定器或髓内钉固定骨折。12周后,对动物实施安乐死,并进行放射学、组织学、扫描电子显微镜和外周定量计算机断层扫描检查。分析还涵盖了37只小动物(猫和狗)的骨折治疗结果,其中使用含PRP的TCP治疗替代松质骨植入。

结果

实验组观察到正确的骨愈合,12周后骨折部位仍可见TCP。在小动物的临床应用中,超过91%的治疗动物观察到骨愈合。

结论

β-TCP和活化PRP可能是增强小动物粉碎性骨折骨愈合的有效方法。

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Tissue Eng Regen Med. 2017 May 19;14(3):287-296. doi: 10.1007/s13770-017-0035-4. eCollection 2017 Jun.
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The application of PRP combined with TCP in repairing avascular necrosis of the femoral head after femoral neck fracture in rabbit.富血小板血浆(PRP)联合 TCP 修复兔股骨颈骨折后股骨头缺血性坏死。
Eur Rev Med Pharmacol Sci. 2018 Feb;22(4):903-909. doi: 10.26355/eurrev_201802_14368.
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Effect of autologous platelet-rich plasma application on cutaneous wound healing in dogs.自体富血小板血浆应用对犬皮肤伤口愈合的影响。
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Effect of platelet rich fibrin and beta tricalcium phosphate on bone healing. A histological study in pigs.富血小板纤维蛋白和β-磷酸三钙对骨愈合的影响:猪的组织学研究
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Chronic calcaneal osteomyelitis associated with soft-tissue defect could be successfully treated with platelet-rich plasma: a case report.慢性跟骨骨髓炎伴软组织缺损采用富血小板血浆治疗获得成功:病例报告。
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