Turkmen H Ozan, Kalender Ali Murat, Tekin Sezgin Bahadır
Dr. Ersin Arslan Education and Research Hospital Gaziantep, Turkey.
Medicalpark Gaziantep Hospital, Turkey.
J Orthop. 2020 Jan 25;20:190-194. doi: 10.1016/j.jor.2020.01.035. eCollection 2020 Jul-Aug.
The injuries of achilles tendon which is among the most important tendons in the body include many problems. Limited tendon recovery is provided through the surgical procedures available. Re-rupture occurs during and after recovery and the long time it takes to return to work, impossibility of early movement of the affected ankle and not being able to provide a physiological recovery in tendon constitute a problem. Thus, our objective in this study was to demonstrate the recovery effects of Retendon (mucopolygen complex) on achilles tendon.
MATERIAL-METHOD: After taking the consent of the ethics board we applied for animal experiments, the experiment animals in our study were separated into two groups as those which were given Retendo® (Mucopolygen Complex - Mucopolysaccharides, Hydrolyzed Collagen Type I, Vitamin C) and the control group. These two groups were separated into four groups. In a total of eight groups, 40 female Wistar-Albino rats with an average weight of 200-350 gr. were included in the study.
The study had biomechanical and histological results. While there was no significant difference in vascularization, inflamation and fibroblastic level among the groups in histological terms, collagen formation was detected to be more regular in the experiment group than the control group. A significant efficiency couldn't be acquired in biomechanical terms.
Although Retendo® (mucopolygen complex) is commonly used in muscle and tendon diseases, its effect mechanism is not definitely known. But in the light of the findings we acquired in our study, we detected that Retendo® (mucopolygen complex) applied after achilles tendon ruptures positively effected collagen sequencing during recovery in histological terms but didn't have a significant effect on the mean load achilles tendon can tolerate before rupturing.
跟腱是人体最重要的肌腱之一,其损伤存在诸多问题。现有的外科手术方式能提供的肌腱恢复效果有限。恢复过程中及恢复后会发生再断裂,且恢复工作所需时间长,患侧踝关节无法早期活动,肌腱无法实现生理恢复,这些都构成了问题。因此,本研究的目的是证明瑞腱多(黏多糖复合物)对跟腱的恢复作用。
在获得伦理委员会同意进行动物实验后,本研究中的实验动物被分为两组,即给予瑞腱多(黏多糖复合物 - 黏多糖、I型水解胶原蛋白、维生素C)的组和对照组。这两组又各分为四组。本研究共纳入了八组,每组5只平均体重为200 - 350克的雌性Wistar - 白化大鼠。
该研究得出了生物力学和组织学结果。组织学上,各组间血管化、炎症和成纤维细胞水平无显著差异,但实验组的胶原蛋白形成比对照组更规则。生物力学方面未获得显著效果。
尽管瑞腱多(黏多糖复合物)常用于肌肉和肌腱疾病,但其作用机制尚不完全明确。但根据我们在研究中获得的结果,我们发现跟腱断裂后应用瑞腱多(黏多糖复合物)在组织学上对恢复过程中的胶原蛋白排序有积极影响,但对跟腱断裂前能耐受的平均负荷没有显著影响。 (注:原文中“These two groups were separated into four groups. In a total of eight groups, 40 female Wistar - Albino rats with an average weight of 200 - 350 gr. were included in the study.”这里每组动物数量翻译有误,实际每组5只共40只,已按照正确意思翻译)