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纤维蛋白封闭剂和骨碎片对大鼠胫骨缺损再生影响的实验研究

Effects of fibrin sealant and bone fragments on defect regeneration performed on rat tibiae: An experimental study.

作者信息

de Oliveira Carla Teresa Barbosa, Leonel Bruna Carlos, de Oliveira Ana Clara, de Brito Paiva Marcela, Ramos Junia, Barraviera Benedito, Ferreira Junior Rui Seabra, Shimano Antônio Carlos

机构信息

Bioengineering Laboratory of Medical School of Ribeirão Preto, São Paulo University, Avenida do Café S/N, Monte Alegre, Ribeirão Preto, CEP: 14040-904, São Paulo, Brazil.

Dental School of Ribeirão Preto, São Paulo University, Avenida do Café S/N, Monte Alegre, Ribeirão Preto, CEP: 14040-904, São Paulo, Brazil.

出版信息

J Mech Behav Biomed Mater. 2020 Apr;104:103662. doi: 10.1016/j.jmbbm.2020.103662. Epub 2020 Jan 29.

Abstract

Fibrin sealant (FS) is a biomaterial that exhibits hemostatic and repairing properties. It has been successfully used as scaffolds and adhesives to improve repair and regeneration of tissues. The objective of this study was to evaluate the effect of FS in the regeneration process of bone defects in male rat tibias through macroscopic, microscopic and mechanical analysis. A bone defect of 2.9 mm was performed on the medial face of the proximal third of the tibia of 40 rats and implanted FS and autologous bone graft (AG). The animals were divided into four groups: animals with bone defect without any treatment (CON), animals treated with fibrin sealant (TFS), animals treated with autologous graft (TAG) and animals treated with fibrin sealant and autologous graft (FSAG). The animals were euthanized 42 days after surgery. Macroscopic analysis showed no difference between the groups (p > 0.05) in relation to tibial weight, but a statistically significant difference (p = 0.005) was observed for their length. Micro-computed tomography (micro-CT) revealed tendentious values regarding bone microarchitecture and FS. Bone mineral densitometry (BMD) showed significance between the FSAG (p = 0.009) and TFS (p = 0.007) groups. The bone mineral content (BMC) presented a significant difference between all groups (p = 0.020). Maximum strength showed a significant difference between the FSAG group (p = 0.007) and the others. The results obtained in relation to the relative stiffness also present a significant difference (p = 0.023). Newly formed bone showed significant differences between groups (p = 0.035). We conclude that bone defect regeneration was directly influenced by the use of FS and AG.

摘要

纤维蛋白密封剂(FS)是一种具有止血和修复特性的生物材料。它已成功用作支架和粘合剂,以促进组织的修复和再生。本研究的目的是通过宏观、微观和力学分析,评估FS对雄性大鼠胫骨骨缺损再生过程的影响。在40只大鼠胫骨近端三分之一的内侧制造一个2.9毫米的骨缺损,并植入FS和自体骨移植(AG)。动物被分为四组:未接受任何治疗的骨缺损动物(CON)、接受纤维蛋白密封剂治疗的动物(TFS)、接受自体移植治疗的动物(TAG)以及接受纤维蛋白密封剂和自体移植治疗的动物(FSAG)。术后42天对动物实施安乐死。宏观分析显示,各组之间在胫骨重量方面无差异(p>0.05),但在长度方面观察到具有统计学意义的差异(p = 0.005)。微计算机断层扫描(micro-CT)揭示了关于骨微结构和FS的倾向性值。骨密度测定(BMD)显示FSAG组(p = 0.009)和TFS组(p = 0.007)之间具有显著性差异。骨矿物质含量(BMC)在所有组之间呈现出显著差异(p = 0.020)。最大强度在FSAG组(p = 0.007)与其他组之间显示出显著差异。与相对刚度相关的结果也存在显著差异(p = 0.023)。新形成的骨在各组之间显示出显著差异(p = 0.035)。我们得出结论,FS和AG的使用直接影响骨缺损的再生。

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