Department of Veterinary Surgery and Radiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.
Department of Veterinary Surgery and Radiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.
Injury. 2024 Mar;55(3):111396. doi: 10.1016/j.injury.2024.111396. Epub 2024 Feb 1.
Critical size defects are one of the challenges in the treatment of fractures in humans and animals. Blood products such as leukocyte-SAand platelet-rich fibrin (L-PRF) are one of the alternatives to bone autograft to solve this challenge. This study aims to evaluate the effects of allogeneic and xenogeneic lyophilized L-PRF on bone healing in a critical defect of radius bone in rat.
A defect with a diameter of 5 mm was created in the radius bone of 60 rats in four groups. The defect was left empty in the untreated group, and it was filled with autogenous bone graft, allogeneic, and xenogeneic lyophilized L-PRF, respectively, in the other three groups. Radiographic evaluation was done every two weeks, and histopathological evaluation in the 14th, 28th, and 56th days after surgery.
The radiographic scores of allogeneic and xenogeneic lyophilized l-PRF groups were significantly higher than the untreated group in all times (P<0.05). In connection with histopathological Emery's scoring system, the score of allogeneic lyophilized L-PRF was significantly higher than the untreated group (P<0.05) in the 14th and 28th days after surgery. The score of the xenogeneic lyophilized L-PRF group was also higher than the untreated group, but the difference was not significant (P>0.05). The allogeneic and xenogeneic lyophilized L-PRF scores were significantly higher than the untreated group (P < 0.05) on the 56th day.
The results of the present study showed that the allogeneic and xenogeneic lyophilized L-PRF can improve bone healing in the critical radius bone defect in rat model of study.
临界尺寸缺陷是人类和动物骨折治疗中的挑战之一。血液制品,如白细胞浓缩富血小板纤维蛋白(L-PRF),是解决这一挑战的骨移植替代物之一。本研究旨在评估同种异体和异种冻干 L-PRF 对大鼠桡骨临界缺损骨愈合的影响。
在 60 只大鼠的桡骨中创建直径为 5 毫米的缺陷。未处理组的缺陷为空,其余三组分别用自体骨移植物、同种异体和异种冻干 L-PRF 填充。每两周进行一次影像学评估,术后第 14、28 和 56 天进行组织病理学评估。
同种异体和异种冻干 l-PRF 组的影像学评分在所有时间均明显高于未处理组(P<0.05)。与组织病理学 Emery 评分系统相关,同种异体冻干 L-PRF 组在术后第 14 和 28 天的评分明显高于未处理组(P<0.05)。异种冻干 L-PRF 组的评分也高于未处理组,但差异无统计学意义(P>0.05)。同种异体和异种冻干 L-PRF 组在第 56 天的评分明显高于未处理组(P<0.05)。
本研究结果表明,同种异体和异种冻干 L-PRF 可改善大鼠研究模型中临界桡骨骨缺损的骨愈合。