Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Kahramanmaras, Türkiye.
Turk Neurosurg. 2024;34(2):314-324. doi: 10.5137/1019-5149.JTN.44200-23.2.
To examine the effect of cerebellar damage on the process of fracture healing.
A total of forty-two male rats were selected at random and subsequently allocated into three distinct groups. The experimentals were divided into two subgroups within each group, with the intention of sacrificing them during the third and sixth weeks. Group 1 had isolated femoral fracture, Group 2 had femoral fracture after craniotomy, and Group 3 had femoral fracture accompanying cerebellar injury after craniotomy. Left femoral fractures in rats in all groups were treated using an intramedullary Kirschner wire. Radiological, histological, and biochemical evaluations were conducted at 3 and 6 weeks to assess the processes of fracture healing. To determine the effects of fracture healing and cerebellar injury on oxidant-antioxidant systems, catalase (CAT), malondialdehyde, superoxide dismutase (SOD), and glutathione peroxidase (GPx) activities were measured.
Between the time frame of 3 to 6 weeks, Group 3 had higher radiography scores, alkaline phosphatase levels, callus/ diaphyse ratio, callus improvement, and bone mineral density in comparison to the other groups. The activity of SOD was found to be statistically negligible in all groups, suggesting that SOD does not have a substantial impact on fracture healing in cerebellar injury. However, notable increases in the activity of GPx and CAT enzymes were observed, showing their considerable involvement in the process of fracture healing.
Cerebellar injury reduces the oxidative stress in the fracture area and contributes positively to fracture healing by means of radiologically, biochemically and histopathologically.
研究小脑损伤对骨折愈合过程的影响。
随机选择 42 只雄性大鼠,随后将其分为 3 组。实验组在每组内又分为 2 个亚组,计划在第 3 周和第 6 周时处死部分动物。第 1 组为单纯股骨骨折,第 2 组为开颅术后股骨骨折,第 3 组为开颅术后合并小脑损伤的股骨骨折。所有组大鼠的左侧股骨骨折均采用髓内克氏针治疗。在第 3 周和第 6 周进行影像学、组织学和生物化学评估,以评估骨折愈合过程。为了确定骨折愈合和小脑损伤对氧化应激系统的影响,测定了过氧化氢酶(CAT)、丙二醛、超氧化物歧化酶(SOD)和谷胱甘肽过氧化物酶(GPx)的活性。
在第 3 周到第 6 周期间,第 3 组的影像学评分、碱性磷酸酶水平、骨痂/骨干比值、骨痂改善和骨密度均高于其他组。所有组的 SOD 活性均无统计学意义,提示 SOD 对小脑损伤骨折愈合没有显著影响。然而,观察到 GPx 和 CAT 酶的活性显著增加,表明它们在骨折愈合过程中具有重要作用。
小脑损伤可降低骨折部位的氧化应激,并通过影像学、生物化学和组织病理学方面积极促进骨折愈合。