Göçer Hasan, Önger Mehmet Emin, Kuyubaşı Numan, Çıraklı Alper, Kır Mustafa Çağlar
Department of Orthopedics and Traumatology, Medical Faculty of Ondokuz Mayıs University, 55139 Kurupelit, Samsun, Turkey.
Eklem Hastalik Cerrahisi. 2016;27(1):16-21. doi: 10.5606/ehc.2016.04.
This study aims to investigate the effect of teicoplanin on fracture healing stereologically and histopatologically.
Twenty male Wistar albino rats were separated into two as the study (teicoplanin) and control groups. After intramedullary fixation of the right tibia of all the rats with 0.5 mm Kirschner wire under general anesthesia, standard closed shaft fractures were created using fracture formation apparatus. Teicoplanin (10 mg/kg) and saline were administered intraperitoneally to the study and control groups, respectively. Control radiographs were taken at the end of the procedure and the rats were sacrificed after 28 days. New bone and connective tissue volumes were calculated on obtained tissue samples using unbiased stereological and histopathological techniques.
It was observed that teicoplanin increased the formation of bone, vascularization, and connective tissue. There was a statistically significant difference between the two groups in respect of bone and vascular total volume (p<0.05). Although an increase was observed in connective tissue total volume, no statistically significant difference was detected between the two groups (p>0.05).
In addition to its antibacterial effect, teicoplanin may increase new bone formation; thus, it may be used safely in the treatment of bone defects accompanied with infection.
本研究旨在从体视学和组织病理学方面探讨替考拉宁对骨折愈合的影响。
将20只雄性Wistar白化大鼠分为研究组(替考拉宁组)和对照组。在全身麻醉下用0.5毫米克氏针对所有大鼠的右胫骨进行髓内固定后,使用骨折形成装置造成标准的闭合性骨干骨折。分别向研究组和对照组腹腔注射替考拉宁(10毫克/千克)和生理盐水。在手术结束时拍摄对照X光片,并在28天后处死大鼠。使用无偏体视学和组织病理学技术计算所获得组织样本中的新骨和结缔组织体积。
观察到替考拉宁增加了骨形成、血管化和结缔组织。两组在骨和血管总体积方面存在统计学显著差异(p<0.05)。虽然观察到结缔组织总体积有所增加,但两组之间未检测到统计学显著差异(p>0.05)。
除抗菌作用外,替考拉宁可能会增加新骨形成;因此,它可安全用于治疗伴有感染的骨缺损。