Auto-crosslinked hyaluronic acid gel accelerates healing of rabbit flexor tendons in vivo.

作者: Thijs de Wit , Dennis de Putter , Wendy M.W. Tra , Hinne A. Rakhorst , Gerjo J.V.M. van Osch

DOI: 10.1002/JOR.20730

关键词:

摘要: This study's purpose was to assess the in vivo effect of auto-crosslinked hyaluronic acid (HA) gel, a natural HA derivative with increased viscosity and tissue residence time, on adhesions healing injured surgically repaired rabbit digital flexor tendons. The second third right deep tendons from 48 rabbits (n = 96 tendons) were cut modified Kessler running peripheral suture. Animals randomized two groups, receiving either gel or saline injected around both freshly After 2, 3, 6, 12 weeks, six each group euthanized. Tendon pull-out force breaking strength measured as value for adhesion formation tendon healing, respectively. A histological assessment related mechanical results. significantly faster increase found gel-treated compared saline-treated tendons; this coincided accelerated repair response after injury. No significant difference between groups at any time. Our results indicate acceleration treated gel. Adhesion unaffected. These could have important clinical promoting rehabilitation

参考文章(55)
Lars Hagberg, Anders Tengblad, Bengt Gerdin, Elimination of exogenously injected sodium-hyaluronate from rabbit flexor tendon sheaths. Journal of Orthopaedic Research. ,vol. 9, pp. 792- 797 ,(1991) , 10.1002/JOR.1100090604
K.L. Silfverskiöld, C.H. Andersson, Two new methods of tendon repair: An in vitro evaluation of tensile strength and gap formation Journal of Hand Surgery (European Volume). ,vol. 18, pp. 58- 65 ,(1993) , 10.1016/0363-5023(93)90246-Y
Pier Andrea De Laco, Marco Stefanetti, Daniele Pressato, Simonetta Piana, Massimo Donà, Alessandra Pavesio, Luciano Bovicelli, A novel hyaluronan-based gel in laparoscopic adhesion prevention: preclinical evaluation in an animal model Fertility and Sterility. ,vol. 69, pp. 318- 323 ,(1998) , 10.1016/S0015-0282(98)00496-8
J. R. E. Fraser, T. C. Laurent, A. Engström-Laurent, U. G. B. Laurent, ELIMINATION OF HYALURONIC ACID FROM THE BLOOD STREAM IN THE HUMAN Clinical and Experimental Pharmacology and Physiology. ,vol. 11, pp. 17- 25 ,(1984) , 10.1111/J.1440-1681.1984.TB00235.X
M. Mensitieri, L. Ambrosio, L. Nicolais, D. Bellini, M. O'Regan, VISCOELASTIC PROPERTIES MODULATION OF A NOVEL AUTOCROSSLINKED HYALURONIC ACID POLYMER Journal of Materials Science: Materials in Medicine. ,vol. 7, pp. 695- 698 ,(1996) , 10.1007/BF00123409
Xander Smit, Johan W. van Neck, Andrew Afoke, Steven E. R. Hovius, Reduction of neural adhesions by biodegradable autocrosslinked hyaluronic acid gel after injury of peripheral nerves: an experimental study Journal of Neurosurgery. ,vol. 101, pp. 648- 652 ,(2004) , 10.3171/JNS.2004.101.4.0648
Hasan Tatari, Eyad Skiak, Hakan Destan, Çağnur Ulukuş, Erdener Özer, Safa Satoğlu, Effect of hylan G-F 20 in Achilles' tendonitis: an experimental study in rats. Archives of Physical Medicine and Rehabilitation. ,vol. 85, pp. 1470- 1474 ,(2004) , 10.1016/J.APMR.2003.09.022
G. Brunelli, C. Longinotti, C. Bertazzo, A. Pavesio, D. Pressato, Adhesion reduction after knee surgery in a rabbit model by Hyaloglide, a hyaluronan derivative gel. Journal of Orthopaedic Research. ,vol. 23, pp. 1377- 1382 ,(2005) , 10.1016/J.ORTHRES.2005.05.001.1100230620
James W. Strickland, The scientific basis for advances in flexor tendon surgery. Journal of Hand Therapy. ,vol. 18, pp. 94- 110 ,(2005) , 10.1197/J.JHT.2005.01.013