氪石骨水泥联合标准克氏针治疗大鼠胫骨骨折的疗效观察

I. Eke, Mehmet Akif Akçal, Y. İyetin, O. Poyanlı
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摘要

目的观察氪石骨水泥联合标准克氏针代替自体骨移植是否能提高胫骨骨折大鼠的骨愈合和机械强度。方法选取16只大鼠,随机分为对照组(n=8)和实验组(n=8)。两组均行节段性骨折后,采用克氏针进行胫骨髓内固定。对照组未行其他手术,实验组采用氪石骨水泥。对大鼠进行临床、影像学、组织学评价4次;术后即刻,术后第1、3、6周。结果实验组和对照组各1只大鼠均出现创面裂开和创面感染。无论是对照组还是实验组,术后均未见任何大鼠恢复。第1周,实验组有5只大鼠出现骨痂形成(p=0.0072),第3周,实验组有4只大鼠骨折线消失(p=0.064);对照组与实验组之间差异有统计学意义。第6周,对照组与实验组放射学评分比较,差异均无统计学意义(p=0.71)。对照组骨不愈合率(37.50%)高于实验组,完全融合率(87.50%)高于对照组。结论氪石骨水泥具有良好的骨导电性和人体工程学性能,有利于骨修复。未来以前瞻性和随机方式进行的研究将有效地证明氪石骨水泥的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Kryptonite Bone Cement combined with a Standard Kirschner Wire on Tibial Bone Fracture in Rats
Objective This study aims to observe whether Kryptonite Bone Cement combined with a standard Kirschner wire, instead of autogenous bone grafts, increases bone healing and mechanical strength in rats with tibia fractures. Methods The study included sixteen rats, which were divided into two groups as a control group (n=8) and an experimental group (n=8). After segmental fractures were made in both groups, intramedullary fixation of tibia procedures were conducted with the use of a Kirschner wire. No additional procedures were performed inthe control group, but Kryptonite Bone Cement was applied in the experimental group. The rats were evaluated clinically, radiologically and histologically4 times; immediately after the operation, and atthe 1st, 3rd, and 6thweeks following surgery. Results One rat from the experimental and one from the control group had both wound dehiscence and wound site infection. No recovery was observed in any rats either in the control or experimental group immediately after surgery. During week 1, callus formation was identified in 5 rats in the experimental group (p=0.0072), and during week 3, fracture lines disappeared in 4 rats in the experimental group (p=0.064); the differences between control and experimental groups were statistically significant. During week 6, no statistical significance was observed in radiological assessments for the control group and experimental group (p=0.71). The rate of non-union was higher in the control group (37.50%) than in the experimental one, while the rate of complete fusion was higher in the experimental group (87.50%) than that in the control group. Conclusion Osteoconductivity and ergonomic qualities of Kryptonite Bone Cement prove helpful in bone repair. Future studies to be conducted in a prospective and randomized manner will be effective on demonstrating the effectiveness of Kryptonite Bone Cement.
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