The biomechanical and histological effects of platelet-rich plasma on fracture healing

Verfasser / Beitragende:
[Yunus Guzel, Nazım Karalezli, Onur Bilge, Burkay Kacira, Hasan Esen, Hakan Karadag, Serdar Toker, Recep Göncü, Mahmut Doral]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1378-1383
Format:
Artikel (online)
ID: 605459878
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024 7 0 |a 10.1007/s00167-013-2734-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2734-2 
245 0 4 |a The biomechanical and histological effects of platelet-rich plasma on fracture healing  |h [Elektronische Daten]  |c [Yunus Guzel, Nazım Karalezli, Onur Bilge, Burkay Kacira, Hasan Esen, Hakan Karadag, Serdar Toker, Recep Göncü, Mahmut Doral] 
520 3 |a Purpose: Platelet-rich plasma (PRP) includes growth factors and proteins that accelerate and stimulate bone regeneration and tissue recovery. The aim of this study was to evaluate the effects of PRP on fracture healing in terms of biomechanics and histology. Methods: Seventy female rats were included in this experimental study. They were divided into three groups: Group I (no PRP, n=30), Group II (PRP added, n=30) and Group III (control, n=10). The left femurs of the rats in Groups I and II were osteotomized and fixed by K-wires. Although no additional intervention was performed on Group I rats, PRP was applied to the fracture sites of Group II rats. The remaining ten rats were used as the control group of the biomechanical test (Group III). In the fourth week, nine femurs from Group I and ten femurs from Group II, and in the ninth week, nine femurs from each group were removed, and bone recovery was assessed histologically according to Modified Lane-Sandhu histological scoring criteria. Three-point bending test was applied to femurs for biomechanical evaluation in the ninth week. Results: Histological healing was found to be significantly higher in Group II than in Group I (p<0.05). Furthermore, biomechanical test results showed that healing quantity and bone strength were significantly better in Group II than in Group I (p<0.05). Conclusion: PRP is a widely studied material in the physiology of fracture healing. The results of this study demonstrated the ameliorative biomechanical effects of PRP on fracture healing, in addition to accelerating the histological union of fractures. In the light of these results, PRP could be a viable alternative to accelerate the healing of fractures, late unions or non-unions. Level of evidence: Prospective comparative study, Level II. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Platelet-rich plasma (PRP)  |2 nationallicence 
690 7 |a PRGF  |2 nationallicence 
690 7 |a Fracture  |2 nationallicence 
690 7 |a Union  |2 nationallicence 
690 7 |a Biomechanics  |2 nationallicence 
700 1 |a Guzel  |D Yunus  |u Department of Orthopaedics and Traumatology, Faculty of Medicine, Ordu University, Ordu, Turkey  |4 aut 
700 1 |a Karalezli  |D Nazım  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
700 1 |a Bilge  |D Onur  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
700 1 |a Kacira  |D Burkay  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
700 1 |a Esen  |D Hasan  |u Department of Pathology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
700 1 |a Karadag  |D Hakan  |u Department of Mechanical Engineering, Faculty of Mechanical Engineering, Necmettin Erbakan University, Konya, Turkey  |4 aut 
700 1 |a Toker  |D Serdar  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
700 1 |a Göncü  |D Recep  |u Department of Orthopaedics and Traumatology, Government Hospital of Beyhekim, Konya, Turkey  |4 aut 
700 1 |a Doral  |D Mahmut  |u Department of Orthopaedics and Traumatology, Hacettepe Faculty of Medicine, Hacettepe University, Ankara, Turkey  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1378-1383  |x 0942-2056  |q 23:5<1378  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2734-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2734-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Guzel  |D Yunus  |u Department of Orthopaedics and Traumatology, Faculty of Medicine, Ordu University, Ordu, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Karalezli  |D Nazım  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bilge  |D Onur  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kacira  |D Burkay  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Esen  |D Hasan  |u Department of Pathology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Karadag  |D Hakan  |u Department of Mechanical Engineering, Faculty of Mechanical Engineering, Necmettin Erbakan University, Konya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Toker  |D Serdar  |u Department of Orthopaedics and Traumatology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Göncü  |D Recep  |u Department of Orthopaedics and Traumatology, Government Hospital of Beyhekim, Konya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Doral  |D Mahmut  |u Department of Orthopaedics and Traumatology, Hacettepe Faculty of Medicine, Hacettepe University, Ankara, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1378-1383  |x 0942-2056  |q 23:5<1378  |1 2015  |2 23  |o 167