Research Article
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Year 2020, Volume: 6 Issue: 2, 130 - 137, 04.03.2020
https://doi.org/10.18621/eurj.468223

Abstract

References

  • 1. Galatz LM, Rothermich SY, Zaegel M, Silva MJ, Havlioglu N, Thomopoulos S. Delayed repair of tendon to bone injuries leads to decreased biomechanical properties and bone loss. J Orthop Res 2005;23:1441-7.
  • 2. Lui P, Zhang P, Chan K, Qin L. Biology and augmentation of tendon-bone insertion repair. J Orthop Surg Res 2010;21:59.
  • 3. Thomopoulos S, Genin GM, Galatz LM. The development and morphogenesis of the tendon-to-bone insertion - what development can teach us about healing. J Musculoskelet Neuronal Interact 2010;10:35-45.
  • 4. Gulotta LV, Kovacevic D, Ying L, Ehteshami JR, Montgomery S, Rodeo SA. Augmentation of tendon-to-bone healing with a magnesium-based bone adhesive. Am J Sports Med 2008;36:1290-7.
  • 5. Hashimoto Y, Yoshida G, Toyoda H, Takaoka K. Generation of tendon-to-bone interface "enthesis" with use of recombinant BMP-2 in a rabbit model. J Orthop Res 2007;25:1415-24.
  • 6. Chen CH, Chen WJ, Shih CH, Yang CY, Liu SJ, Lin PY. Enveloping the tendon graft with periosteum to enhance tendon-bone healing in a bone tunnel: A biomechanical and histologic study in rabbits. Arthroscopy 2003;19:290-6.
  • 7. Sasaki K, Kuroda R, Ishida K, Kubo S, Matsumoto T, Mifune Y, et al. Enhancement of tendon-bone osteointegration of anterior cruciate ligament graft using granulocyte colony-stimulating factor. Am J Sports Med 2008;36:1519-27.
  • 8. Liu S, Sun Y, Wan F, Ding Z, Chen S, Chen J. Advantages of an attached semitendinosus tendon graft in anterior cruciate ligament reconstruction in a rabbit model. Am J Sports Med 2018;46:3227-36.
  • 9. Yildiz F, Bilsel K, Pulatkan A, Kapicioglu M, Uzer G, Çetindamar T, et al. Comparison of two different superior capsule reconstruction methods in the treatment of chronic irreparable rotator cuff tears: a biomechanical and histologic study in rabbit models. J Shoulder Elbow Surg 2019;28:530-8.
  • 10. Qin L, Lu H, Fok P, Cheung W, Zheng Y, Lee K, et al. Low intensity pulsed ultrasound accelerates osteogenesis at bone-tendon junction healing. Ultrasound Med Biol 2006;32:1905-11.
  • 11. L Qin, P Fok, H Lu, S Shi, Y Leng, K. Leung Low intensity pulsed ultrasound increases the matrix hardness of the healing tissues at bone–tendon insertion - a partial patellectomy model in rabbits. Clin Biomech (Bristol, Avon) 2006;21:387-94.
  • 12. Qin L, Wang L, Wong MW, Wen C, Wang G, Zhang G, et al. Osteogenesis induced by extracorporeal shockwave in treatment of delayed osteotendinous junction healing. J Orthop Res 2010;28:70-6.
  • 13. Wang CJ, Wang FS, Yang KD, Weng LH, Hsu CC, Huang CS, et al. Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits. J Orthop Res 2003;21:984-9.
  • 14. Başci O, Çimşit M, Zeren S, Saglican Y, Akgün U, Kocaoglu B, et al. Effect of adjuvant hyperbaric oxygen on healing of cartilage lesions treated with microfracture: an experimental study in rats. Undersea Hyperb Med 2018;45:411-9.
  • 15. Barilaro G, Francesco Masala I, Parracchini R, Iesu C, Caddia G, Sarzi-Puttini P, et al. The role of hyperbaric oxygen therapy in orthopedics and rheumatological diseases. Isr Med Assoc J 2017;19:429-34.
  • 16. Kuran FD, Pekedis M, Yıldız H, Aydın F, Eliyatkın N. Effect of hyperbaric oxygen treatment on tendon healing after Achilles tendon repair: an experimental study on rats. Acta Orthop Traumatol Turc 2012;46:293-300.
  • 17. Demirtaş A, Azboy I, Bulut M, Uçar BY, Alemdar C, Alabalık U, et al. The effect of hyperbaric oxygen therapy on fracture healing in nicotinized rats. Ulus Travma Acil Cerrahi Derg 2014;20:161-6.
  • 18. Zhao D, Luo S, Xu W, Hu J, Lin S, Wang N. Efficacy and safety of hyperbaric oxygen therapy used in patients with diabetic foot: a meta-analysis of randomized clinical trials. Clin Ther 2017;39:2088-94.e2.
  • 19. Stasinopoulos D, Johnson MI. Effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis). Br J Sports Med 2005;39:132-6.
  • 20. Mouzopoulos G, Stamatakos M, Mouzopoulos D, Tzurbakis M. Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review. Skeletal Radiol 2007;36:803-11.
  • 21. Rompe JD, Schoellner C, Nafe B. Evaluation of low-energy extracorporeal shock-wave application for treatment of chronic plantar fasciitis. J Bone Joint Surg Am 2002;84:335-41.
  • 22. Peers KH, Lysens RJ, Brys P, Bellemans J. Cross-sectional outcome analysis of athletes with chronic patellar tendinopathy treated surgically and by extracorporeal shock wave therapy. Clin J Sport Med 2003;13:79-83.
  • 23. Orhan Z, Cam K, Alper M, Ozturan K. The effects of extracorporeal shock waves on the rat Achilles tendon: Is there acritical dose for tissue injury? Arch Orthop Trauma Surg 2004;124:631-5.
  • 24. Lök V, Baloğlu Y, Aydınok H: Experience of shock wave for non-unions in İzmir. In: Coombs R, Schaden W, Zhou S(eds), Musculoskeletal Shockwave Therapy. Greenwich Medical Media Ltd: London, 2000, s:185-6.
  • 25. Wang CJ. Extracorporeal shockwave therapy in musculoskeletal disorders. J Orthop Surg Res 2012;7:11.
  • 26. D Agostino MC, Frairia R, Romeo P, Amelio E, Berta L, Bosco V, et al. Extracorporeal shockwaves as regenerative therapy in orthopedic traumatology: a narrative review from basic research to clinical practice. J Biol Regul Homeost Agents 2016;30:323-32.
  • 27. Carulli C, Tonelli F, Innocenti M, Gambardella B, Muncibì F, Innocenti M. Effectiveness of extracorporeal shockwave therapy in three major tendon diseases. J Orthop Traumatol 2016;17:15-20.
  • 28. Wang CJ, Wang FS, Huang CC, Yang KD, Weng LH, Huang HY. Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg Am 2005;87:2380-7.
  • 29. Yeh WL, Lin SS, Yuan LJ, Lee KF, Lee MY, Ueng SW. Effects of hyperbaric oxygen treatment on tendon graft and tendon-bone integration in bone tunnel: biochemical and histological analysis in rabbits. J Orthop Res 2007;25:636-45.
  • 30. Orhan Z, Ozturan K, Guven A, Cam K. The effect of extracorporeal shock waves on a rat model of injury to tendo Achillis. A histological and biomechanical study. J Bone Joint Surg 2004;86:613-8.
  • 31. Hsu RW, Hsu WH, Tai CL, Lee KF. Effect of shock-wave therapy on patellar tendinopathy in a rabbit model. J Orthop Res 2004;22:221-7.
  • 32. Kang TS, Gorti GK, Quan SY, Ho M, Koch RJ. Effect of Hyperbaric Oxygen on the growth factor profile of fibroblasts. Arch Facial Plast Surg 2004;6:31-5.
  • 33. Takeyama N, Sakai H, Ohtake H, Mashitori H, Tamai K, Saotome K. Effects of hyperbaric oxygen on gene expressions of procollagen, matrix metalloproteinase and tissue inhibitor of metalloproteinase in injured medial collateral ligament and anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 2007;15:443-52.

Comparison of the effects of hyperbaric oxygen and extracorporeal shock wave therapy on healing in osteotendinousjunctional injuries: an experimental study of the rabbit model

Year 2020, Volume: 6 Issue: 2, 130 - 137, 04.03.2020
https://doi.org/10.18621/eurj.468223

Abstract

Objectives:
To
biomechanically and histopathologically compare the effects on healing in the
osteotendinous region of the treatment methods of hyperbaric oxygen (HBO) and
extracorporel shock wave (ESW) on an injury created at the osteotendinous
junction in an experimental rabbit model.

Methods: The study included 36 New Zealand rabbits.The
patellar tendon tibial osteotendinous junction was cut and then repaired. Group
1 was evaluated as the control group, with no further intervention.In Group 2,
a single session of ESW was applied at 14 hz/750 Impulse/10 mins to an area 1×1
cm
2 in the repaired area under fluoroscopy guidance. The animals in
Group 3 were applied with 100% oxygen as HBO at 2.4 ATA/110 min for 7 days. At
the end of 6 weeks, 6 animals from each group were applied with a tension test
and 6 animals were processed for histopathological examination.

Results: In Group 1, the forces at the start of the
separation of the osteotendinous junction, at a 2 mm separation and at full
rupture were lower than those of Group 2 and Group 3
(p = 0.001 and p = 0.001, respectively). The highest separation force values were
determined in Group 3
(p
= 0.001)
.
Histopathologically, a statistically significant difference was determined in
respect of the fibrocartilage tisssue formation, and fusion with new bone
tissue between Group 1 and Group 2 and between Group 1 and Group 3 (
p
< 0.05). No statistically significant difference was determined between
Group 2 and Group 3 (
p = 0.310).







Conclusions: It was observed that the application of HBO
and ESW improved biomechanical resistance and healing in the injuries in the
osteotendinous junction by increasing the bone-tendon fusion in this area.The
application of HBO and ESW increased biomechanical resistance compared to the
control group.In the histopathological evaluation, the ESW group was better than
the control group and the HBO group was evaluated as the best. 

References

  • 1. Galatz LM, Rothermich SY, Zaegel M, Silva MJ, Havlioglu N, Thomopoulos S. Delayed repair of tendon to bone injuries leads to decreased biomechanical properties and bone loss. J Orthop Res 2005;23:1441-7.
  • 2. Lui P, Zhang P, Chan K, Qin L. Biology and augmentation of tendon-bone insertion repair. J Orthop Surg Res 2010;21:59.
  • 3. Thomopoulos S, Genin GM, Galatz LM. The development and morphogenesis of the tendon-to-bone insertion - what development can teach us about healing. J Musculoskelet Neuronal Interact 2010;10:35-45.
  • 4. Gulotta LV, Kovacevic D, Ying L, Ehteshami JR, Montgomery S, Rodeo SA. Augmentation of tendon-to-bone healing with a magnesium-based bone adhesive. Am J Sports Med 2008;36:1290-7.
  • 5. Hashimoto Y, Yoshida G, Toyoda H, Takaoka K. Generation of tendon-to-bone interface "enthesis" with use of recombinant BMP-2 in a rabbit model. J Orthop Res 2007;25:1415-24.
  • 6. Chen CH, Chen WJ, Shih CH, Yang CY, Liu SJ, Lin PY. Enveloping the tendon graft with periosteum to enhance tendon-bone healing in a bone tunnel: A biomechanical and histologic study in rabbits. Arthroscopy 2003;19:290-6.
  • 7. Sasaki K, Kuroda R, Ishida K, Kubo S, Matsumoto T, Mifune Y, et al. Enhancement of tendon-bone osteointegration of anterior cruciate ligament graft using granulocyte colony-stimulating factor. Am J Sports Med 2008;36:1519-27.
  • 8. Liu S, Sun Y, Wan F, Ding Z, Chen S, Chen J. Advantages of an attached semitendinosus tendon graft in anterior cruciate ligament reconstruction in a rabbit model. Am J Sports Med 2018;46:3227-36.
  • 9. Yildiz F, Bilsel K, Pulatkan A, Kapicioglu M, Uzer G, Çetindamar T, et al. Comparison of two different superior capsule reconstruction methods in the treatment of chronic irreparable rotator cuff tears: a biomechanical and histologic study in rabbit models. J Shoulder Elbow Surg 2019;28:530-8.
  • 10. Qin L, Lu H, Fok P, Cheung W, Zheng Y, Lee K, et al. Low intensity pulsed ultrasound accelerates osteogenesis at bone-tendon junction healing. Ultrasound Med Biol 2006;32:1905-11.
  • 11. L Qin, P Fok, H Lu, S Shi, Y Leng, K. Leung Low intensity pulsed ultrasound increases the matrix hardness of the healing tissues at bone–tendon insertion - a partial patellectomy model in rabbits. Clin Biomech (Bristol, Avon) 2006;21:387-94.
  • 12. Qin L, Wang L, Wong MW, Wen C, Wang G, Zhang G, et al. Osteogenesis induced by extracorporeal shockwave in treatment of delayed osteotendinous junction healing. J Orthop Res 2010;28:70-6.
  • 13. Wang CJ, Wang FS, Yang KD, Weng LH, Hsu CC, Huang CS, et al. Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits. J Orthop Res 2003;21:984-9.
  • 14. Başci O, Çimşit M, Zeren S, Saglican Y, Akgün U, Kocaoglu B, et al. Effect of adjuvant hyperbaric oxygen on healing of cartilage lesions treated with microfracture: an experimental study in rats. Undersea Hyperb Med 2018;45:411-9.
  • 15. Barilaro G, Francesco Masala I, Parracchini R, Iesu C, Caddia G, Sarzi-Puttini P, et al. The role of hyperbaric oxygen therapy in orthopedics and rheumatological diseases. Isr Med Assoc J 2017;19:429-34.
  • 16. Kuran FD, Pekedis M, Yıldız H, Aydın F, Eliyatkın N. Effect of hyperbaric oxygen treatment on tendon healing after Achilles tendon repair: an experimental study on rats. Acta Orthop Traumatol Turc 2012;46:293-300.
  • 17. Demirtaş A, Azboy I, Bulut M, Uçar BY, Alemdar C, Alabalık U, et al. The effect of hyperbaric oxygen therapy on fracture healing in nicotinized rats. Ulus Travma Acil Cerrahi Derg 2014;20:161-6.
  • 18. Zhao D, Luo S, Xu W, Hu J, Lin S, Wang N. Efficacy and safety of hyperbaric oxygen therapy used in patients with diabetic foot: a meta-analysis of randomized clinical trials. Clin Ther 2017;39:2088-94.e2.
  • 19. Stasinopoulos D, Johnson MI. Effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis). Br J Sports Med 2005;39:132-6.
  • 20. Mouzopoulos G, Stamatakos M, Mouzopoulos D, Tzurbakis M. Extracorporeal shock wave treatment for shoulder calcific tendonitis: a systematic review. Skeletal Radiol 2007;36:803-11.
  • 21. Rompe JD, Schoellner C, Nafe B. Evaluation of low-energy extracorporeal shock-wave application for treatment of chronic plantar fasciitis. J Bone Joint Surg Am 2002;84:335-41.
  • 22. Peers KH, Lysens RJ, Brys P, Bellemans J. Cross-sectional outcome analysis of athletes with chronic patellar tendinopathy treated surgically and by extracorporeal shock wave therapy. Clin J Sport Med 2003;13:79-83.
  • 23. Orhan Z, Cam K, Alper M, Ozturan K. The effects of extracorporeal shock waves on the rat Achilles tendon: Is there acritical dose for tissue injury? Arch Orthop Trauma Surg 2004;124:631-5.
  • 24. Lök V, Baloğlu Y, Aydınok H: Experience of shock wave for non-unions in İzmir. In: Coombs R, Schaden W, Zhou S(eds), Musculoskeletal Shockwave Therapy. Greenwich Medical Media Ltd: London, 2000, s:185-6.
  • 25. Wang CJ. Extracorporeal shockwave therapy in musculoskeletal disorders. J Orthop Surg Res 2012;7:11.
  • 26. D Agostino MC, Frairia R, Romeo P, Amelio E, Berta L, Bosco V, et al. Extracorporeal shockwaves as regenerative therapy in orthopedic traumatology: a narrative review from basic research to clinical practice. J Biol Regul Homeost Agents 2016;30:323-32.
  • 27. Carulli C, Tonelli F, Innocenti M, Gambardella B, Muncibì F, Innocenti M. Effectiveness of extracorporeal shockwave therapy in three major tendon diseases. J Orthop Traumatol 2016;17:15-20.
  • 28. Wang CJ, Wang FS, Huang CC, Yang KD, Weng LH, Huang HY. Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg Am 2005;87:2380-7.
  • 29. Yeh WL, Lin SS, Yuan LJ, Lee KF, Lee MY, Ueng SW. Effects of hyperbaric oxygen treatment on tendon graft and tendon-bone integration in bone tunnel: biochemical and histological analysis in rabbits. J Orthop Res 2007;25:636-45.
  • 30. Orhan Z, Ozturan K, Guven A, Cam K. The effect of extracorporeal shock waves on a rat model of injury to tendo Achillis. A histological and biomechanical study. J Bone Joint Surg 2004;86:613-8.
  • 31. Hsu RW, Hsu WH, Tai CL, Lee KF. Effect of shock-wave therapy on patellar tendinopathy in a rabbit model. J Orthop Res 2004;22:221-7.
  • 32. Kang TS, Gorti GK, Quan SY, Ho M, Koch RJ. Effect of Hyperbaric Oxygen on the growth factor profile of fibroblasts. Arch Facial Plast Surg 2004;6:31-5.
  • 33. Takeyama N, Sakai H, Ohtake H, Mashitori H, Tamai K, Saotome K. Effects of hyperbaric oxygen on gene expressions of procollagen, matrix metalloproteinase and tissue inhibitor of metalloproteinase in injured medial collateral ligament and anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 2007;15:443-52.
There are 33 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Original Articles
Authors

Bilgin Halil This is me 0000-0002-4480-1956

Yüksel Özkan 0000-0001-6309-7346

Yavuz Akalın 0000-0001-7967-7054

Nazan Çevik This is me 0000-0002-9596-8502

Alpaslan Öztürk This is me 0000-0001-7362-0284

Publication Date March 4, 2020
Submission Date October 8, 2018
Acceptance Date March 22, 2019
Published in Issue Year 2020 Volume: 6 Issue: 2

Cite

AMA Halil B, Özkan Y, Akalın Y, Çevik N, Öztürk A. Comparison of the effects of hyperbaric oxygen and extracorporeal shock wave therapy on healing in osteotendinousjunctional injuries: an experimental study of the rabbit model. Eur Res J. March 2020;6(2):130-137. doi:10.18621/eurj.468223

e-ISSN: 2149-3189 


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