論文

査読有り 国際誌
2018年9月

Enhanced Sternal Healing Through Platelet-Rich Plasma and Biodegradable Gelatin Hydrogel.

Tissue engineering. Part A
  • Shibata Masafumi
  • Takagi Gen
  • Kudo Mitsuhiro
  • Kurita Jiro
  • Kawamoto Yoko
  • Miyagi Yasuo
  • Kanazashi Mikimoto
  • Sakatani Takashi
  • Naito Zenya
  • Tabata Yasuhiko
  • Miyamoto Masaaki
  • Nitta Takashi
  • 全て表示

24
17-18
開始ページ
1406
終了ページ
1412
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1089/ten.TEA.2017.0505

Platelet-rich plasma (PRP) contains numerous growth factors and promotes bone fracture healing. The aim of this study was to evaluate the effectiveness of the controlled release of PRP from biodegradable gelatin hydrogel for promoting healing in a rabbit ischemic sternal model. PRP was prepared from the whole blood of a Japanese white rabbit. Sixteen rabbits were randomized into four groups (each n = 4) and all underwent median sternotomy and bilateral internal thoracic artery removal. Before the sternum was closed, the following solutions were applied between the sternum incisions in three of the groups: 30 mg of gelatin hydrogel incorporating 300 μL of phosphate-buffered saline, 300 μL of a solution form of PRP, or 30 mg of gelatin hydrogel incorporating 300 μL of PRP (PRP + Gel). The fourth group acted as a control. Sternal healing was evaluated by histology and microcomputed tomography 7 days after the intervention. The PRP + Gel group showed a significantly higher proportion of fibrosis within the fracture area (an indicator of sternal healing) than the other groups and a significantly higher mean intensity of osteocalcin. These results indicate that the controlled release of PRP from locally applied gelatin hydrogel was markedly effective in enhancing sternal healing in the early postoperative period. This novel therapy could potentially help prevent complications, such as deep sternal wound infection and could result in early postoperative ambulation after median sternotomy.

リンク情報
DOI
https://doi.org/10.1089/ten.TEA.2017.0505
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29766749
ID情報
  • DOI : 10.1089/ten.TEA.2017.0505
  • ISSN : 1937-335X
  • PubMed ID : 29766749

エクスポート
BibTeX RIS