皮下植入富血小板纤维蛋白(prf)浸渍脱细胞牛软骨支架的软骨再生潜力

P. Widyatmika, M. S. Noer, Magda Rosalina Hutagalung
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摘要

由于供体部位的高发病率,人们一直在鼓励发现具有与自体软骨相媲美的再生潜力的替代植入物。本研究试图通过将脱细胞牛软骨支架与血小板富集纤维蛋白(BCPRF)相结合,制成一种替代性植入物,以内源性再生的形式使用组织工程技术的概念,并将其植入皮下。本研究的目的是比较 BCPRF 和自体软骨的软骨再生潜力,评估指标包括软骨细胞形成、2 型胶原厚度和皮下植入的植入物吸收率。研究设计方法是使用新西兰白兔进行前测-后测对照组设计。48 只实验样本被分为两组,分别接受 BCPRF 和自体软骨植入治疗。6 周后对结果进行评估。对 39 个样本进行了评估。显微镜检查显示,自体软骨的软骨再生潜力优于 BCPRF,在形成的软骨细胞数量、2 型胶原厚度(P=0.000)和植入物吸收率(P=0.000)方面均有显著差异。总之,自体软骨和 BCPRF 的软骨再生潜力在形成的软骨细胞数量、2 型胶原厚度和植入物吸收率方面存在显著差异。
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CHONDROREGENERATIVE POTENTIAL ON SUBCUTANEOUS IMPLANTATION OF PLATELET-RICH FIBRIN (PRF)-IMPREGNATED DECELLULARIZED BOVINE CARTILAGE SCAFFOLD
The discovery of alternative implants with regenerative potential comparable to autologous cartilage continues to be encouraged because of the high donor site morbidity rate. This research tries to make an alternative implant that uses the concept of tissue engineering techniques in the form of endogenous regeneration by combining Decellularized Bovine Cartilage scaffold with Platelet-Rich Fibrin (BCPRF) which is implanted subcutaneously. The aim of this study was to compare the potential for chondroregeneration between BCPRF and autologous cartilage as assessed by chondrocyte cell formation, type 2 collagen thickness, and implant resorption rate in subcutaneous implantation. Using the research design method is a pretest-posttest control group design using New Zealand white rabbits. Forty eight experimental samples were divided into 2 groups which were treated with BCPRF and autologous cartilage implantation. Results were evaluated after 6 weeks. Evaluation was carried out on 39 samples. Microscopy showed better potential for autologous cartilage chondroregeneration than BCPRF with significant differences in the number of chondrocytes formed, the thickness of type 2 collagen (p=0.000), and the rate of implant resorption (p=0.000). In conclusion, the potential for chondroregeneration of autologous cartilage and BCPRF is significantly different in terms of the number of chondrocytes formed, the thickness of type 2 collagen, and the rate of implant resorption.
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