Atilla Koçer, Mithat Oner, Ibrahim Karaman, Derya Kocer, Ibrahim Halil Kafadar, Ahmet Guney, Zehra Filiz Karaman

Deneysel fare femur kaynamama modelinde lokal uygulanan simvastatinin etkileri

Amaç: Bu çalışmanın amacı deneysel fare femur kaynamama modelinde lokal uygulanan simvastatinin etkilerini değerlendirmekti.Çalışma planı: Bu çalışmada 32 Wistar albino fare kullanıldı. Fareler rastgele biçimde aşağıdaki 4 gruptan birine ayrıldı: iki kontrol grubu (kontrol-4 hafta [K4h] ve kontrol-8 hafta [K8h]) ve iki tedavi grubu (simvastatin-4 hafta [S4h] ve simvastatin-8 hafta [S8h]). Kontrol gruplarında cerrahi girişimden sonra 1 hafta süreyle dimetilsülfoksit (10 mg/kg/gün) lokal olarak enjekte edildi. Tedavi gruplarında ameliyat sonrası birinci günden itibaren 1 hafta boyunca simvastatinin sıvılaştırılmış formu (10 mg/kg/gün) lokal olarak osteotomi alanına enjekte edildi. K4h ve S4h gruplarındaki hayvanlar lokal tedavinin sonlanmasından 4 hafta, K8h ve S8h gruplarındaki hayvanlar ise 8 hafta sonra öldürüldü. Öldürülmeden önce biyokimyasal analiz için intrakardiyak kan örnekleri alındı ve radyografiler çekildi. Histopatolojik inceleme için farelerin sağ femurları çıkarıldı.Bulgular: Radyolojik olarak incelendiğinde kontrol ve tedavi grupları arasında anlamlı farklılıklar mevcuttu. Tedavi gruplarında kontrol gruplarına kıyasla anlamlı şekilde daha yüksek kemiğe spesifik alkalin fosfataz ve osteokalsin değerleri saptandı.Çıkarımlar: Biyokimyasal, radyolojik ve histopatolojik sonuçlara göre, fare femur kaynamama modelinde simvastatinin lokal uygulanması yararlı etkiler oluşturmaktadır.

Anahtar Kelimeler:

Fare; femur; kaynamama; simvastatin

The effects of locally applied simvastatin on an experimental mouse femur nonunion model

Objective: The aim of this study was to assess the effects of locally applied simvastatin on femur nonunions in a mouse model.Methods: The study included 32 male Wistar albino mice randomly allocated to one of four groups: two control groups (control-4 week [C4w] and control-8 week (C8w)] and two treatment groups (simvastatin-4 week [S4w] and simvastatin-8 week [S8w]). The control groups received dimethylsulfoxide locally injected at a dose of 10 mg/kg/day after surgical intervention for 1 week. Treatment groups received a liquefied form of simvastatin locally to the osteotomy field by injection at a dose of 10 mg/kg/day, starting from the ﬁrst postoperative day for 1 week. The C4w and S4w groups were sacrificed 4 weeks and the C8w and S8w groups 8 weeks after the end of local treatment. Before sacrifice, intracardiac blood samples were retrieved for biochemical analysis and radiographies were taken. The right femurs of mice were then removed for histopathological evaluation.Results: There were significant differences between the control and treatment groups when evaluated radiologically. Significantly higher levels of bone-specific alkaline phosphatase and osteocalcin values were found in the treatment groups than in the controls (p<0.05).Conclusion: According to biochemical, radiological and histopathological results, local application of simvastatin appears to produce beneficial effects on the mouse femur nonunion model.

Keywords:

Femur, mouse, nonunion simvastatin,

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