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Triweekly administration of parathyroid hormone (1–34) accelerates bone healing in a rat refractory fracture model

机译:在大鼠难治性骨折模型中,每周三周服用甲状旁腺激素(1-34)可以促进骨愈合

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Some reports have shown that intermittent parathyroid hormone (PTH) (1–34) treatment for patients with delayed union or nonunion have led to successful healing. In this study, we investigated whether systemic intermittent administration of PTH (1–34) has a beneficial effect on bone healing in a rat refractory fracture model. We created a refractory femoral fracture model in 32 rats with periosteal cauterization that leads to atrophic nonunion at 8?weeks after surgery. Half the rats received subcutaneous intermittent human PTH (1–34) injections at a dosage of 100?μg/kg, thrice a week for 8?weeks. The other half received the vehicle only. At 8?weeks after fracture, radiographic, histological and mechanical assessments were performed. Radiographic assessments showed that the union rate was significantly higher in the PTH group than in the control group (P?
机译:一些报告表明,间歇性甲状旁腺激素(PTH)(1-34)治疗延迟愈合或不愈合的患者已成功治愈。在这项研究中,我们研究了全身间歇性给予PTH(1-34)是否对大鼠难治性骨折模型的骨愈合有有益的影响。我们在32例骨膜烧灼大鼠中创建了难治性股骨骨折模型,该模型在术后8周导致萎缩性骨不连。一半的大鼠以100?μg/ kg的剂量接受皮下间歇性人PTH(1-34)注射,每周三次,共8周。另一半仅收到车辆。骨折后8周,进行影像学,组织学和力学评估。影像学评估显示,PTH组的结合率显着高于对照组(P <0.05)。 PTH组在组织学评估中使用Allen评分系统评分的骨折修复程度明显高于对照组(P 0.05)。 PTH组的极限应力和刚度测量值显着高于对照组(p <0.05)。我们证明,在大鼠难治性骨折模型中,每三周施用一次PTH(1-34)可以提高愈合速度并加速骨愈合,这表明全身性施用PTH(1-34)可能成为一种新型且有用的疗法,可加速患者的骨折愈合延迟工会或不工会的高风险。

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