Local insulin therapy affects fracture healing in a rat model

Autor: Sheldon S. Lin, J. Patrick O'Connor, David N. Paglia, Joseph Benevenia, Jeremy Hreha, Loay Al-Zube, Andrew G. Park, Swaroopa Vaidya, Eric Breitbart
Rok vydání: 2012
Předmět:
Zdroj: Journal of Orthopaedic Research. 31:776-782
ISSN: 0736-0266
Popis: A significant number of lower extremity fractures result in mal-union necessitating effective treatments to restore ambulation. Prior research in diabetic animal fracture models demonstrated improved healing following local insulin application to the fracture site and indicated that local insulin therapy can aid bone regeneration, at least within an insulin-dependent diabetic animal model. This study tested whether local insulin therapy could accelerate femur fracture repair in normal, non-diabetic rats. High (20 units) and low (10 units) doses of insulin were delivered in a calcium sulfate carrier which provided sustained release of the exogenous insulin for 7 days after fracture. Histomorphometry, radiographic scoring, and torsional mechanical testing were used to measure fracture healing. The fracture calluses from rats treated with high-dose insulin had significantly more cartilage than untreated rats after 7 and 14 days of healing. After 4 weeks of healing, femurs from rats treated with low-dose insulin had significantly higher radiographic scores and mechanical strength (p
Databáze: OpenAIRE