Biologically Augmented Suture for Ligament Bracing Procedures Positively Affects Human Ligamentocytes and Osteoblasts In Vitro
| Autor: | Colin Uyeki, Joshua B. Baldino, Robert A. Arciero, Lisa M. Tamburini, Alexander Otto, Julian Mehl, Mary Beth McCarthy, Lukas N. Muench, Augustus D. Mazzocca |
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| Rok vydání: | 2021 |
| Předmět: |
Ligaments
Osteoblasts biology Sutures business.industry Platelet-Rich Plasma Adhesion Molecular biology Fibrin Thrombin Suture (anatomy) Platelet-rich plasma medicine biology.protein Cell Adhesion Alkaline phosphatase Humans Orthopedics and Sports Medicine business Cell adhesion medicine.drug Platelet-poor plasma Cell Proliferation |
| Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 38(2) |
| ISSN: | 1526-3231 |
| Popis: | The purpose was to evaluate the response of human ligamentocytes and osteoblasts after biological augmentation with thrombin, concentrated bone marrow aspirate (cBMA), or platelet-rich plasma (PRP) on two different types of nonresorbable flat braided suture used for ligament bracing.Uncoated (U) and collagen-coated (C) flat braided suture material was augmented with either thrombin (T), cBMA (B), PRP (P), or a combination of these three (A), while platelet-poor plasma was used as a source for fibrin (F) in each assay. Previously cultured ligamentocytes and osteoblasts were added with a defined density and assayed after the required time period for adhesion, proliferation, and alkaline phosphatase activity.Biological augmentation of uncoated [(UFT, UFBT, UFA; P.001), (UFPT; P = .017)] and collagen-coated suture (CFT, CFPT, CFBT, CFA; P.001) led to a significantly higher ligamentocyte adhesion. Significantly higher adhesion was also observed for osteoblasts (UFT, UFPT, UFBT, UFA; P.001; CFT, CFPT, CFBT, CFA; P.001). Similarly, ligamentocyte proliferation was significantly higher [(UFT, UFPT, UFA; P = .009), (UFBT; P = .001), (CFT; P = .009), (CFBT; P = .001), and (CFA; P = .01)]. Osteoblasts showed significantly higher proliferation as well [(UFT, UFPT, UFA; P = .002), (UFBT; P = .001); (CFT: P = .003), and (CFPT, CFBT, CFA; P = .001)]. Augmentation with thrombin, PRP, and BMA for uncoated (UFT; P = .006, UFPT; P = .035, UFBT; P = .001) and BMA for coated suture (CFBT; P = .027) led to significantly higher alkaline phosphatase activity.Biological enhancement of suture used for ligament bracing significantly increased ligamentocyte and osteoblast adhesion and proliferation, as well as alkaline phosphatase activity of osteoblasts in an in vitro model. After biological augmentation, cellular adhesion, proliferation, and alkaline phosphatase activity changed up to 1,077%, 190%, and 78%, respectively. Furthermore, no overall superiority between uncoated or collagen-coated suture material was observed for cellular adhesion, proliferation, or alkaline phosphatase activity.This study provides in vitro data on a new treatment concept of biologic augmentation for acute ligamentous lesions treated with ligament bracing that has not been widely described. This concept may improve the healing of injured ligaments, in addition to providing immediate biomechanical stabilization. |
| Databáze: | OpenAIRE |
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