Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Comparison of Augmentation Method for Achilles Tendon Repair: Using Thoracolumbar Fascia and the Polypropylene Mesh

  • Jieun Seo (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Won-Jae Lee (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Min Jang (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Min-Soo Seo (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Seong Mok Jeong (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Sae-Kwang Ku (Department of Anatomy and Histology, College of Korean Medicine, Daegu Haany University) ;
  • Youngsam Kwon (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University) ;
  • Sungho Yun (Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University)
  • Received : 2022.10.27
  • Accepted : 2023.01.16
  • Published : 2023.02.28
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Abstract

This study aimed to compare complete ruptured tendon healing between two different repair methods using the Achilles tendon of New Zealand white rabbits. Thoracolumbar fascia (TF) padded Kessler suture, polypropylene mesh (PM) padded Kessler suture, and Kessler suture only were performed on the completely transected lateral gastrocnemius tendon, and biomechanical and histologic characteristics were assessed after 8 weeks. For biomechanical assessment, the tensile strength of each repaired tendon was measured according to the established methods. For histomorphometric analysis, hematoxylin and eosin staining for general histology, and Masson's trichrome (MT) staining for collagen fibers, Alcian blue (AB) staining for proteoglycans were performed and analyzed. Significant increases in tensile strength with remarkable decreases in the abnormalities against nuclear roundness, cell density, fiber structure, and fiber alignment and significant decreases in the mean number of infiltrated inflammatory cells and AB-positive proteoglycan-occupied regions with increases in MT-positive collagen fiber-occupied regions were demonstrated in the Kessler suture with PM or TF padding groups as compared to those of the Kessler suture group. Both of PM and TF provided potent tensile strength and supported healing with the evidence of histological examinations. This means that augmentation with PM is useful for repairing a completely ruptured Achilles tendon, without additional surgery for autograft material harvesting.

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References

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