• Title/Summary/Keyword: Tissue repair

Search Result 463, Processing Time 0.034 seconds

FACTORS INFLUENCING TO REGENERATION OF THE ALVEOLAR BONE IN THE SUPRAALVEOLAR DEFECTS IN DOGS;I : EFFECT OF THE DECALCIFIED FREEZE-DRIED BONE ALLOGRAFT (성견 수평골 소실시 치조골 재생에 영향을 주는 인자;I : 냉동 탈회 건조골 동종이식의 효과)

  • Kim, Chong-Kwan;Chai, Jung-Kiu;Cho, Kyoo-Sung;Choi, Seong-Ho;Jung, Hyun-Cheol;Moon, Ik-Sang
    • Journal of Periodontal and Implant Science
    • /
    • v.23 no.3
    • /
    • pp.374-390
    • /
    • 1993
  • Regeneration of periodontal tissue after a loss of attachment due to disease or trauma repesents an important issue in dentistry, and various bone graft materials have been used to regenerated lost periodontal tissue and restore proper fuctions. Among those, allografts have been extensively researched and widely used clinically, since they are known to possess an excellent osteoinduction capability and result in proper topography of alveolar bone. Regeneration of periodontal tissue in supraalveolar defects may be technically difficult. However, a large amount of regeneration has been observed by complete tissue coverage of involved teeth. In this study, supraalveolar defects in adult dogs were treated with periodontal surgery, decalcified freez-dried bone allograft, complete tissue coverage was attained, and effects on repair and regeneration of alveolar bone, cementum and periodontal ligament were studied. Exposure of premolar furcation of adult dogs was attained by removing marginal alveolar bone down to 5mm from CEJ, and root surfaces were planed with curettes. On the left side, defects were treated without any allograft(Control Group). On the right side, a DFDB was used(Experimental Group). In all groups, flaps were coronally positioned and sutured, completely submerging the treated defects. At two weeks, the crown were exposed 2-3mm. Healing progresses were histologically observed after eight weeks and the results were as follows : 1. Distance from CEJ to AJE was : $2.82{\pm}0.66mm$ in the control group, $1.71{\pm}0.51mm$ in experimental group, with significant differences between groups.(P<0.01) 2. Periodontal repair was : $2.18{\pm}0.66mm$ in the control group, $3.29{\pm}0.51mm$ in experimental group, with significant differences between groups.(P<0.01) 3. Connective tissue repair was : $1.43{\pm}0.52mm$ in the control group, $0.76{\pm}0.47mm$ in experimental group, with significant differences between groups.(P<0.01) Orientation of connective tissue fibers in relation to root surfaces was : mostly parallel in the control group, vertical or parallel or irregular in experimental group. 4. The amount of cementum formation was : $1.66{\pm}0.58mm$ in the control group, $2.86{\pm}0.66mm$ in experimental group, with significant differences between groups. 5. The amount of alveolar bone formation was : $0.76{\pm}0.72mm$ in the control group, $2.53{\pm}0.56mm$ in experimental group, with significant differences between groups.(P<0.01)

  • PDF

Vascularisation of Urethral Repairs with the Gracilis Muscle Flap

  • Kua, Ee Hsiang Jonah;Leo, Kah Woon;Ong, Yee Siang;Cheng, Christopher;Tan, Bien-Keem
    • Archives of Plastic Surgery
    • /
    • v.40 no.5
    • /
    • pp.584-588
    • /
    • 2013
  • Background The ability to achieve a long-term, stricture-free urethral repair is one of the ongoing challenges of reconstructive urologic surgery. A successful initial repair is critical, as repeat procedures are difficult, owing to distortion, scarring, and short urethral stumps. Methods We describe a technique in which the gracilis muscle flap is laid on or wrapped around the urethral repair site to provide a well-vascularised soft tissue reinforcement for urethral repair. This technique promotes vascular induction, whereby a new blood supply is introduced to the repair site to improve the outcome of urethral repair or anastomotic urethroplasty. The surface contact between the muscle flap and the repair site is enhanced by the use of fibrin glue to improve adherence and promote inosculation and healing. We employed this technique in 4 patients with different urethral defects. Results After a follow-up period of 32 to 108 months, all of the urethral repairs were successful without complications. Conclusions Our results suggest that the use of a gracilis muscle flap to vascularise urethral repairs can improve the outcome of challenging urethral repairs.

Human Fibroblast-derived Multi-peptide Factors and the Use of Energy-delivering Devices in Asian Patients

  • Suh, Sang Bum;Ahn, Keun Jae;Chung, Hye Jin;Suh, Ji Youn;Cho, Sung Bin
    • Medical Lasers
    • /
    • v.9 no.1
    • /
    • pp.12-24
    • /
    • 2020
  • Human fibroblast-derived multi-peptide factors (MPFs) have been used during treatments with energy-delivering modalities to enhance energy-induced tissue reactions. Human fibroblast-derived MPFs, which include a range of growth factors and chemoattractive factors, activate and recruit fibroblasts and endothelial cells, as well as promote extracellular matrix deposition, all of which are crucial to wound repair. Interestingly, fibroblasts from different species or anatomical sites exhibit distinct transcriptional properties with high heterogeneity. In addition, the patterns of MPF secretion can differ under a range of experimental conditions. Therefore, the use of allogeneic fibroblasts and proper cultivation thereof are necessary to obtain MPFs that can enhance the epithelial-mesenchymal interactions during wound repair. Moreover, energy-delivering devices should be selected according to evidence demonstrating their therapeutic efficacy and safety on a pathological skin condition and the major target skin layers. This paper reviewed the histologic patterns of post-treatment tissue reactions elicited by several energy sources, including non-ablative and ablative fractional lasers, intense focused ultrasound, non-invasive and invasive radiofrequency, picosecond-domain lasers, and argon and nitrogen plasma. The possible role of the immediate application of human fibroblast-derived MPFs during wound repair was proposed.

The Effects of Live Leech (Hirudo Medicinalis) Therapy on Diabetic Foot: a Clinical Case Report

  • Na, Hyun-Jong
    • The Journal of Korean Medicine
    • /
    • v.24 no.4
    • /
    • pp.136-138
    • /
    • 2003
  • Purpose : A clinical case of diabetic foot-wound repair using Hirudo medicinalis therapy and its application is reported and discussed. Methods : The subject was a sixty-six-year-old woman diagnosed with a non-healing wound indicating the amputation of her right diabetic foot. Instead, Hirudo medicinalis therapy was performed twelve times over forty days, twice a week. The transition of wound closure was observed with the naked eye, and the plethysmogram was measured at the beginning and end of the treatment period. Results : The wound contracted with decreased exudate, collagen-like connective tissue sprouted, and then the wound gradually closed. The initial value (-0.08) of the dicrotic elastic index rose to -0.03. Conclusion : Hirudo medicinalis therapy had a positive effect on the wound repair, without a negative effect on the circulation, allowing the foot to be saved. It is necessary to investigate its wound repair mechanism for the further development of the Sahyul method.

  • PDF

Minimally invasive distal biceps tendon repair: a case series

  • Paul Jarrett;Anna-Lisa Baker
    • Clinics in Shoulder and Elbow
    • /
    • v.26 no.3
    • /
    • pp.222-230
    • /
    • 2023
  • Background: Distal biceps tendon repairs are commonly performed using open techniques. A minimally invasive distal biceps tendon repair technique using a speculum and hooded endoscope was developed to improve visualization, reduce soft-tissue dissection, and minimize complications. This paper describes the technique and reports the outcomes of 75 minimally invasive distal biceps tendon repairs. Methods: The operation reports and outcomes of 75 patients who underwent distal biceps tendon repair using this technique between 2011 and 2021 were retrospectively reviewed. Results: Median time to follow-up was 12 months (interquartile range [IQR], 6-56 months). Primary outcomes were function as measured by the Disabilities of Arm, Shoulder and Hand Score (DASH) questionnaire, and rate of complications. Median DASH score was 1.7 of 100 (IQR, 0-6.8). There were 2 of 75 (2.7%) re-ruptures of the distal tendon. There were no cases of vascular injury, proximal radius fracture, or posterior interosseous nerve, median, or ulnar nerve palsy. Conclusions: In this series, minimally invasive distal biceps repair was safe and effective with a low rate of major complications. Recovery of function, as indicated by low DASH scores, was satisfactory, and inconvenience during recovery was minimized. Level of evidence: IV.

Proliferation of Keratinocytes Induced by Adipose-Derived Stem Cells on a Chitosan Scaffold and Its Role in Wound Healing, a Review

  • Gomathysankar, Sankaralakshmi;Halim, Ahmad Sukari;Yaacob, Nik Soriani
    • Archives of Plastic Surgery
    • /
    • v.41 no.5
    • /
    • pp.452-457
    • /
    • 2014
  • In the field of tissue engineering and reconstruction, the development of efficient biomaterial is in high demand to achieve uncomplicated wound healing. Chronic wounds and excessive scarring are the major complications of tissue repair and, as this inadequate healing continues to increase, novel therapies and treatments for dysfunctional skin repair and reconstruction are important. This paper reviews the various aspects of the complications related to wound healing and focuses on chitosan because of its unique function in accelerating wound healing. The proliferation of keratinocytes is essential for wound closure, and adipose-derived stem cells play a significant role in wound healing. Thus, chitosan in combination with keratinocytes and adipose-derived stem cells may act as a vehicle for delivering cells, which would increase the proliferation of keratinocytes and help complete recovery from injuries.

Investigation of the Relationship between Protein, Message and Inducer Concentrations in Recombinant E. coli Cells

  • Jorgensen, Lene;Connor J. Thomas;Brian K. Oneill;Anton P.J. Middelbeg
    • Journal of Microbiology and Biotechnology
    • /
    • v.7 no.1
    • /
    • pp.21-24
    • /
    • 1997
  • Chloramphenicol acetyl transferase (CAT) protein and mRNA levels in E. coli were determined following induction of a tac::cat construct by isopropyl-${\beta}$-thiogalactopyranoside (IPTG). High cat mRNA levels did not directly reflect CAT protein levels, in either shakeflask experiments or fermentations. Furthermore, concentrations of IPTG resulting in the highest levels of expression of cat mRNA, were different to those resulting in highest levels of CAT protein. The data suggest that high transcriptional activities lead to limitations at the translational level.

  • PDF

Prolotherapy for the Upper Extremity (상지에서의 증식치료)

  • Shin, Keun Man
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.1 no.2
    • /
    • pp.117-121
    • /
    • 2008
  • Prolotherapy can be defined as the injection of growth factors or growth factor production stimulants to grow normal cells or tissue. Even though it has been a controversal procedure for decades, it is currently gaining in popularity among many physicians. The term prolotherapy was coined by Hacket in the 1950s to imply proliferation of normal tissue at ligamentous and tendinous entheses. The procedure has been described by other terms, such as sclerotherapy, regenerative injection therapy, and stimulated ligament repair. Incomplete healing from sprains or strains is common and can lead to chronic pain, joint instability and laxity, and is a risk factor for the development of osteoarthritis. Prolotherapy is commonly used for these musculoskeletal conditions which are refractory to usual care therapies. The proliferant solution and technique varies according to physicial training and preferance. Commonly reported proliferants include 10% to 25% dextrose, P2G and sodium morrhuate. High resolution ultrasound imaging of musculoskeletal tissue is increasing in popularity because of patient tolerability, low cost, ability to visualize tissue in real time motion and superior resolution of highly organized tissue such as a tendon. This procedure can be introduced by ultrasound imaging and tissue growth and repair after this procedure in a tendon or a ligament can be documented with ultrasound.

  • PDF

조직공학적 연골 재생

  • Gang, Seon-Ung;Yu, Seong-Pil;Park, Jeong-Ho;Kim, Byeong-Su
    • 한국생물공학회:학술대회논문집
    • /
    • 2002.04a
    • /
    • pp.48-50
    • /
    • 2002
  • Cartilage defects are common and painful conditions that affect people of all ages. Although many techniques have developed, none of the current available treatment options is satisfactory. Recent advances in biology and materials science have pushed tissue engineering to the forefront of new cartilage repair techniques. The purpose of this study is to determine effective regeneration method for tissue-engineered cartilage. A serum free medium was developed for cartilage tissue engineering. Chondrocyte passage number was found to influence greatly on cartilage tissue formation in vivo. Injectable, biodegradable polymer matrix was developed for chondrocyte transplantation through injection. Transplantation of chondrocytes mixed with the injectable matrices resulted in the cartilage formation in nude mice's subcutaneous sites and rabbit knees. This study may lead to the development of tissue-engineered cartilage appropriate for clinical applications.

  • PDF

Fibrous composite matrix of chitosan/PLGA for tissue regeneration

  • Shim, In-Kyong;Hwang, Jung-Hyo;Lee, Sang-Young;Cho, Hyun-Chul;Lee, Myung-Chul;Lee, Seung-Jin
    • Proceedings of the PSK Conference
    • /
    • 2003.10b
    • /
    • pp.237.3-238
    • /
    • 2003
  • Tissue engineering may be adequately defined as the science of persuading the body to regenerate or repair tissue that fail to regenerate or heal spontaneously. In the various techniques of cartilage tissue engineering, the use of 3-dimensional polymeric scaffolds implanted at a tissue defect site is usually involved. These scaffolds provided a framework for cells to attach, proliferate, and form extracellular matrix(ECM). The scaffolds may also serve as carriers for cells and/or growth factors. In the ideal case, scaffold absorb at a predefined rate so that the 3-dimensional space occupied by the initial scaffold is replaced by regenerated host tissue. (omitted)

  • PDF