가토 두개골 결손부에 이식된 β-TCP의 골치유 과정에서 PRP의 효과에 관한 연구

초록

Purpose : Platelet Rich Plasma (PRP) is an autologous material with many growth factors, such as BMPs, PDGF, TGF-β₁, TGF-β₂, VEGF, and IGF, facilitating bone healing process. The prominent osteoconductive activity and the biodegradable nature of beta-tricalciumphosphate (β-TCP) for bone grafts in animal experiments have been reported. The purpose of this study was to evaluate the effect of PRP on the osteogenesis of β-TCP. Material & Methods : Two artificial calvarial bone defects were made in 32 rabbits. which were divided into 2 groups. In 1 group of 16 rabbits, autogenous bone / β -TCP was grafted on each side of cranial bone defect. In 2 group of 16 rabbits, mixture of β-TCP and PRP / PRP alone was grafted on each side of the cranial bone defect. The animals were sacrificed at 2, 4, 8, and 12 weeks after surgery.The specimens were harvested and examined histologically and immunohistochemically by the expression of BMP2/4/7, PDGF, VEGF and TGF-β1. Results : The mean volume of new bone formation was significantly higher at 4, 8, 12 weeks in autogenous graft than that in β-TCP. The BMP2/4 expression was significantly higher at 4 weeks in autogenous bone graft and at 4 weeks in mixture of β-TCP and PRP and at 12 weeks in β-TCP. The expression of BMP7, PDGF, VEGF and TGF-β1 showed no significant difference in autogenous, β-TCP, mixture of β-TCP and PRP, and PRP alone during grafted bone regeneration. Conclusion : The results presented that PRP had no additional value in promoting healing process of β-TCP grafts.

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