1. Prevention of Adhesions after Bone Fracture Using a Carboxymethylcellulose and Polyethylene Oxide Composite Gel in Dogs.
- Author
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Sideri, Aikaterini I., Pappa, Elena I., Skampardonis, Vassilis, Barbagianni, Mariana, Georgiou, Stefanos G., Psalla, Dimitra, Marouda, Christina, Prassinos, Nikitas N., Galatos, Apostolos D., and Gouletsou, Pagona G.
- Subjects
BEAGLE (Dog breed) ,POLYETHYLENE oxide ,SURGICAL site ,LABORATORY dogs ,ORTHOPEDIC surgery - Abstract
Simple Summary: This study evaluated the use of a carboxymethylcellulose (CMC)/polyethylene oxide (PEO) composite material to prevent adhesions following orthopedic surgery in dogs. Ten purpose-bred laboratory Beagle dogs were allocated consecutively into two groups—one received the anti-adhesion material during an ulna osteotomy, while the other group did not. The results showed no significant differences between the groups in terms of surgical site size, lameness, or bone healing on imaging evaluation. The group that received the anti-adhesion material had significantly lower adhesion and better healing scores based on macroscopic and histopathologic evaluation. These findings suggest the CMC/PEO composite is a safe and potentially effective way to prevent post-surgical adhesions in canine orthopedic patients, without compromising bone healing. Further research is needed to fully characterize the clinical benefits of this approach. The formation of adhesions is a common complication following traumatic injuries and surgical procedures, often resulting in pain, stiffness, and loss of function. This study aimed to evaluate the feasibility and safety of using a composite material comprising of carboxymethylcellulose (CMC), polyethylene oxide (PEO), and calcium chloride, for preventing adhesions between muscle and bone during the healing stage, as well as its effect on the bone healing process. Ten healthy purpose-bred laboratory Beagle dogs were randomly subjected to two consecutive operations with a 6-month interval, alternating between left and right forelimbs. On the left forelimb an osteotomy at the ulna was performed, while on the right forelimb the same procedure was supplemented by the application of the anti-adhesion agent in the osteotomy site prior to closure. Clinical, diagnostic imaging, macroscopic, and histological evaluations were performed at various time points. The results showed no significant differences in surgical site perimeter (p = 0.558), lameness (p = 0.227), and radiographic bone healing (p = 0.379) between the two groups. However, the macroscopic (p = 0.006) and histological assessments revealed significantly lower adhesion scores (p = 0.0049) and better healing (p = 0.0102) in the group that received the anti-adhesion agent. These findings suggest that the CMC/PEO composite material is a safe and potentially effective intervention for preventing post-traumatic and post-surgical adhesions in canine patients without compromising bone healing. Further research is warranted to fully characterize the clinical benefits of this approach. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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