Jurnal Rekonstruksi & Estetik
ISSN 2301-7937
Vol. 2 / No. 1 / Published : 2013-01
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Original Article :
The effect of amnion freeze – drying to prevent adhesion in rabbit tendon achilles healing
Author :
- Franky Prilyanda*1
- M. Sjaifuddin Noer*2
- mahasiswa
- dosen
Abstract :
Background: The main aim of tendon surgery is to restore preserves tendon gliding. The formation of peritendinous adhesion around the repair site is one of several adverse event that may prevent achievement of this aim. The freeze - drying amniotic derives from the fetal membranes which consist of two layers that may have a function as a barrier in the formation of peritendinous adhesion, rich of collagent, accelerate the epitelization and preventing fibrotic tissue formation. Those content of the amniotic membrane could prevent the formation of peritendinous adhesion in tendon healing. The objective of this study was to investigate the use of freeze - drying amniotic membrane as a long-term bioprosthesis in hand surgery. The role of freeze – drying amniotic membrane was investigated in rabbit with regard to the prevention of adhesion formation following Achilles tendon repair. Material and Method : The experimental research use 32 New Zealand rabbits, devided into two groups. On all group, one of the Achilles tendon was sharply devided, group I was treated by Freeze-drying amniotic, and group II was not treated Freeze-drying amniotic (control). After ten days, the animal were killed, and phatology anatomy examination was done on therepair site. The adhesion was assessed under light microscope with see the number of fibroblast Result : Histologic examination demonstrated that use of the freeze – drying amniotic membrane significantly reduced the amount of adhesion compared with the other groups . 10 day after implantation no remnants of freeze – drying amniotic membrane could be identified at the tendon repair site. Conclusion : Freeze–drying amniotic membrane is easily prepared, and because of its cost effectiveness, its use in the prevention and treatment of adhesions should always be kept in mind.
Keyword :
Freeze–drying Amniotic membrane, repair, reconstruction, adhesion,
References :
Stricland JW,(1999) Flexor tendon-acute injury. In : Green DP, Hotchkiss RN, Pederson WC, editor Philadelphia : Churchill Livingstone
Sharma P., Maffulli N,(2005) Tendon Injury and Tendynopathy: Healing and Repair New York : J Bone Joint Surg Am
Rockwood C A., Green D P,(1996) Healing of the Musculoskeletal Tissues. in Fracture in Adults Philadelphia : Lippincott-Raven
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