Journal article 903 views
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance
Rohit Singh,
Jihad Alzyoud,
Ryan Trickett,
Peter Thomas,
Peter Theobald,
Ilyas Khan 
The Journal of Hand Surgery (Asian-Pacific Volume), Volume: 23, Issue: 04, Pages: 463 - 468
Swansea University Author:
Ilyas Khan
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DOI (Published version): 10.1142/S2424835518500431
Abstract
BACKGROUND:Flexor tendon injuries are extremely common and they are usually the result of incised traumatic glass or knife injury. The process of tendon healing is a complicated and exceptionally-regimented mechanism that is originated and monitored by a vast number of diverse molecules. One of the...
| Published in: | The Journal of Hand Surgery (Asian-Pacific Volume) |
|---|---|
| ISSN: | 2424-8355 2424-8363 |
| Published: |
2018
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa49768 |
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<?xml version="1.0"?><rfc1807><datestamp>2019-04-08T16:02:09.8575860</datestamp><bib-version>v2</bib-version><id>49768</id><entry>2019-03-27</entry><title>Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance</title><swanseaauthors><author><sid>2536d955ff70e7b77063a8efe9103161</sid><ORCID>0000-0002-3886-1987</ORCID><firstname>Ilyas</firstname><surname>Khan</surname><name>Ilyas Khan</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2019-03-27</date><deptcode>BMS</deptcode><abstract>BACKGROUND:Flexor tendon injuries are extremely common and they are usually the result of incised traumatic glass or knife injury. The process of tendon healing is a complicated and exceptionally-regimented mechanism that is originated and monitored by a vast number of diverse molecules. One of the most pivotal groups of mediators that are crucial to the healing process are growth factors (GF). Intense pulse light (IPL) can lead to evidence of new collagen formation with associated clinical improvement in tissue healing. The biological benefit of Intense pulse light (IPL) relies on judicious photothermolysis, where heat driven radiation is dissipated and focused at the cellular level. The aims of this study is to set out the effect of growth factor and IPL on healing following a tendon repair.METHODS:Bovine common digital extensor tendons (CDET) were used as an ex vivo model. 44 tendon repairs were performed by the lead author using 2.5 × magnification loupes and standard instruments. Clamped tendons were assigned into the following groups; control, IPL, GF, IPL and GF. After culturing, biomechanical testing was carried out using monotonic tensile testing with displacement-controlled uniaxial tension to failure.RESULTS:The mean values for ultimate tensile stress (UTS) for the control group was 53.51 N, for IPL it was 51.15 N, for growth factor was 70.10 N and for combined growth factor and IPL it was 75.16 N.CONCLUSIONS:This study showed significant improvement in UTS when repaired tendons were cultured with growth factor compared to control and IPL. This would suggest a biomechanical advantage for tendon healing.</abstract><type>Journal Article</type><journal>The Journal of Hand Surgery (Asian-Pacific Volume)</journal><volume>23</volume><journalNumber>04</journalNumber><paginationStart>463</paginationStart><paginationEnd>468</paginationEnd><publisher/><issnPrint>2424-8355</issnPrint><issnElectronic>2424-8363</issnElectronic><keywords>Biomechanical; Growth factor; Healing; Tendon</keywords><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2018</publishedYear><publishedDate>2018-12-31</publishedDate><doi>10.1142/S2424835518500431</doi><url/><notes/><college>COLLEGE NANME</college><department>Biomedical Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>BMS</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2019-04-08T16:02:09.8575860</lastEdited><Created>2019-03-27T09:10:12.5131967</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Rohit</firstname><surname>Singh</surname><order>1</order></author><author><firstname>Jihad</firstname><surname>Alzyoud</surname><order>2</order></author><author><firstname>Ryan</firstname><surname>Trickett</surname><order>3</order></author><author><firstname>Peter</firstname><surname>Thomas</surname><order>4</order></author><author><firstname>Peter</firstname><surname>Theobald</surname><order>5</order></author><author><firstname>Ilyas</firstname><surname>Khan</surname><orcid>0000-0002-3886-1987</orcid><order>6</order></author></authors><documents/><OutputDurs/></rfc1807> |
| spelling |
2019-04-08T16:02:09.8575860 v2 49768 2019-03-27 Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance 2536d955ff70e7b77063a8efe9103161 0000-0002-3886-1987 Ilyas Khan Ilyas Khan true false 2019-03-27 BMS BACKGROUND:Flexor tendon injuries are extremely common and they are usually the result of incised traumatic glass or knife injury. The process of tendon healing is a complicated and exceptionally-regimented mechanism that is originated and monitored by a vast number of diverse molecules. One of the most pivotal groups of mediators that are crucial to the healing process are growth factors (GF). Intense pulse light (IPL) can lead to evidence of new collagen formation with associated clinical improvement in tissue healing. The biological benefit of Intense pulse light (IPL) relies on judicious photothermolysis, where heat driven radiation is dissipated and focused at the cellular level. The aims of this study is to set out the effect of growth factor and IPL on healing following a tendon repair.METHODS:Bovine common digital extensor tendons (CDET) were used as an ex vivo model. 44 tendon repairs were performed by the lead author using 2.5 × magnification loupes and standard instruments. Clamped tendons were assigned into the following groups; control, IPL, GF, IPL and GF. After culturing, biomechanical testing was carried out using monotonic tensile testing with displacement-controlled uniaxial tension to failure.RESULTS:The mean values for ultimate tensile stress (UTS) for the control group was 53.51 N, for IPL it was 51.15 N, for growth factor was 70.10 N and for combined growth factor and IPL it was 75.16 N.CONCLUSIONS:This study showed significant improvement in UTS when repaired tendons were cultured with growth factor compared to control and IPL. This would suggest a biomechanical advantage for tendon healing. Journal Article The Journal of Hand Surgery (Asian-Pacific Volume) 23 04 463 468 2424-8355 2424-8363 Biomechanical; Growth factor; Healing; Tendon 31 12 2018 2018-12-31 10.1142/S2424835518500431 COLLEGE NANME Biomedical Sciences COLLEGE CODE BMS Swansea University 2019-04-08T16:02:09.8575860 2019-03-27T09:10:12.5131967 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Rohit Singh 1 Jihad Alzyoud 2 Ryan Trickett 3 Peter Thomas 4 Peter Theobald 5 Ilyas Khan 0000-0002-3886-1987 6 |
| title |
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance |
| spellingShingle |
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance Ilyas Khan |
| title_short |
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance |
| title_full |
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance |
| title_fullStr |
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance |
| title_full_unstemmed |
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance |
| title_sort |
Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance |
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2536d955ff70e7b77063a8efe9103161 |
| author_id_fullname_str_mv |
2536d955ff70e7b77063a8efe9103161_***_Ilyas Khan |
| author |
Ilyas Khan |
| author2 |
Rohit Singh Jihad Alzyoud Ryan Trickett Peter Thomas Peter Theobald Ilyas Khan |
| format |
Journal article |
| container_title |
The Journal of Hand Surgery (Asian-Pacific Volume) |
| container_volume |
23 |
| container_issue |
04 |
| container_start_page |
463 |
| publishDate |
2018 |
| institution |
Swansea University |
| issn |
2424-8355 2424-8363 |
| doi_str_mv |
10.1142/S2424835518500431 |
| college_str |
Faculty of Medicine, Health and Life Sciences |
| hierarchytype |
|
| hierarchy_top_id |
facultyofmedicinehealthandlifesciences |
| hierarchy_top_title |
Faculty of Medicine, Health and Life Sciences |
| hierarchy_parent_id |
facultyofmedicinehealthandlifesciences |
| hierarchy_parent_title |
Faculty of Medicine, Health and Life Sciences |
| department_str |
Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine |
| document_store_str |
0 |
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| description |
BACKGROUND:Flexor tendon injuries are extremely common and they are usually the result of incised traumatic glass or knife injury. The process of tendon healing is a complicated and exceptionally-regimented mechanism that is originated and monitored by a vast number of diverse molecules. One of the most pivotal groups of mediators that are crucial to the healing process are growth factors (GF). Intense pulse light (IPL) can lead to evidence of new collagen formation with associated clinical improvement in tissue healing. The biological benefit of Intense pulse light (IPL) relies on judicious photothermolysis, where heat driven radiation is dissipated and focused at the cellular level. The aims of this study is to set out the effect of growth factor and IPL on healing following a tendon repair.METHODS:Bovine common digital extensor tendons (CDET) were used as an ex vivo model. 44 tendon repairs were performed by the lead author using 2.5 × magnification loupes and standard instruments. Clamped tendons were assigned into the following groups; control, IPL, GF, IPL and GF. After culturing, biomechanical testing was carried out using monotonic tensile testing with displacement-controlled uniaxial tension to failure.RESULTS:The mean values for ultimate tensile stress (UTS) for the control group was 53.51 N, for IPL it was 51.15 N, for growth factor was 70.10 N and for combined growth factor and IPL it was 75.16 N.CONCLUSIONS:This study showed significant improvement in UTS when repaired tendons were cultured with growth factor compared to control and IPL. This would suggest a biomechanical advantage for tendon healing. |
| published_date |
2018-12-31T04:00:58Z |
| _version_ |
1763753128288583680 |
| score |
11.017797 |