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산골이 骨折治癒에 미치는 影響에 관한 實驗的 硏究

The Effect of San-goal Upon the Healing of Experimental Fractures in Rabbits

최신의학 1970년 13권 2호 p.48 ~ 57
崔憲植, 鄭仁熙,
소속 상세정보
崔憲植 (  ) - 延世大學校 醫科大學 整形外科學敎室
鄭仁熙 (  ) - 延世大學校 醫科大學 整形外科學敎室

Abstract


Many authors have carried out investigations for the effect of healing on experimental fractures with hormones, minerals, and vitamins.
The effect of cortisone on fracture healing was studied by Kowalewski (1958), who found with humerus fractures in rats that the uptake of S35 was considerably less than in normal fractures. Storey in a historical investigation of tibia fractures in rats, found *that cortisone produced so-called dense callus. Cortisone does not prevent early callus but causes retarded resorption, leaving large amounts of cartilage callus.
Harris et al. have recently published the results of a comparative investigation of labellj4g with different tetracyclines and autoradiography with Call. They found that tetracyclines markid all the points of active bone formation.
Also Key and Odell (1955) found that excess minerals do not accelerate the healing of experimental fractures in rats. San-goal means "Bone of Mountain" in Chinese letters, it´s chemical composition is FeS2.
In Korea, it is being used in bone diseases, especially in fractures of bones by Korean herb doctors, without scientific proof.
Therefore, this experimental study will try to find it´s effect upon the healing of fractures.
Sixty adult rabbits were used, each rabbit was anesthetized with barbiturate intravenously, the skin over the anterior aspect of the forearm was shaved and prepared with antiseptics and through a small skin incision the radius was fractured experimentally with a sharp saw.
These rabbits were devided into two groups. The first thirty rabbits were medicated with San-goal 1 gm. with normal diet and the secound group of thirty rabbits were fed only the regular diet.
These animals were sacrificed with air embolization in groups of eleven at three, five, seven, ten, fourteen, twenty-one, thirty-five, forty-nine, seventy, and eighty-four days.
In postmortem examination fractured limbs were amputated and the muscles were removed carefully. They were:
1. examined roentgenographically
2. checked for body weight
3. examined macroscopically
4. tested for union of the fractured bone by manipulation
5. examined histologically.
The results of the experiment are as follows;
There are no significant differences between the medicated and the control rabbits in the changes of weight, in the groups of eleven.
On macroscopical, roentgenographical, and histological examination in medicated rabbits, the callus formation and bony union seemed to occur earlier than the control group.
Conclusion; The results obtained seemed to be indicative of the fact that the effect of San goal bring the earlier healing process.
So far, further long term research including radioisotope will be needed for the verification of the efficacy of San-goal upon the fractured bones.

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