Hubungan Pemberian Terapi Oksigen Hiperbarik Terhadap Aktifitas Osteoblastik Dan Osteoklastik Pada Tikus Model Fraktur

Penulis

  • CALVIN JUSO HANDONO Student
  • TOTOT MUDJIONO Fakultas Kedokteran Universitas Hang Tuah Surabaya
  • ANNISA ULLYA RASYIDA Fakultas Kedokteran Universitas Hang Tuah Surabaya

DOI:

https://doi.org/10.30649/htmj.v19i2.267

Kata Kunci:

terapi OHB, Fraktur, kalus, osteoblas, osteoklas, Tikus wistar

Abstrak

Latar Belakang : Fraktur adalah suatu keadaan terputusnya tulang akibat tekanan signifikan yang dapat berupapembengkokan, puntiran, atau tarikan akibat trauma, kecelakaan kerja, kecelakaan lalu lintas, serta proses degenerasi dan patologis. Fraktur dapat mengakibatkan hilangnya produktivitas dan kecacatan individu. Salah satu terapi adjuvant untukmempercepat proses penyembuhan tulang pada pasien fraktur adalah Terapi Oksigen Hiperbarik (OHB).

Tujuan:Penelitian ini bertujuan untuk mengetahui pengaruh terapi oksigen  hiperbarik terhadap jumlah osteoblas dan osteoklas yang terbentuk pada tikus model fraktur femur diafisis.

Metode :Penelitian ini merupakan penelitian eksperimen dengan menggunakan post test only control group design. Objekdalam penelitian ini adalah model fraktur tikus dengan terapi OHB sebagai variabel bebas dan model fraktur tanpa terapiOHB sebagai variabel kontrol.

Hasil: Hasil penelitian ini menunjukkan hasil positif tentang pengaruh terapi Oksigen Hiperbarik terhadap pembentukansel osteoblastik dan osteoklastik.

Kesimpulan: Adanya perbedaan signifikan dari jumlah osteoblas dan osteoklas pada tikus model fraktur yang diterapi OHB dibandingkan dengan yang tidak diterapi OHB.

 

Kata kunci: Terapi OHB, Fraktur, Kalus, Osteoblas, Osteoklas, Tikus Wistar

Referensi

Bergdahl, C., Ekholm, C., Wennergren, D., Nilsson, F., & Möller, M. (2016). Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: Data from the Swedish Fracture Register. BMC Musculoskeletal Disorders, 17(1), 1–10. https://doi.org/10.1186/s12891-016-1009-8

Bikbov, M. M., Fayzrakhmanov, R. R., Kazakbaeva, G. M., Zainullin, R. M., Salavatova, V. F., Gilmanshin, T. R., Arslangareeva, I. I., Nikitin, N. A., Panda-Jonas, S., Mukhamadieva, S. R., Yakupova, D. F., Khikmatullin, R. I., Aminev, S. K., Nuriev, I. F., Zaynetdinov, A. F., Uzianbaeva, Y. V., & Jonas, J. B. (2018). Frequency and Associated Factors of Bone Fractures in Russians: The Ural Eye and Medical Study. Scientific Reports, 8(1), 1–9. https://doi.org/10.1038/s41598-018-25928-1

Büren, C., Lögters, T., Oezel, L., Rommelfanger, G., Scholz, A. O., Windolf, J., & Windolf, C. D. (2018a). Effect of hyperbaric oxygen therapy (HBO) on implant-associated osteitis in a femur fracture model in mice. PLoS ONE, 13(1). https://doi.org/10.1371/journal.pone.0191594

Büren, C., Lögters, T., Oezel, L., Rommelfanger, G., Scholz, A. O., Windolf, J., & Windolf, C. D. (2018b). Effect of hyperbaric oxygen therapy (HBO) on implant-associated osteitis in a femur fracture model in mice. PLoS ONE, 13(1), 1–17. https://doi.org/10.1371/journal.pone.0191594

Choudhury, R. (2018). Hypoxia and hyperbaric oxygen therapy: A review. International Journal of General Medicine, 11, 431–442. https://doi.org/10.2147/IJGM.S172460

Dias, P. C., Limirio, P. H. J. O., Linhares, C. R. B., Bergamini, M. L., Rocha, F. S., Morais, R. B. de, Balbi, A. P. C., Hiraki, K. R. N., & Dechichi, P. (2018). Hyperbaric Oxygen therapy effects on bone regeneration in Type 1 diabetes mellitus in rats. Connective Tissue Research, 59(6), 574–580. https://doi.org/10.1080/03008207.2018.1434166

Fischer, V., Haffner-Luntzer, M., Amling, M., & Ignatius, A. (2018). Calcium and vitamin D in bone fracture healing and post-traumatic bone turnover. European Cells and Materials, 35, 365–385. https://doi.org/10.22203/eCM.v035a25

Gardin, C., Bosco, G., Ferroni, L., Quartesan, S., Rizzato, A., Tatullo, M., & Zavan, B. (2020). Hyperbaric oxygen therapy improves the osteogenic and vasculogenic properties of mesenchymal stem cells in the presence of inflammation in vitro. International Journal of Molecular Sciences, 21(4). https://doi.org/10.3390/ijms21041452

GR, S. (2011). The effect of hyperbaric oxygen therapy on osteoclast formation and bone resorption. Frontiers in Endocrinology, 2. https://doi.org/10.3389/conf.fendo.2011.02.00002

Jennison, T., & Brinsden, M. (2019). Fracture admission trends in England over a ten-year period. Annals of the Royal College of Surgeons of England, 101(3), 208–214. https://doi.org/10.1308/rcsann.2019.0002

Kumar, S., Dewi, A. H., Listyarifah, D., & Ana, I. D. (2015). Remodeling Capacity of Femoral Bone Defect by POP-CHA Bone Substitute: A Study in Rats’ Osteoclast (First Series of POP-based Bone Graft Improvement). The Indonesian Journal of Dental Research, 1(2), 116. https://doi.org/10.22146/theindjdentres.10008

Lam, G., Fontaine, R., Ross, F. L., & Chiu, E. S. (2017). Hyperbaric oxygen therapy: Exploring the clinical evidence. Advances in Skin and Wound Care, 30(4), 181–190. https://doi.org/10.1097/01.ASW.0000513089.75457.22

Li, H., Yu, D., Wu, S., Zhang, Y., & Ma, L. (2019). Multiple comparisons of the efficacy and safety for seven treatments in tibia shaft fracture patients. Frontiers in Pharmacology, 10(APR), 1–12. https://doi.org/10.3389/fphar.2019.00197

Marongiu, G., Contini, A., Lepri, A. C., Donadu, M., Verona, M., & Capone, A. (2020). The treatment of acute diaphyseal long-bones fractures with orthobiologics and pharmacological interventions for bone healing enhancement: A systematic review of clinical evidence. Bioengineering, 7(1), 1–16. https://doi.org/10.3390/bioengineering7010022

Marshall, R. A., Mandell, J. C., Weaver, M. J., Ferrone, M., Sodickson, A., & Khurana, B. (2018). Imaging features and management of stress, atypical, and pathologic fractures. Radiographics, 38(7), 2173–2192. https://doi.org/10.1148/rg.2018180073

Memar, M. Y., Yekani, M., Alizadeh, N., & Baghi, H. B. (2019). Hyperbaric oxygen therapy: Antimicrobial mechanisms and clinical application for infections. Biomedicine and Pharmacotherapy, 109(October 2018), 440–447. https://doi.org/10.1016/j.biopha.2018.10.142

Moghadam, N., Hieda, M., Ramey, L., Levine, B. D., & Guilliod, R. (2020). Hyperbaric Oxygen Therapy in Sports Musculoskeletal Injuries. Medicine and Science in Sports and Exercise, 52(6), 1420–1426. https://doi.org/10.1249/MSS.0000000000002257

Prameswari, N. (2018). Program and Proceeding Book.

Rufus-Membere, P., Holloway-Kew, K. L., Diez-Perez, A., Kotowicz, M. A., & Pasco, J. A. (2019). Associations between bone impact microindentation and clinical risk factors for fracture. Endocrinology, 160(9), 2143–2150. https://doi.org/10.1210/en.2019-00415

Singaram, S., & Naidoo, M. (2019). The physical, psychological and social impact of long bone fractures on adults: A review. African Journal of Primary Health Care and Family Medicine, 11(1), 1–9. https://doi.org/10.4102/phcfm.v11i1.1908

Stenevi Lundgren, S., Rosengren, B. E., Dencker, M., Nilsson, J., Karlsson, C., & Karlsson, M. K. (2017). Low physical activity is related to clustering of risk factors for fracture—a 2-year prospective study in children. Osteoporosis International, 28(12), 3373–3378. https://doi.org/10.1007/s00198-017-4203-0

Turgut, A., Arlı, H., Altundağ, Ü., Hancıoğlu, S., Egeli, E., & Kalenderer, Ö. (2020). Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey. Acta Orthopaedica et Traumatologica Turcica, 54(4), 355–363. https://doi.org/10.5152/j.aott.2020.20209

Varshney, M. K. (2016). mebooksfree.com.

Wu, S. C., Rau, C. S., Kuo, S. C. H., Chien, P. C., & Hsieh, C. H. (2019). The influence of ageing on the incidence and site of trauma femoral fractures: a cross-sectional analysis. BMC Musculoskeletal Disorders, 20(1), 413. https://doi.org/10.1186/s12891-019-2803-x

Yong, E. L., Ganesan, G., Kramer, M. S., Howe, T. Sen, Koh, J. S. B., Thu, W. P., Logan, S., Cauley, J. A., & Tan, K. B. (2020). Risk Factors and Trends Associated with Mortality among Adults with Hip Fracture in Singapore. JAMA Network Open, 3(2), 1–10. https://doi.org/10.1001/jamanetworkopen.2019.19706

Zhang, M., Ho, H. C., Sheu, T. J., Breyer, M. D., Flick, L. M., Jonason, J. H., Awad, H. A., Schwarz, E. M., & O’Keefe, R. J. (2011). EP1-/- mice have enhanced osteoblast differentiation and accelerated fracture repair. Journal of Bone and Mineral Research, 26(4), 792–802. https://doi.org/10.1002/jbmr.272

Unduhan

Diterbitkan

2022-05-31

Cara Mengutip

HANDONO, C. J., TOTOT MUDJIONO, & RASYIDA, A. U. (2022). Hubungan Pemberian Terapi Oksigen Hiperbarik Terhadap Aktifitas Osteoblastik Dan Osteoklastik Pada Tikus Model Fraktur. Hang Tuah Medical Journal, 19(2), 159–175. https://doi.org/10.30649/htmj.v19i2.267