Effects of Cyanoacrylate in Rabbits with Induced Achilles Tendon Rupture

Med Sci Monit. 2021 Sep 6:27:e929709. doi: 10.12659/MSM.929709.

Abstract

BACKGROUND In this study, we aimed to investigate the effects of N-butyl-2-cyanoacrylate (cyanoacrylate) on the biomechanical and histopathological aspects of tendon healing in a rabbit model of Achilles tendon injury. MATERIAL AND METHODS In total, 36 rabbits were randomized to experimental (cyanoacrylate) and control groups (n=36 tendons in each group). A simple suture was used in the control group and a simple suture plus cyanoacrylate was used in the experimental group. Nine rabbits from each group were euthanized at week 4 and week 6 after surgery for histopathological and biomechanical testing. RESULTS Granulation tissue formation was significantly greater in the experimental group in week 4 and week 6 than in the control group. Foreign body giant cell formation was significantly higher in the experimental group in week 4 and week 6. The maximum rupture force was significantly higher in the experimental group in week 4 and week 6 than in the control group. Elasticity and stiffness were comparable between groups in week 4; however, stiffness, but not elasticity, was significantly higher in the experimental group in week 6. CONCLUSIONS In the short term, cyanoacrylate enhanced tendon endurance in both a histopathological and biomechanical manner. We conclude that the early initiation of rehabilitation in patients may be safe in cases of cyanoacrylate use for surgical repair of tendon injury.

MeSH terms

  • Achilles Tendon / injuries*
  • Achilles Tendon / pathology
  • Animals
  • Biomechanical Phenomena
  • Cyanoacrylates / therapeutic use*
  • Male
  • Rabbits
  • Random Allocation
  • Rupture / pathology
  • Rupture / surgery*
  • Tendon Injuries / pathology
  • Tendon Injuries / surgery*
  • Tissue Adhesives / therapeutic use*

Substances

  • Cyanoacrylates
  • Tissue Adhesives