Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (33): 5249-5253.doi: 10.3969/j.issn.2095-4344.2015.33.001

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Correlation between serum leptin level and healing of long tubular fractures of the limbs after internal fixation

Wang Hai-bin1, Gao Ming1, Yan Ji-hui2, Meng Fan-lei2, Li Dong-mei1, Jia Cun-ling1   

  1. 1Department of Traumatic Orthopedics, Affiliated Hospital of Jining Medical University, Jining 272029, Shandong Province, China; 2Friendship Hospital of Yuncheng, Yuncheng 274700, Shandong Province, China)
  • Online:2015-08-13 Published:2015-08-13
  • About author:Wang Hai-bin, Master, Associate chief physician, Department of Traumatic Orthopedics, Affiliated Hospital of Jining Medical University, Jining 272029, Shandong Province, China
  • Supported by:

    the Scientific Plan of Jining Science and Technology Department, No. [2011]57

Abstract:

BACKGROUND: After internal fixation, limb fracture nonunion is the most common complication. Many factors affect fracture healing, but in recent years researchers have found that serum leptin may be involved in the process of fracture healing to regulate a variety of metabolisms.
OBJECTIVE: To analyze the relationship between the changes of serum leptin and fracture healing in patients with long tubular fracture of the limbs after internal fixation.
METHODS: Sixty patients with long tubular bone fracture who underwent internal fixation treatment were selected, and divided into two groups, union group (n=30) and nonunion group (n=30), according to the degree of fracture healing at 8 months after operation. Another 30 healthy volunteers served as normal control group. Peripheral blood samples were extracted before and after internal fixation to detect the changes in serum leptin levels using ELISA.
RESULTS AND CONCLUSION: Preoperative serum leptin level was higher in the union group and nonunion group than the normal control group as well as higher in the union group than the nonunion group (P < 0.05). There was no difference in the serum leptin levels in the union group before and after operation, but the nonunion group had a higher preoperative serum leptin level than the postoperative level. These findings indicate that the serum leptin may have an influence on fracture healing.

  中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程

Key words: Leptin, Extremities, Fractures, Ununited

CLC Number: