Study of the ketoprofen and phenylbutazone effects in the healing process of experimental rabbit bone defect based on radiology and histopathology findings
Subject Areas : Journal of Comparative PathobiologyُSamasadat Rezaii 1 , ُُSiamak Alizadeh 2 , Mohammadreza Hosseinchi 3
1 - D.V.M. Graduate, Faculty of Meterinary Medicine, Urmia Branch, Islamic Azad University, Urmia, Iran.
2 - Department of Clinical Sciences, Faculty of veterinary medicine, Naghadeh Branch, Islamic Azad University, Naghadeh, Ir
3 - Department of Basic Sciences, Faculty of veterinary medicine, Urmia Branch, Islamic Azad University, Urmia, Iran.
Keywords: Experimental deficiency, Histopathology, Ketoprofen, Phenylbutazone, Rabbit. ,
Abstract :
Non-steroidal anti-inflammatory drugs such as ketoprofen and phenylbutazone are common drugs for pain management during and after surgery in humans and animals. The current study aimed to evaluate the effects of these two drugs on the normal healing process of rabbit radius bone following the experimental defect. In this cross-sectional descriptive study used 15 New Zealand white male rabbits in the control, ketoprofen and phenylbutazone groups. Following anesthetization of the animal, a defect with a diameter and depth of 3 mm was created in its right radius. Defect healing was evaluated by preparing histopathology samples and taking radiographs on days 7, 14, 21, 35 and 42. According to the results of this study, the beginning of the process of filling the defect in the control and ketoprofen groups was on the 14th day and in the phenylbutazone group on the 21st day after surgery. The amount of callus formation in the control group on day 35 was significantly higher than days 14 and 21 (p≤0.05), while no significant difference was observed in other groups. On days 14 and 21, in terms of callus formation and defect filling, the ketoprofen group had a higher mean score than the phenylbutazone group. This average score in the phenylbutazone group on day 35 was more than the ketoprofen group, and after that this ratio was higher in the ketoprofen group until the end of the study. This study showed that ketoprofen was less effective in delaying bone healing than phenylbutazone.
1. Hussain N, Brull R, Gilron I, Weaver T, Shahzad H, D'Souza R, et al. Association of peri‐operative prescription of non‐steroidal anti‐inflammatory drugs with continued prescription of opioids after total knee arthroplasty: a retrospective claims‐based cohort study. Anaesthesia. 2024.
2. Szweda M, Rychlik A, Babińska I, Pomianowski A. Cyclooxygenase-2 as a biomarker with diagnostic, therapeutic, prognostic, and predictive relevance in small animal oncology. Journal of veterinary research. 2020;64(1):151-60.
3. Jasiecka A, Maslanka T, Jaroszewski JJ. Pharmacological characteristics of metamizole. Polish Journal of Veterinary Sciences. 2014;17(1):207-214.
4. Szweda M, Rychlik A, Babinska I, Kaczmar E, Szweda W, Makowska K. Cyclooxygenase-2-characteristics, functions and possible use as a biomarker in human and animal oncology-A review. Journal of Elementology. 2024;29(1).
5. Silveira TL, Veloso ES, Gonçalves IN, Costa RF, Rodrigues MA, Cassali GD, et al. Cyclooxygenase‐2 expression is associated with infiltration of inflammatory cells in oral and skin canine melanomas. Veterinary and Comparative Oncology. 2020;18(4):727-38.
6. De Los Reyes M, Palomino J, Araujo A, Flores J, Ramirez G, Parraguez V, et al. Cyclooxygenase 2 messenger RNA levels in canine follicular cells: interrelationship with GDF-9, BMP-15, and progesterone. Domestic Animal Endocrinology. 2021;74:106529.
7. Sarvi JY, Gardhouse SM, Kleinhenz MD, Hocker SE, Weeder MM, Montgomery SR, et al. Measurement of Cyclooxygenase Products in Plasma as Markers for Inhibition of Cyclooxygenase Isoforms by Oral Meloxicam in New Zealand White Rabbits (Oryctolagus cuniculus). Journal of the American Association for Laboratory Animal Science. 2023;62(3):254-9.
8. Gao H, Huang J, Wei Q, He C. Advances in animal models for studying bone fracture healing. Bioengineering. 2023;10(2):201.
9. Gallaher HM, Butler JR, Wills RW, Priddy LB, Elder SH, Heller SM, et al. Effects of short‐and long‐term administration of nonsteroidal anti‐inflammatory drugs on osteotomy healing in dogs. Veterinary surgery. 2019;48(7):1318-29.
10. Solaiman RH, Dirnberger J, Kennedy NI, DePhillipo NN, Tagliero AJ, Malinowski K, et al. The effect of nonsteroidal anti-inflammatory drug use on soft tissue and bone healing in the knee: a systematic review. Annals of Joint. 2024;9.
11. Arzi B. Contemporary management of temporomandibular joint fractures in dogs and cats: review and expert insights on diagnostic imaging, treatment strategies, and long-term outcomes. Journal of the American Veterinary Medical Association. 2023;261(S2):S44-S51.
12. Omar RA. Evaluation bone healing agents: radiological presentative on lidocaine and diclofenac in rabbits. Journal of Kerbala for Agricultural Sciences. 2023;10(4):181-94.
13. Cai WX, Ma L, Zheng LW, Kruse‐Gujer A, Stübinger S, Lang NP, et al. Influence of non‐steroidal anti‐inflammatory drugs (NSAID s) on osseointegration of dental
implants in rabbit calvaria. Clinical oral implants research. 2015;26(4):478-83.
14. Burd TA, Hughes MS, Anglen JO. Heterotopic ossification prophylaxis with indomethacin increases the risk of long-bone nonunion. Journal of Bone Joint and Surgery British). 2013;85(5):700-705.
15. Auriel E, Regev K, Korczyn AD. Nonsteroidal anti-inflammatory drugs exposure and the central nervous system. Handbook of clinical neurology. 2014;119:577-84.
16. Soma LR, Uboh CE, Maylin GM. The use of phenylbutazone in the horse. Journal of Veterinary Pharmacology and Therapeutics. 2012;35(1):1-12.
17. Banse H, Cribb AE. Comparative efficacy of oral meloxicam and phenylbutazone in 2 experimental pain models in the horse. The Canadian Veterinary Journal. 2017;58(2):157.
18. Perontsis S, Hatzidimitriou AG, Begou O-A, Papadopoulos AN, Psomas G. Characterization and biological properties of copper (II)-ketoprofen complexes. Journal of inorganic biochemistry. 2016;162:22-30.
19. Väätäjä HK, Pesonen EK. Ethical issues and guidelines when conducting HCI studies with animals. CHI'13 Extended Abstracts on Human Factors in Computing Systems. 2013;2159-68.
20. Tranquilli WJ, Thurmon JC, Grimm KA. Lumb and Jones Veterinary Anesthesia and Analgesia. 4th ed. Blackwell Publishing. 2007;765-785
21. Delgado‐Ruiz RA, Calvo‐Guirado JL, Abboud M, Ramirez‐Fernandez MP, Mate‐Sanchez JE, Negri B, et al. Histologic and histomorphometric behavior of microgrooved zirconia dental implants with immediate loading. Clinical implant dentistry and related research. 2014;16(6):856-72.
22. Wenger S. Anesthesia and analgesia in rabbits and rodents. Journal of exotic pet medicine. 2012;21(1):p.7-16.
23. Jafar G, Ahmed MS, Albadri A. Study the anatomical and histomorphological description of the kidney in adult white. 2014.
24. Kamfar P, Alizadeh S, Hosseinchi MR. Radiographic and histological evaluations of the effects of meloxicam and flunixin meglumine on the repair of radial bone defects in a rabbit model. Iranian Journal of Veterinary Science & Technology. 2023;15(1).
25. Vuolteenaho K, Moilanen T, Moilanen E. Non‐steroidal anti‐inflammatory drugs, cyclooxygenase‐2 and the bone healing process. Basic & clinical pharmacology & toxicology. 2008;102(1):10-4.
26. Boursinos L, Karachalios T, Poultsides L, Malizos K. Do steroids, conventional non-steroidal anti-inflammatory drugs and selective Cox-2 inhibitors adversely affect fracture healing. J Musculoskelet Neuronal Interact. 2009;9(1):44-52.
27. Cottrell J, O’Connor JP. Effect of non-steroidal anti-inflammatory drugs on bone healing. Pharmaceuticals. 2010;3(5):1668-93.
28. Jeffcoach DR, Sams VG, Lawson CM, Enderson BL, Smith ST, Kline H, et al. Nonsteroidal anti-inflammatory drugs’ impact on nonunion and infection rates in long-bone fractures. Journal of Trauma and Acute Care Surgery. 2014;76(3):779-83.
29. Inal S, Kabay S, Cayci MK, Kuru HI, Altikat S, Akkas G, et al. Comparison of the effects of dexketoprofen trometamol, meloxicam and diclofenac sodium on fibular fracture healing, kidney and liver: an experimental rat model. Injury. 2014;45(3):494-500.
30. Moarabi A, Mosalla NB, Imani H, Baniadam A, Hosseini H. Evaluation of Adverse Effects of Ketoprofen Following Experimental Tibial Osteotomy in Cats. 2016
31. Al Farii H, Farahdel L, Frazer A, Salimi A, Bernstein M. The effect of NSAIDs on postfracture bone healing: a meta-analysis of randomized controlled trials. OTA International. 2021;4(2):e092.
32. Ye S, Yim J-H, Kim J-R, Jang KY, Wang H, Wang JC, et al. Effects of diclofenac sodium on BMP-induced inflammation in a rodent model. Spine. 2015;40(14):E799-E807.
33. Ma FJ, Huang X, Li XY, Tang SL, Li DJ, Cheng YZ, et al. Synthesis, structure and biological activity of silver (I) complexes containing triphenylphosphine and non-steroidal anti-inflammatory drug ligands. Journal of Inorganic Biochemistry. 2024;250:112404.
34. Wang M, Li XW, Yuan SC, Pan J, Guo ZL, Sun LM, et al. Indomethacin restrains cytoplasmic nucleic acid-stimulated immune responses by inhibiting the nuclear translocation of IRF3. Journal of Molecular Cell Biology. 2024:mjae015.
35. Ochi H, Hara Y, Asou Y, Harada Y, Nezu Y, Yogo T, et al. Effects of long-term administration of carprofen on healing of a tibial osteotomy in dogs. American journal of veterinary research. 2011;72(5):634-41.