Biomechanical Effects of Unidirectional Expansion Using Anisotropic Expanders in Horse Skin Tissue.
Abstract: The use of a self-inflating tissue expander is a technique to stretch cutaneous tissues for potential use in reconstructive skin surgeries. This study investigates the mechanical properties of horse skin stretched by the subcutaneous implantation of anisotropic tissue expanders at the forehead, right shoulder, and dorsomedial part of the cannon region of the right forelimb in six (n = 6) horses. After 14 days of skin expansion, expanded and normal (control) skin samples were harvested and their mechanical properties of elastic modulus (EM), maximum force (MF), maximum stress (MSs) and maximum strain (MSr) were evaluated using uniaxial tension test. The expanded skin from shoulder area has higher EM, MSs, MSr and MF than the normal skin when compared to the forehead and lower forelimb. Statistically, there was a significant (P= .02) mean difference for MSs between the expanded shoulder and lower forelimb skin, but the pairwise comparison of EM, MSr and MF showed no significant difference between the locations. The overall effect of locations on EM and MSs was statistically significant (P < .05), however, there was no overall effect of horse factor, treatment factor (normal and expanded skin) and location interaction on the EM, MSS, MF and MSr. In conclusion, the expanded skin from the frontal head and the distal limb are less elastic (stiffer) compared to that of the expanded skin of the shoulder, thus anatomical location of the skin has some degree of effect on EM and MSs.
Copyright © 2021 Elsevier Inc. All rights reserved.
Publication Date: 2021-02-03 PubMed ID: 33781409DOI: 10.1016/j.jevs.2021.103399Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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The research investigates how the use of tissue expanders in specific areas of a horse’s body has varying degrees of effect on biomechanical properties of the skin. While the skin from the shoulder area becomes more elastic when expanded, the skin from the forehead and the lower forelimb becomes stiffer.
Objective and Methodology
- The study aimed to explore the mechanical properties of horse skin when stretched using anisotropic tissue expanders in distinct areas (forehead, right shoulder, and lower part of the right forelimb). Anisotropic tissue expanders are implants that expand skin tissue in one direction.
- This experiment involved six horses, whose skin was expanded over a period of 14 days. Skin samples were then gathered from the expanded areas as well from normal, unexpanded areas as controls.
Testing and Results
- The harvested skin samples were subjected to a uniaxial tension test, which measures the elasticity of the skin by applyingforce until certain point called the breaking point. The skin’s elasticity (‘EM’ – Elastic Modulus), the maximum force it could withstand (‘MF’), the maximum stress (‘MSs’), and the maximum strain (‘MSr’) were evaluated.
- The findings showed that the expanded skin from the shoulder had higher EM, MSs, MSr and MF compared to the normal skin and expanded skin from the forehead and forelimb. This implies that the expanded skin from the shoulder was more elastic.
- Statistical analysis revealed a significantly higher MSs for the expanded shoulder skin compared to the lower forelimb skin, indicating more resistance to breaking under pressure. However, the EM, MSr, and MF did not significantly vary across the different areas.
- While the study showed the location had a significant effect on EM and MSs, no notable influence was attributed to the individual horse or the expanded area in relation to unexpanded skin across the different locations.
Conclusion
- In summary, the results indicated that the expanders made the skin at the shoulder more elastic, while the forehead and lower right forelimb skin was deemed stiffer. Therefore, the study suggests that the precise location of skin where expanders are used might impact the success of reconstructive surgeries, as the resultant biomechanical properties of the skin vary.
Cite This Article
APA
Al-Majhali SH, Khairuddin NH, Abdul Razak IS, Radzi Z, Rahman MT, Sapalo JT, Mayaki AM, Czernuszka JT.
(2021).
Biomechanical Effects of Unidirectional Expansion Using Anisotropic Expanders in Horse Skin Tissue.
J Equine Vet Sci, 99, 103399.
https://doi.org/10.1016/j.jevs.2021.103399 Publication
Researcher Affiliations
- Department of Surgery and Obstetric, College of Veterinary Medicine, Thamar University Yemen.
- Department of Farm and Exotic Animal Medicine and Surgery, Faculty of Veterinary Medicine, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia. Electronic address: nurulhayah@upm.edu.my.
- Department of Veterinary Preclinical Science, Faculty of Veterinary Medicine, Universiti Putra Malaysia.
- Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia.
- Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia.
- Ceremonial Mounted Squadron, Malaysian Armed Forces.
- Department of Veterinary Medicine, Usmanu Danfodiyo University, PMB 2346, Sokoto, Nigeria.
- Department of Materials, University of Oxford, Parks Road, OX1 3PH, United Kingdom.
MeSH Terms
- Animals
- Elastic Modulus
- Horses
- Plastic Surgery Procedures / veterinary
- Skin
- Tissue Expansion / veterinary
- Tissue Expansion Devices
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