title: Histologic and Biomechanical Evaluation of the Effects of Social Stress and the Antidepressant Fluoxetine on Tendon Healing in Rats.
abstract: Impaired wound healing in humans under psychological stress and the positive effects of antidepressant drugs on wound healing were also shown in the literature. However, there are currently no studies regarding the effects of antidepressant drugs on tendon healing. The aim of this study was to compare tendon healing under normal conditions versus social stress. We also aimed to perform a histological and biomechanical analysis of the effects of the antidepressant drug fluoxetine on tendon healing. Sixty Sprague Dawley rats were divided into six groups. A social stress regimen was used to stress the rats. The use of fluoxetine in the social stress group yielded significantly better biomechanical results and the collagen organizations of the fluoxetine group were more similar to the normal tendon collagen organization. Fluoxetine seems to inhibit the negative effects of stress on tendon healing and seems to improve tendon healing.
  
  
  METHODS
  Level 5.
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Tekirdağ Government Hospital, Tekirdağ, Turkey.
authors.forename: Muhammed Besir
authors.initials: MB
authors.lastname: Ozturk
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Liv Hospital, İstanbul, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Egemen
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Bağcılar Training and Research Hospital, İstanbul, Turkey.
authors.forename: Salih Onur
authors.initials: SO
authors.lastname: Basat
authors.affiliation: Faculty of Mechanical Engineering, Labaratory of Strength of Materials and Biomechanics, Istanbul Technical University, İstanbul, Turkey.
authors.forename: Ergün
authors.initials: E
authors.lastname: Bozdağ
authors.affiliation: Department of Pathology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey.
authors.forename: Damlanur
authors.initials: D
authors.lastname: Sakız
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Medipol University Hospital, İstanbul, Turkey.
authors.forename: Mithat
authors.initials: M
authors.lastname: Akan
keywords: Fluoxetine; SSRI and tendon healing; Social stress; Social stress and tendon healing; Tendon healing