Evidence map›Paper›PMID 41239023›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

The effect of amlodipin, a calcium channel blocker, on tendon healing: an experimental study in rat model of Achilles tendon injury.

Sefa Erdem Karapinar, Umut Can Duvarci, Serdar Tunc, Unal Unsar Sarıısık, Omer Faruk Topcu, Recep Dincer, Serdar Kamil Cepni, Afra Gul Yonet, Ilkay Armagan, Orhan Berk Imeci and 1 more

Abstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sefa Erdem KarapinarFaculty of Medicine, Department of Orthopedics and Traumatology, Suleyman Demirel University, Isparta, Turkey. sefaerdemkarapinar@gmail.com.
Umut Can DuvarciSandıklı State Hospital Orthopedics and Traumatology Department, Afyonkarahisar, Turkey.
Serdar TuncFaculty of Medicine, Department of Orthopedics and Traumatology, Suleyman Demirel University, Isparta, Turkey.
Unal Unsar SarıısıkFaculty of Medicine, Department of Orthopedics and Traumatology, Suleyman Demirel University, Isparta, Turkey.
Omer Faruk TopcuFaculty of Medicine, Department of Orthopedics and Traumatology, Suleyman Demirel University, Isparta, Turkey.
Recep DincerFaculty of Medicine, Department of Orthopedics and Traumatology, Suleyman Demirel University, Isparta, Turkey.
Serdar Kamil CepniOrthopedics snd Traumatology Clinic, Umraniye Training and Research Hospital, Istanbul, Turkey.
Afra Gul YonetFaculty of Medicine, Department of Histology and Embryology, Suleyman Demirel University, Isparta, Turkey.
Ilkay ArmaganFaculty of Medicine, Department of Histology and Embryology, Suleyman Demirel University, Isparta, Turkey.
Orhan Berk ImeciFaculty of Medicine, Department of Medical Pharmacology, Suleyman Demirel University, Isparta, Turkey.
Halil AsciFaculty of Medicine, Department of Medical Pharmacology, Suleyman Demirel University, Isparta, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAchilles tendon injuries represent a major clinical challenge due to the tendon's poor vascularity and limited regenerative capacity. Amlodipine, a dihydropyridine calcium channel blocker, has demonstrated antioxidant, anti-inflammatory, and vasodilatory effects in various tissues. However, its potential influence on tendon healing remains unexplored. This study aimed to evaluate the histopathological and biomechanical effects of amlodipine on tendon regeneration in a rat model of Achilles tendon rupture.

methodsForty-eight male Wistar albino rats (300-350 g) were randomly allocated into four groups (n = 12 each): C14, A14, C28, and A28. A complete Achilles tenotomy was surgically created and repaired using the Kessler technique. Animals received either physiological saline (control) or amlodipine besylate (5 mg/kg/day, oral gavage) for 14 or 28 days. Tendons were harvested for either biomechanical testing (tensile strength and elongation) or histopathological analysis (fibroblastic activity, neovascularization, inflammation).

resultsAmlodipine significantly enhanced fibroblastic activity and neovascularization at both time points compared to controls. Inflammatory scores decreased markedly from day 14 to 28 in the treatment group, indicating a strong anti-inflammatory effect (p < 0.01 for all). Biomechanical testing revealed significantly increased tensile strength (22.23 ± 2.89 N vs. 15.07 ± 3.79 N; p < 0.05) and elongation (4.90 ± 1.62 mm vs. 2.70 ± 0.68 mm; p < 0.05) in the amlodipine group by day 28.

conclusionAmlodipine appears to accelerate and enhance Achilles tendon healing by promoting fibroblastic proliferation, angiogenesis, and biomechanical strength, while reducing inflammation. These findings suggest a potential role for amlodipine as a pharmacologic adjunct in tendon repair; however, further mechanistic and clinical studies are warranted.

Indexed as

Achilles TendonAmlodipineCalcium Channel BlockersTendon InjuriesWound HealingAnimalsDisease Models, AnimalMaleNeovascularization, PhysiologicRandom AllocationRatsRats, WistarTensile StrengthAmlodipineCalcium Channel BlockersAchilles tendon ruptureAmlodipineAngiogenesisBiomechanical testingTendon healing

Identifiers

PMID41239023
PMCPMC12618398

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.