Introduction
This experimental study was performed to assess, whether or not, vitamin C, required during the collagen synthesis, would
influence the Achilles tendon healing in a healthy rat model.
Materials and methods
The right Achilles tendons of 42 healthy female Wistar Albino rats were completely ruptured. The rats were randomly divided
into the vitamin C and control groups and both groups included third, tenth and twenty-first day subgroups. One hundred and
fifty milligrams (1.5 cc) of vitamin C and 1.5 cc % 0.9 NaCl were injected once for every 2 days for the vitamin C and control
groups, respectively. Qualitative and quantitative microscopic comparisons of the repair tissues of both groups were made
on the mentioned days.
Results
Angiogenesis was more evident on the third day in the vitamin C group. There was a significant difference between the control
and vitamin C groups regarding the type I collagen production on the tenth day. The structure of the repair tissue was almost
in the form of regular dense connective tissue at the end of twenty-first day in the vitamin C group. Mean collagen fiber
diameter was considerably higher, and the number of active fibroblasts in the repair tissue was slightly elevated in the vitamin
C group during the entire healing process.
Conclusion
High-dose vitamin C supplementation once for every 2 days has stimulating effects on the Achilles tendon healing because of
early angiogenesis and increased collagen synthesis in a healthy rat model. Further studies are needed to make clear the mentioned
encouraging effects of the vitamin C on the Achilles tendon healing.
Keywords Achilles tendon - Tendon healing - Vitamin C - Type I collagen - Fibroblast
Gazi University Scientific Research Project Foundation provided the financial support for this study (project no. 01/2003-01).