Table 3.
Effect of GH and IGF-1 administration on bone fractures healing.
Authors | Number of subjects |
Age | Type of fracture | Therapy | Dose GH (mg/kg/day) |
Duration | Results |
---|---|---|---|---|---|---|---|
Van der Lely et al., 2000 [274] | Placebo = 46 W = 42 M = 13 |
76.5 ± 7.2 23.6 ± 3.2 |
Hip fracture | rHGH | 0.02 | 6 weeks | 75% of patients return to the prefracture living situation |
| |||||||
Boonen et al., 2002 [270] | 9 M + 11 W | 65–90 | Hip fracture | rhIGF-I/IGFBP-3 | 0.5 = 9 1.0 = 11 |
8 weeks 6 months |
Increase bone density and muscle strength and enhance functional recovery |
| |||||||
Yeo et al., 2003 [275] | 31 W | 86 medium | Hip fracture | rHGH | 0.05 (high dose) or 0.025 (low dose) |
14 days | Significant increase of serum IGF-I and IGFBP-3 and promotes anabolism |
| |||||||
Weissberger et al., 2003 [276] | 33 W | 60–82 | Total hip replacement | rHGH | 0.012 | 14 weeks preoperatively and 4 weeks postoperatively | Improvements in lean body mass and skeletal muscle mass |
| |||||||
Hedström et al., 2004 [277] | 20 W | <65 | Hip fracture | rHGH | 0.1 U max 8 U | 4 weeks | IGF-I increased significantly and lean body mass and BMC preserved |
| |||||||
Raschke et al., 2007 [278] | 406 93 W + 313 M |
18–64 | Tibial fracture | rHGH | 15, 30, or 60 | 16 weeks | GH did not accelerate time to healing in open fracture |
| |||||||
Krusenstjerna-Hafstrøm et al., 2011 [279] | 406 (313 males and 93 females) |
56 ± 8.4 | Tibial fracture | rHGH | 15, 30, or 60 | 16 weeks | Dose-dependent increases of bone markers∗ |
M = men, W = women.