Combined Pulsed Magnetic Field and Radiofrequency Electromagnetic Field Enhances MMP-9, Collagen-4, VEGF Synthesis to Improve Wound Healing Via Hif-1α/eNOS Pathway.

BACKGROUND: The blood supply of the tissue is very important in the acceleration of wound healing. Radiofrequency electromagnetic field (RF) and the pulsed magnetic field (PMF) increase vasodilation to contribute wound healing. The aim of this study was to evaluate the effects of RF and PMF on wound healing via hypoxia-inducible factor-1 alpha (Hif-1α)/endothelial nitric oxide synthase (eNOS) pathway. METHODS: Forty-eight rats were divided into 4 groups as sham (wound created only), PMF (27.12 MHz, 12 times a day at 30-min intervals), RF (0.5 mT, continuously) and PMF + RF groups. Wounds were created at 1.5 × 1.5 cm size to the dorsal region, and animals were put into unit. Six animals were killed on days 4 and 7; wound tissues were collected for histopathological, immunohistochemical as collagen-4, cytokeratin, matrix metalloproteinase-9 (MMP-9), vascular endothelial growth factor (VEGF) staining and Hif-1α/eNOS/VEGF expressions. RESULTS: On day 4, in addition to increasing VEGF and MMP-9 stainings, connection between intact tissue and scar tissue which was stronger in the RF- and PMF-applied groups was observed. On day 7, epithelization started; inflammatory reaction decreased; collagen production, cytokeratin, VEGF and MMP-9 expression enhanced, especially in the RF + PMF applied group. eNOS, Hif-1α and VEGF expression levels were found to be significantly highest in both days of RF + PMF-applied group. CONCLUSIONS: This study revealed that both in vitro RF and PMF applications can cause notable changes in factors that are required for tissue repair on wound healing such as epithelization, connective tissue formation, collagen production and angiogenesis via vasodilatory Hif-1α/eNOS pathway and VEGF signaling. NO LEVEL ASSIGNED: This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Assessment of the effect of pulsed electromagnetic field application on the healing of bone defects in rats with heparin-induced osteoporosis.

Osteoporosis is a systemic skeletal disease characterized by an increase in bone fragility and fracture risk due to low bone mass and deterioration of bone tissue. Application of pulsed electromagnetic fields (PEMF), a non-invasive method with a low complication risk, is known to stimulate bone formation. The present study examines the histomorphometric and biochemical effects of PEMF application on the healing of bone defects in rats with heparin-induced secondary osteoporosis. Briefly, 12-month-old male Sprague-Dawley rats were examined in a prospective, randomized, single-blind study. Osteoporosis was induced by administering a daily dose of 2 IU/g heparin for 33 days. Bone defects were created on the right femur on Day 35. PEMF of an average intensity of 0.8 ± 0.2 mT and a frequency of 7.3 Hz, was applied for 1 h/day, for 28 days following surgery. Bone healing was evaluated by histomorphometric and biochemical analyses. The heparin + PEMF group displayed the largest amount of new bone area (P = .002) and the lowest mean CTx on Day 63 (P = .05). This study demonstrates that heparin administration leads to bone loss and osteoporosis, whereas the application of PEMF decreases this effect.

Effects of long-term pre- and post-natal exposure to 2.45 GHz wireless devices on developing male rat kidney.

PURPOSE: The aim of the present study was to investigate oxidative stress and apoptosis in kidney tissues of male Wistar rats that pre- and postnatally exposed to wireless electromagnetic field (EMF) with an internet frequency of 2.45 GHz for a long time. METHODS: The study was conducted in three groups of rats which were pre-natal, post-natal. and sham exposed groups. Oxidative stress markers and histological evaluation of kidney tissues were studied. RESULTS: Renal tissue malondialdehyde (MDA) and total oxidant (TOS) levels of pre-natal group were high and total antioxidant (TAS) and superoxide dismutase (SOD) levels were low. Spot urine NAG/creatinine ratio was significantly higher in pre- and post-natal groups (p < 0.001). Tubular injury was detected in most of the specimens in post-natal groups. Immunohistochemical analysis showed low-intensity staining with Bax in cortex, high-intensity staining with Bcl-2 in cortical and medullar areas of pre-natal group (p values, 0.000, 0.002, 0.000, respectively) when compared with sham group. Bcl2/Bax staining intensity ratios of medullar and cortical area was higher in pre-natal group than sham group (p = 0.018, p = 0.011). CONCLUSION: Based on this study, it is thought that chronic pre- and post-natal period exposure to wireless internet frequency of EMF may cause chronic kidney damages; staying away from EMF source in especially pregnancy and early childhood period may reduce negative effects of exposure on kidney.

Investigation of effects of short-term exposure to 50 HZ magnetic field on central, peripheral, and autonomic nervous systems in rats.

Although a large number of exposure studies have been carried out to investigate possible detrimental effects of a power-line frequency magnetic field (PF-MF; 50-60 Hz) on living organisms, there is no consensus in reported results. Recent research suggested that short-term exposure to a 50 Hz PF-MF can have a greater effect than long-term exposure. In our study, we aimed to investigate the possible effect of short-term 50 Hz PF-MF exposure on central, peripheral, and autonomic nervous systems through electroencephalogram (EEG), nerve conduction velocity (NCV), and heart rate variability (HRV) measurements. To that end, Wistar albino rats and sciatic nerves gathered from the rats were exposed to a 50 Hz, 0.3 mT MF, and changes on EEG, NCV, and HRV were investigated. According to data we gathered, MF frequency and magnetic flux density that we applied did not affect EEG, NCV, or HRV. The reason for conflicting results gathered from MF exposure studies may be that the nervous system can be affected by a specific MF frequency and magnetic flux density, but that different MF exposures do not affect it. Moreover, exposure duration to MF may also have influenced results.

The Effects of Electromagnetic Field on the Endocrine System in Children and Adolescents.

Children are exposed to various kind of non-ionizan radiation in their daily life involuntarily. The potential sensitivity of developing organism to the effects of radiofrequency (RF) signals, the higher estimated specific absorption rate (SAR) values of children and greater lifetime cumulative risk raised the scientific interest for children's vulnerability to electromagnetic fields (EMFs). In modern societies, children are being exposed to EMFs in very early ages. There are many researches in scientific literature investigating the alterations of biological parameters in living organisms after EMFs. Although the international guidelines did not report definite, convincing data about the causality, there are unignorable amount of studies indicating the increased risk of cancer, hematologic effects and cognitive impairment. Although they are less in amount; growing number of studies reveal the impacts on metabolism and endocrine function. Reproductive system and growth look like the most challenging fields. However there are also some concerns on detrimental effects of EMFs on thyroid functions, adrenal hormones, glucose homeostasis and melatonin levels. It is not easy to conduct a study investigating the effects of EMFs on a fetus or child due to ethical issues. Hence, the studies are usually performed on virtual models or animals. Although the results are conflicting and cannot be totally matched with humans; there is growing evidence to distress us about the threats of EMF on children.

The effects of long-term exposure to a 2450 MHz electromagnetic field on growth and pubertal development in female Wistar rats.

The aim of this study was to investigate the effects of a 2450 MHz electromagnetic field (EMF) (wireless internet frequency) on the growth and development of female Wistar rats. The study was conducted on three groups of rats. The prenatal and postnatal groups were exposed to EMF 1 h/day beginning from intrauterine and postnatal periods, respectively. The third group was the sham-exposed group. Growth, nutrition and vaginal opening (VO) were regularly monitored. Serum and tissue specimens were collected at puberty. Histological examinations, total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) measurements in ovary and brain tissues and also immunohistochemical staining of the hypothalamus were performed besides the determination of serum FSH, LH, E2 and IGF-1 values. Birth masses of the groups were similar (p > 0.05). Mass gain per day was significantly lower and the puberty was significantly later in the prenatal group. Brain and ovary TOS and OSI values in the prenatal group were significantly increased (p < 0.05) compared to the control group. Serum LH levels of the prenatal and postnatal groups were increased, although serum FSH, and E2 values did not differ among the groups (p > 0.05). Histological examinations of the specimens revealed no statistically significant difference between the groups (p > 0.05). Exposure to 2450 MHz EMF, particularly in the prenatal period, resulted in postnatal growth restriction and delayed puberty in female Wistar rats. Increased TOS and OSI values in the brain and ovary tissues can be interpreted as a sign of chronic stress induced by EMF. This is the first longitudinal study which investigates the effects of EMF induced by wireless internet on pubertal development beside growth.

Effects of pulsed electromagnetic field and swimming exercise on rats with experimental sciatic nerve injury.

[Purpose] The current study aimed to reveal the therapeutic effects of a pulsed electromagnetic field and swimming exercises on rats with experimental sciatic nerve injury, which was induced with crush-type neuropathy model damage, using electrophysiological methods. [Subjects] In the current study, the sample consisted of 28 adult male Wistar albino rats. [Methods] The rats were randomized into four groups (n=7). Swimming exercise and PEMF (2 Hz and 0.3 MT) were applied one hour a day, five days a week, for four weeks. Electroneuromyographic (ENMG) measurements were taken on day 7. [Results] When the data were evaluated, it was found that the 4 weeks of PEMF and swimming exercises led to an increase in motor conduction rates and a decrease in latency values, but the changes were not significant in comparison with the control and injury groups. The compound muscle action potential (CMAP) values of the left leg were lower in weeks 2, 3, and 4 in the swimming exercise group in comparison with the control group, although for the PEMF group, the CMAP values of the left leg reached the level observed in the control group beginning in week 3. [Conclusion] PEMF and swimming exercise made positive contributions to nerve regeneration after week 1, and regeneration was enhanced.

The influence of pulsed electric field on hematological parameters in rat.

The aim of the present study is to investigate whether or not pulsed electric field (PEF) affects some hematological parameters in rats. Sixteen healthy male Wistar rats weighting 150-200 g were used and were randomly divided into two groups. Exposure group (n = 8) was exposed to a PEF (10 kV m⁻¹ for 1 h d⁻¹) for 10 consecutive days. The control group rats (n = 8) were not exposed to PEF. The following hematological parameters were measured in both the groups: white blood cells (WBCs), red blood cells (RBCs), hemoglobin (Hb), hematocrit (Ht) and platelets (PLTs). Some of the hematological parameters under investigation were similar in both the groups. Exposure group, exposed for 1 h d⁻¹ during 10 consecutive days, induced a significant increase in the rates of WBC (p < 0.05), RBC (p < 0.05), Hb (p < 0.05), Ht (p < 0.05) and PLTs (p < 0.05) in blood when compared with control. These results suggest that PEFs affect the hematological parameters in rat. Results of the parameters are statistically significant.

Influence of 50 Hz-1 mT magnetic field on human median nerve.

In this study, human median nerve was exposed to power frequency magnetic fields in order to provide clarification for possibly changeable nerve conduction mechanism. The nerve was exposed to 50 Hz magnetic field by utilizing a special Helmholtz applicator. The experiments were carried out with six healthy human-volunteers. Median motor distal amplitude/proximal amplitude ratios were recorded from adult human median nerve pre-exposure, during, and post-exposure to a 50 Hz, 1 mT magnetic field. The result of 18 measurements shows that median motor distal amplitude/proximal amplitude ratio significantly decreases in pre-exposure state as compare to post exposure of which. The results of this study may be useful for some nerve rehabilitation, excitation, and stimulation in more effective/safe physical therapy. Additionally, 50 Hz, 1 mT sinusoidal magnetic field should not be recognizing as safe for conduction mechanism on a nerve. These mechanisms would be cleared by new advanced engineering models in other future works.

Disintegration of sewage sludge using pulsed electrical field technique: PEF optimization, simulation, and anaerobic digestion.

A Pulsed Electrical Field (PEF) reactor was developed to process biological sludge as a pretreatment method prior to anaerobic digestion. This study focuses on the effects of operational parameters such as applied voltage, pH, conductivity, flow-rate, and temperature affecting the treatment of waste active sludge (WAS) by PEF, the simulation of reactor process conditions and anaerobic biodegradation of PEF pretreated sludge. The effects of the sludge conductivity, flow-rate, and temperature on the Soluble Chemical Oxygen Demand (SCOD) of WAS treated by PEF reactor were investigated by using a Box-Wilson statistical experiment design. Simulations of the PEF process conditions were performed to verify experimental results. After PEF optimization study, the PEF operational conditions for maximum SCOD were obtained at 4 mS/cm conductivity, 5 mL/min flow-rate, and 40 °C temperature during PEF treatment. The measured and predicted SCOD showed a good consistency (R2 = 0.92). After it was pretreated by the PEF, the SCOD, total nitrogen, total phosphorus, polysaccharide and protein contents of WAS increased. However filterability property also decreased. In the anaerobic digestion study, the reactor fed with the PEF pretreated WAS provided 1.70 times higher methane production compared with raw sludge. In addition to this situation, 18% and 19% improvements, respectively, were observed in SCOD and VSS reductions when it was compared with raw sludge in the 23 days of anaerobic operation. Sixteen percent decrease in CST showed that the PEF enhanced the filterability of WAS during the anaerobic stabilization.

Effect of ELF electric field on some on biochemistry characters in the rat serum.

The present study has investigated the potential effects of extremely low frequency (ELF) electric field exposure on plasma cholesterol and triglyceride levels of adult male rats. Sixty rats have been divided into three independent groups randomly, 20 of which arranged as controls (without exposure to 50 Hz electric field), 20 of which have been exposed to a 50 Hz electric field for 10 days and 20 of which have been exposed to a 50-Hz electric field for 30 days. Levels of total cholesterol and triglyceride in plasma samples have been measured. Total cholesterol concentration of the plasma in group 2 with short-term exposure and group 3 with long-term exposure to 50 Hz EF (65.33 ± 15.31 mg/dL and 59.55 ± 15.01 mg/dL, respectively) has showed significant decrease when compared with control groups (70.44 ± 19.60 mg/dL). Also, plasma triglyceride showed similar changes (control: 84.44 ± 16.79 mg/dL, 67.33 ± 15.63 and 51.53 ± 14.17 mg/dL in group 1 and 2, respectively). Fifty Hz electric field may decrease plasma total cholesterol and triglyceride levels in rodents significantly, especially with long-term exposure.

Effects of 50 Hertz-1 mT magnetic field on action potential in isolated rat sciatic nerve.

The aim of this study was to investigate possible effects of 50 Hz-1 mT magnetic field (MF) on action potential in isolated rat sciatic nerve. We used 16 Wistar rats in the study. They were divided into control (n = 10) and MF (n = 6) groups. The sciatic nerve of left legs in the MF group was exposed to 50 Hz-1 mT MF for 30 min by using a Helmholtz applicator and then action potentials in control and experimental groups were recorded extracellularly. Maximum amplitude and hyperpolarization time and action potential were significantly (p ≤ 0.025) lower in the MF group than in control. However, conduction time, minimum amplitude, depolarization and repolarization times of the action potential was not different between control and MF groups evaluated. In conclusion, 50-1 mT MF caused to decrease amplitude value and hyperpolarization time of action potential in the rat nerve.

Investigation into the effects of static and electric fields on bone healing process: An experimental tibial fracture model study in Wistar-Albino male rats.

OBJECTIVE: In this experimental study, we aimed to investigate whether 0 Hz-Static and 50 Hz-Electric fields have an effect on bone healing. METHODS: In this study, 45 male Wistar-Albino rats were equally and randomly separated into three groups as follows: a 0 Hz-Static electric field (SEF), a 50-Hz low-frequency electric field (LFEF) and a control group. A manual fracture was performed in the left tibia diaphysis of all rats, and fractures were fixed using circular plaster over the knee. The LFEF group was exposed to 50 Hz electric field for 30 minutes a day, five days a week, for a total of eight weeks. The SEF group was exposed to 0 Hz electric field within the same time interval. The control group was held in identical environmental conditions, without exposure to electric field. Periodic radiographs were taken from all the animals. At the end of this study, rats were sacrificed and mechanical/histopathologic examinations were performed. RESULTS: Radiologic, mechanical and histologic scores of the LFEF group were lower than those of the SEF and control groups; however, no significant difference was found in group comparisons in terms of average histologic and radiologic scores (p>0.05). CONCLUSION: Results extracted from the current study suggest that 0-hz static and 50-hz electric field exposures affect bone healing tissue of tibial fracture models in rats, although it is not significant.

Effects of a specially pulsed electric field on an animal model of wound healing.

The possible beneficial effects of a specially pulsed electric field (PEF) on wound healing were investigated in this study. We made a pair of triangular, full-thickness, dorsal incisions in the skin of 32 healthy male mice (one control group and three exposure groups). The treatment groups were kept between parallel plates in a partially insulated exposed environment. Group I was exposed to an electric field intensity of 10 kV/m, group II was exposed to 1.9 kV/m, and group III was exposed to 0.9 kV/m. PEFs were applied to the subjects for 20-22 h and 8 consecutive days. We determined the differences in wound recovery between the groups based on the following parameters: collagen fiber density, inflammatory infiltration density, capillary proliferation, and existence of exudates. We found that a 0.9 kV/m-1.9 kV/m chopped direct current (DC) electric field with a 30 micros repetition time favorably affected collagen synthesis and wound recovery. Despite the intensity of 0.9-1.9 kV/m, PEF accelerated healing, but 10 kV/m decelerated this recovery process.

Endometrial apoptosis induced by a 900-MHz mobile phone: preventive effects of vitamins E and C.

Numerous reports have described the effects induced by an electromagnetic field (EMF) in various cellular systems. The purposes of this study were to examine oxidative stress that promotes production of reactive oxygen species induced by a 900-megahertz (MHz) mobile phone and the possible ameliorating effects of vitamins E and C on endometrial tissue against EMF-induced endometrial impairment and apoptosis in rats. Animals were randomly grouped as follows: (1) sham-operated control group (n=8), (2) 900 MHz EMF-exposed group (n=8; 30 min/d for 30 d), and (3) 900 MHz EMF-exposed group, treated with vitamins E and C (n=8; 50 mg/kg intramuscularly and 20 mg/kg body weight intraperitoneally before daily EMF exposure). Malondialdehyde (an index of lipid peroxidation) was used as a marker of oxidative stress-induced endometrial impairment; Bcl-2, Bax, caspase-3, and caspase-8 were assessed immunohistochemically. In this study, increased malondialdehyde levels in endometrial tissue and apoptosis illustrated the role of the oxidative mechanism induced by exposure to a 900-MHz mobile phone-like device and vitamins E and C; via free radical scavenging and antioxidant properties, oxidative tissue injury and apoptosis were ameliorated in rat endometrium. In conclusion, exposure to 900-MHz radiation emitted by mobile phones may cause endometrial apoptosis and oxidative stress, but treatment with vitamins E and C can diminish these changes and may have a beneficial effect in preventing endometrial changes in rats.

Induced dielectric-force-effect by 50 Hz strong electric field on living tissue.

The main objective of this paper is to study on the fields, resultant forces, and the dielectric substances in biologic tissues. Additionally, to unveil the possible mechanism which affects on major biological activities were examined. In the scientific literature, there are many studies conducted with low frequency Electromagnetic Fields (MFs), Static Magnetic Fields (SMFs), and Pulsed Electromagnetic Fields (PEMFs). However, we face in some cases; merely electric fields may be effective on biological functions (around 10 kV/m). Parallel plate exposure system was chosen as a model in this paper. In order to overcome the difficulty of generating virtual homogenous low frequency ac (power frequencies) or dc fields, a pair of appropriately designed parallel plates exposure model may be mighty tool. In this study, an important assumption, with deriving an equation that possible explanation for heat rise in a living tissue, has been made. Consequently it has been assumed that the field E(loc) may be responsible both for the induced and oriented polarization.

Effects of electromagnetic field (1.8/0.9 GHz) exposure on growth plate in growing rats.

The purpose of this study was to determine the effects of whole-body electromagnetic field (EMF) exposure on growth plates in growing male rats. Two groups of rats were exposed to either 900 MHz EMF or 1800 MHz EMF 2 h/day for 90 days. Sham control rats were kept under similar conditions without exposure to the EMF. The rats in the EMF group experienced a more rapid weight gain and increase in length (p < 0.05). Calcium, growth hormone, estradiol and testosterone levels in the EMF groups were higher (p < 0.05). The Safranin O staining density of femoral growth plate was lowest in the reserve zone of rats exposed to 1800 MHz and was increased in the proliferative zone of the control group (p < 0.05). The trabecular zone was thinnest among all zones and the reserve and proliferative zones were thicker (p < 0.05) than other zones in 1800 MHz group.In conclusion, 1800 MHz and 900 MHz EMF may cause prolong the growth phase in growing rats.

Physiological parameters as a tool in the diagnosis of fibromyalgia syndrome in females: A preliminary study.

AIMS: Although fibromyalgia (FM) syndrome is associated with many symptoms, there is as yet no specific finding or laboratory test diagnostic of this syndrome. The physical examination and laboratory tests may be helpful in figuring out this syndrome. MATERIALS AND METHODS: The heart rate, respiration rate, body temperature (TEMP), height, body weight, hemoglobin level, erythrocyte sedimentation rate, white blood cell count, platelet count (PLT), rheumatoid factor and C-reactive protein levels and electrocardiograms (ECG) of FM patients were compared with those of control individuals. In addition, the predictive value of these tests was evaluated via receiver operating characteristic (ROC) analysis. KEY FINDINGS: The results showed that the TEMP and the PLT were higher in the FM group compared with the control group. Also, ST heights in ECGs which corresponds to a period of ventricle systolic depolarization, showed evidence of a difference between the FM and the control groups. There was no difference observed in terms of the other parameters. According to the ROC analysis, PLT, TEMP and ST height have predictive capacities in FM. SIGNIFICANCE: Changes in hormonal factors, peripheral blood circulation, autonomous system activity disorders, inflammatory incidents, etc., may explain the increased TEMP in the FM patients. The high PLT level may signify a thromboproliferation or a possible compensation caused by a PLT functional disorder. ST depression in FM patients may interrelate with coronary pathology. Elucidating the pathophysiology underlying the increases in TEMP and PLT and the decreases in ST height may help to explain the etiology of FM.

Investigation of the relationship between anxiety and heart rate variability in fibromyalgia: A new quantitative approach to evaluate anxiety level in fibromyalgia syndrome.

BACKGROUND: Fibromyalgia syndrome (FMS) is identified by widespread musculoskeletal pain, sleep disturbance, nonrestorative sleep, fatigue, morning stiffness and anxiety. Anxiety is very common in Fibromyalgia and generally leads to a misdiagnosis. Self-rated Beck Anxiety Inventory (BAI) and doctor-rated Hamilton Anxiety Inventory (HAM-A) are frequently used by specialists to determine anxiety that accompanies fibromyalgia. However, these semi-quantitative anxiety tests are still subjective as the tests are scored using doctor-rated or self-rated scales. METHOD: In this study, we investigated the relationship between heart rate variability (HRV) frequency subbands and anxiety tests. The study was conducted with 56 FMS patients and 34 healthy controls. BAI and HAM-A test scores were determined for each participant. ECG signals were then recruited and 71 HRV subbands were obtained from these ECG signals using Wavelet Packet Transform (WPT). The subbands and anxiety tests scores were analyzed and compared using multilayer perceptron neural networks (MLPNN). RESULTS: The results show that a HRV high frequency (HF) subband in the range of 0.15235Hz to 0.40235Hz, is correlated with BAI scores and another HRV HF subband, frequency range of 0.15235Hz to 0.28907Hz is correlated with HAM-A scores. The overall accuracy is 91.11% for HAM-A and 90% for BAI with MLPNN analysis. CONCLUSION: Doctor-rated or self-rated anxiety tests should be supported with quantitative and more objective methods. Our results show that the HRV parameters will be able to support the anxiety tests in the clinical evaluation of fibromyalgia. In other words, HRV parameters can potentially be used as an auxiliary diagnostic method in conjunction with anxiety tests.

Effect of 900MHz electromagnetic fields emitted from cellular phones on fracture healing: an experimental study on rats.

OBJECTIVE: The aim of this study was to investigate the effect of electromagnetic fields (EMFs) at 900 MHz frequencies on bone fracture healing. METHODS: The study included 30 adult male Wistar albino rats (average weight: 256 g) divided into two equal groups. Transverse fracture was created manually by pressing a finger on the right tibias of all rats and fractures were fixed intramedullary using a K-wire. Rats in Group 1 were exposed to EMF at 900 MHz frequency 30 minutes a day, 5 days a week for 8 weeks. Group 2, the control group, was kept under the same experimental conditions without EMF exposure. Radiological, mechanical and histological examination of tibial fracture healing was performed. RESULTS: There was a significant difference between radiological, histological and manual biomechanical scores of the study and control groups (p=0.020, p=0.006 and p=0.032, respectively). All scores were lower in the study group than the control group. CONCLUSION: Results of this study demonstrate that EMF at 900 MHz of frequency emitted from cellular phones has a significantly negative effect on bone fracture healing in a rat tibia model.