{"title":"An Insertion Device for Effective Delivery of Fibrin Clot to the Meniscus Tear","authors":"Kazushige Yoshida M.D., Ph.D. , Keiji Tensho M.D., Ph.D. , Yusuke Maezumi M.D. , Daiki Kumaki M.D. , Hiroki Shimodaira M.D., Ph.D. , Hiroshi Horiuchi M.D., Ph.D. , Jun Takahashi M.D., Ph.D.","doi":"10.1016/j.eats.2024.103042","DOIUrl":null,"url":null,"abstract":"<div><p>The menisci have a poor intrinsic healing capability. Biological augmentation is used to promote meniscal healing in conjunction with suture techniques as the result of their poor healing rate. A fibrin clot (FC) is a well-known treatment option for meniscal injuries that are difficult to heal. Several methods for delivering FCs to target sites have been reported; however, all available methods have drawbacks such as unstable delivery, low maneuverability, and/or clot sizes that are too large. We use a dedicated device to efficiently deliver FCs of a suitable size for the tear. In this method, an FC formed to a size of 5 mm is stored and delivered in a thin syringe with a built-in plunger. This method enables an accurate delivery of a suitably sized FC to the desired location and fixes FCs to the tear site when used in combination with conventional suture methods. In this report, we will succinctly describe how to make and deliver an FC using the aforementioned device with a step-by-step instructional technique and an illustrative video.</p></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212628724001518/pdfft?md5=8ea4a87a5cc401298231b1daf372e9f8&pid=1-s2.0-S2212628724001518-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212628724001518","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
The menisci have a poor intrinsic healing capability. Biological augmentation is used to promote meniscal healing in conjunction with suture techniques as the result of their poor healing rate. A fibrin clot (FC) is a well-known treatment option for meniscal injuries that are difficult to heal. Several methods for delivering FCs to target sites have been reported; however, all available methods have drawbacks such as unstable delivery, low maneuverability, and/or clot sizes that are too large. We use a dedicated device to efficiently deliver FCs of a suitable size for the tear. In this method, an FC formed to a size of 5 mm is stored and delivered in a thin syringe with a built-in plunger. This method enables an accurate delivery of a suitably sized FC to the desired location and fixes FCs to the tear site when used in combination with conventional suture methods. In this report, we will succinctly describe how to make and deliver an FC using the aforementioned device with a step-by-step instructional technique and an illustrative video.
半月板的内在愈合能力较差。由于半月板的愈合率较低,因此在使用缝合技术的同时,还使用了生物增量技术来促进半月板愈合。对于难以愈合的半月板损伤,纤维蛋白凝块(FC)是一种众所周知的治疗方法。目前已有多种将纤维蛋白凝块输送到目标部位的方法,但所有可用的方法都存在输送不稳定、可操作性低和/或凝块尺寸过大等缺点。我们使用一种专用设备来有效输送适合撕裂大小的 FC。在这种方法中,形成 5 毫米大小的 FC 被储存在一个内置活塞的细注射器中并进行输送。这种方法能将大小合适的 FC 准确地输送到所需的位置,并与传统的缝合方法结合使用,将 FC 固定在撕裂部位。在本报告中,我们将简明扼要地介绍如何使用上述装置制作和输送 FC,并提供分步骤的指导技巧和说明性视频。