In situ method for treatment and repair of meniscal injuries
First Claim
Patent Images
1. A method for in situ treatment and repair of a meniscal injury, tear or lesion, said method comprising steps:
- a) performing an arthroscopic surgical incision in a patient;
b) determining the size and extent of the meniscal injury, tear or lesion;
c) depositing into said meniscal injury, tear or lesion during said arthroscopic surgery an adhesive hydrogel complex consisting essentially of methylated collagen-polyethylene glycol by filling said injury, tear or lesion completely with said hydrogel complex;
d) allowing said hydrogel complex to gel, adhere to a surrounding meniscal tissue and to bond with said surrounding tissue,wherein said gelled hydrogel complex bonds to the surrounding meniscal tissue and holds a torn area or lesion together during a period of healing and induces cell migration and extracellular matrix formation during such period of healing;
e) suturing the arthroscopic incision after gelling and adhering of said hydrogel to the surrounding tissue and bonding of said collagen matrix to said surrounding meniscal tissue; and
f) instructing the patient to begin to walk and exercise within a day or two days following the surgery.
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Abstract
A method for in situ repair of meniscal injuries comprising induction of meniscal repair and regeneration by introducing an adhesive collagen-polyethylene glycol (PEG) hydrogel to a site of injury alone, supplemented with a synovial tissue or in conjunction with a support matrix.
26 Citations
13 Claims
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1. A method for in situ treatment and repair of a meniscal injury, tear or lesion, said method comprising steps:
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a) performing an arthroscopic surgical incision in a patient; b) determining the size and extent of the meniscal injury, tear or lesion; c) depositing into said meniscal injury, tear or lesion during said arthroscopic surgery an adhesive hydrogel complex consisting essentially of methylated collagen-polyethylene glycol by filling said injury, tear or lesion completely with said hydrogel complex; d) allowing said hydrogel complex to gel, adhere to a surrounding meniscal tissue and to bond with said surrounding tissue, wherein said gelled hydrogel complex bonds to the surrounding meniscal tissue and holds a torn area or lesion together during a period of healing and induces cell migration and extracellular matrix formation during such period of healing; e) suturing the arthroscopic incision after gelling and adhering of said hydrogel to the surrounding tissue and bonding of said collagen matrix to said surrounding meniscal tissue; and f) instructing the patient to begin to walk and exercise within a day or two days following the surgery. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A method for in situ treatment and repair of a meniscal tear or lesion, said method comprising steps:
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a) performing an arthroscopic surgical incision in a patient; b) determining the size and extent of the meniscal injury, tear or lesion; c) depositing into said meniscal injury, tear or lesion during said arthroscopic surgery a porous collagen matrix and applying an adhesive hydrogel complex around said collagen matrix to affix said matrix to the site of meniscal injury, tear or lesion and to a surrounding meniscal tissue, wherein said adhesive hydrogel complex is consisting essentially of a methylated collagen-polyethylene glycol, wherein said hydrogel complex is deposited either before or after depositing said collagen matrix into said tear or lesion, and wherein said hydrogel complex binds said collagen matrix to a surrounding meniscal tissue; d) allowing said hydrogel complex to gel, adhere to a surrounding meniscal tissue and to bond with said surrounding tissue, wherein said gelled hydrogel complex bonded to the surrounding meniscal tissue holds a torn area or lesion together during a period of healing and induces cell migration and extracellular matrix formation during such period of healing; e) suturing the arthroscopic incision after gelling and adhering of said hydrogel to the surrounding tissue and bonding of said collagen matrix to said surrounding meniscal tissue; and f) instructing the patient to begin to walk and exercise within a day or two days following the surgery. - View Dependent Claims (8, 9, 10, 11, 12, 13)
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Specification