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J L Martinez Moreno¹, F J Vaquero Martin¹

¹Service de Chirurgie Orthopédique et Traumatologique Hôpital Provincial de Madrid, España.

International Orthopaedics

|October 16, 2016

Summary

This summary is machine-generated.

10% Dextran in normal saline effectively reduces synovial oedema during arthroscopic surgery without causing tissue damage. This solution is recommended for longer procedures exceeding 30 minutes.

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Area of Science:

Orthopedic Surgery
Biomaterials Science

Background:

Synovial oedema is a common complication following arthroscopic procedures.
Normal saline irrigation is frequently used but can contribute to oedema.

Purpose of the Study:

To evaluate the effects of different irrigating solutions on human synovial membrane.
To identify an optimal irrigating fluid for minimizing synovial oedema in arthroscopic surgery.

Main Methods:

Human synovial membrane specimens (n=12) were exposed to normal saline, Ringer lactate, 5% Dextran, and 10% Dextran in normal saline.
Changes in synovial water content and tissue integrity were assessed.

Main Results:

10% Dextran in normal saline significantly decreased synovial water content.

Keywords:

Arthroscopie Irrigation

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No discernible tissue damage was observed with 10% Dextran in normal saline.

Conclusions:

10% Dextran in normal saline is a promising irrigating solution for arthroscopic procedures.
This solution is particularly beneficial for procedures anticipated to last over 30 minutes to mitigate synovial oedema.