Since loss of meniscus is correlated with an increasing risk for osteoarthritis, meniscal scaffolds are proposed as new strategies. Development of a suitable scaffold has to take into account differing meniscus thickness, exposure to compressive and tensile forces combined with high porosity and biocompatibility of the material. After physical testing of three flat scaffolds composed of different modified polyglycolic acid (PGA) fibers, a three‐dimensional meniscus‐shaped PGA‐hyaluronan implant was generated. Micro‐computed tomography showed 90% porosity in the outer area with 50% in the inner area of the implant. Biocompatibility and expression of meniscus typical cartilaginous genes were shown for human meniscus cells cultivated in the implant with 10% human serum or 5% platelet‐rich plasma for 14 days in vitro. The proof‐of‐concept study in sheep demonstrated proteoglycan‐ and collagen type I‐rich repair tissue formation in partial meniscectomy combined with a meniscus‐shaped PGA‐hyaluronan implant after 6 months. In contrast, the control showed nearly no repair tissue formation. Thus, meniscus‐shaped PGA‐hyaluronan implants might be a suitable therapeutic approach to support repair tissue formation in partial meniscectomy.

In the context of the COVID-19 pandemic and the lack of protective equipment worldwide, we aimed to study the literature for finding guidelines in the 3D manufacture of respiratory masks. We have searched for papers in CI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, BKCI-S, BKCI-SSH, ESCI, CCR-EXPANDED, IC, using 3D printing materials sterilization and 3D printing materials disinfection keywords. From 80 results in databases, after refining, we selected six papers. We have also searched for manufacturers information regarding 3D printing materials sterilization or disinfection. We have found seven materials that are suitable for 3D printing and sterilization, with regards to multiple utilizations. Analyzing the properties and recommendations for sterilization of elements obtained by 3D printing, a thorough filaments structures/behavior research for most of the 3D models for printing is needed regarding synthetic polymers suitable for 3D printing; also, to establish the physical and chemical properties resulted after the reactions with sterilizing substances. In the context of the COVID-19 pandemic, the authors want to help and find guidelines in the 3D manufacture for producing respiratory masks.

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Meniscus injuries are the most common traumatic conditions of the knee. If until the early 2000s, menisci were considered structures of no major importance in the knee joint, subsequent studies have shown their importance in the biomechanics of the knee. Their role is not only for the natural suspension of the joint, but also for the protection of the cartilage or the achievement of the efficient and uniform circulation of the synovial fluid. Therefore, disruption of this joint balance can lead, in the absence of a well-conducted treatment, to premature knee wear. Most of the time, these meniscal tears are accompanied by associated lessions, ligaments or more severely cartilaginous lessions, creating a real challenge for the physician, specially for young pacients. There are many conservative treatments of the damaged meniscus, imagined precisely in the idea of preserving the menisci as much as possible. However, this is not always possible, especially due to the type of traumatic injury.

Introduction Diverse musculo-skeletal pathology can be treated conservatively by different types of injections and in most cases, results are significantly better if the existing inflammatory fluid is aspirated prior to injection of medication solutions. The present study analyses an original technique which uses infusion therapy accessories to create two types of closed sterile double syringe systems, and compares the benefits of using such a system in aspiration/injection procedures to classic aspiration injection technique that implies changing and connecting multiple syringes to the same needle, thus increasing the risk for septic complications. The aim of the present study is to minimize therapeutic risk of iatrogenic septic complications during aspiration/injection procedures. Methods 1024 patients underwent aspiration/injection procedures in our clinic using the double syringe system between 2015 and 2020. During the early stages of the study, the second type of assembly was rendered impractical so the study continued with analyzing a single type of double syringe system using a three way infusion therapy device which is readily available, and allows the assembly of a closed sterile system with a single, two-step procedure technique. Iatrogenic local septic complications were followed by means of a six week clinical follow-up evaluation with additional investigations only if necessary. Results In 1024 procedures we report 0% incidence of iatrogenic septic complications, or other types of complications and recommend this technique in a vast array of rheumatic, orthopedic or traumatic conditions that require aspiration/injection procedures. Discussion The double syringe system is practical, easy to use, it completely eliminates the risk of iatrogenic infection due to manipulation errors, and significantly simplifies the technique for sonography guided aspiration/injection procedures for musculo-skeletal pathology.