Prevention of Postoperative Peritendinous Adhesions with Bioresorbable Suprathel Barrier Membrane

Abstract

Summary: Postoperative adhesions can deteriorate clinical outcomes in tendon repair surgery significantly. Thus, the use of artificial membranes as a tendon sheath substitute has become popular and well studied in the last years. We performed a case series of three patients using a novel synthetic membrane (Suprathel) for complex reconstructive surgery and traumatic tendon repair surgery. All patients recovered well with no significant adverse effects and showed good clinical function afterward. Therefore, we concluded that Suprathel might be another potential candidate to prevent postoperative peritendinous adhesions. Further studies will be necessary to determine the effect of this bioresorbable barrier membrane.

Diamond-Like Carbon Depositing on the Surface of Polylactide Membrane for Prevention of Adhesion Formation During Tendon Repair

“…However, the excessive exogenous repair leads to abnormal adhesions to the surrounding tissue that limits tendon sliding, excursion, and range of motion, eventually restricting joint motion [ 5 ]. The adhesions also increase the risk of a secondary tendon rupture because of the forceful training and mobilization [ 6 ]. Furthermore, the decreased range of motion caused by adhesions can prolong rehabilitation and necessitate reoperation, reducing patients’ quality of life and exacerbating psycho-socioeconomic problems [ 7 , 8 ].…”