The effects of hylan g-f 20 surface modification on gliding of extrasynovial canine tendon grafts in vitro.

Abstract

PURPOSE:

Studies have shown that a lubricant exogenously applied on extrasynovial tendon surfaces can reduce the gliding resistance after flexor tendon repair; however, the reagents that have been tested are solely for experimental testing and are not available for clinical use. The purpose of this study was to investigate the effect of exogenously applied hylan G-F 20, a U.S. Food and Drug Administration-approved hyaluronic acid for the treatment of osteoarthritis, on extrasynovial tendon gliding resistance in an in vitro canine model.

METHODS:

Twenty-four canine peroneus longus (PL) tendons and proximal pulleys of the ipsilateral paws were treated with 1 of 3 solutions: saline, carbodiimide derivatized hylan G-F 20, or unmodified hylan G-F 20. The gliding resistance of each tendon preparation was then measured over 1000 cycles in a saline bath.

RESULTS:

After 1,000 cycles, the gliding resistance of the PL tendons treated with unmodified hylan G-F 20 decreased significantly compared with the saline-treated tendons. The gliding resistance of the PL tendons treated with modified hylan G-F 20 increased significantly compared with the saline group.

CONCLUSIONS:

The PL tendons treated with pure hylan G-F 20 showed a positive effect on the gliding resistance.

CLINICAL RELEVANCE:

The results of this in vitro canine study suggest that exogenously applied hylan G-F 20 improves gliding of the extrasynovial tendon graft. This material may be capable of reducing friction over flexor tendon repair sites and flexor tendon grafts.

• Authors: Michail N Kolodzinskyi, Chunfeng Zhao, Yu-Long Sun, Kai-Nan An, Andrew R Thoreson, Peter C Amadio, Steven L Moran
• Journal: The Journal of hand surgery (J Hand Surg Am) Vol. 38 Issue 2 Pg. 231-6 (Feb 2013) ISSN: 1531-6564 [Electronic] United States
• PMID: 23294647 (Publication Type: Comparative Study, Journal Article)
• Copyright: Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Chemical References

• Biocompatible Materials
• Lubricants
• hylan
• Hyaluronic Acid

Topics

• Animals
• Biocompatible Materials
• Biomechanical Phenomena (physiology)
• Dogs
• Finger Injuries (physiopathology, surgery)
• Friction
• Hyaluronic Acid (analogs & derivatives, pharmacology)
• In Vitro Techniques
• Lubricants (pharmacology)
• Tendon Injuries (physiopathology, surgery)
• Tendons (physiopathology, transplantation)
• Tissue Adhesions (physiopathology, prevention & control)