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Case Series
The use of intact fish-skin wrap in preventing adhesions during tendon repair: A report of two cases
1 Chief, Division of Plastic, Reconstructive and Hand Surgery, Richmond University Medical Center, Staten Island, New York, USA
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Michael J Lacqua
MD, 2372 Victory Boulevard, Staten Island, NY 10314,
USA
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Article ID: 100018O03ML2021
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Lacqua MJ. The use of intact fish-skin wrap in preventing adhesions during tendon repair: A report of two cases. Edorium J Orthop 2021;7:100018O03ML2021.ABSTRACT
Introduction: Adhesion to adjacent soft tissue is the most common complication following repair of a tendon laceration. Despite extensive research in adhesion prevention, no current method has distinguished itself as optimal. A full thickness intact fish skin has a high Omega-3 fatty acid content, shown to have anti-inflammatory properties.
Case Series: Two patients with hand tendon injuries underwent standard repair and tendon wrapping with intact fish skin. Both patients recovered well with no magnetic resonance imaging (MRI) findings of adhesions.
Conclusion: We postulate the fatty acid imparts a protective anti-inflammatory effect against adhesion formation as the wrap is absorbed. Further prospective studies are needed to evaluate the reproducibility of adhesion prevention seen in these isolated cases.
Keywords: Fish-skin wrap, Tendon adhesions, Tendon repair, Tendon repair outcomes
SUPPORTING INFORMATION
Author Contributions
Michael J Lacqua - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthor declares no conflict of interest.
Copyright© 2021 Michael J Lacqua. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
