Intra-operative assessment of the vascularisation of a cross section of the meniscus using near-infrared fluorescence imaging.
Indocyanine green
Intraoperative imaging
Meniscal vascularisation
Near-infrared fluorescence imaging
Total Knee Arthroplasty
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
15
01
2021
accepted:
28
07
2021
pubmed:
5
8
2021
medline:
27
4
2022
entrez:
4
8
2021
Statut:
ppublish
Résumé
The purpose of this study was to assess whether the vascularisation of the meniscus could be visualised intra-operatively using near-infrared fluorescence (NIRF) imaging with indocyanine green (ICG) in patients undergoing total knee arthroplasty (TKA). The anterior horn (i.e., Cooper classification: zones C and D) of the meniscus that was least affected (i.e., least degenerative) was removed during TKA surgery in ten patients to obtain a cross section of the inside of the meniscus. Thereafter, 10 mg of ICG was injected intravenously, and vascularisation of the cross section of the meniscus was assessed using the Quest spectrum NIRF camera system. We calculated the percentage of patients in whom vascularisation was observed intra-operatively using NIRF imaging compared to immunohistochemistry. Meniscal vascularisation using NIRF imaging was observed in six out of eight (75%) patients in whom vascularisation was demonstrated with immunohistochemistry. The median extent of vascularisation was 13% (interquartile range (IQR) 3-28%) using NIRF imaging and 15% (IQR 11-23%) using immunohistochemistry. This study shows the potential of NIRF imaging to visualise vascularisation of the meniscus, as vascularisation was observed in six out of eight patients with histologically proven meniscal vascularisation. IV.
Identifiants
pubmed: 34347140
doi: 10.1007/s00167-021-06690-w
pii: 10.1007/s00167-021-06690-w
pmc: PMC9033697
doi:
Substances chimiques
Indocyanine Green
IX6J1063HV
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1629-1638Subventions
Organisme : Research Fund Bronovo
ID : 2017-068
Informations de copyright
© 2021. The Author(s).
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