Bioresorbable Protective Sheet

The OrthoWrap™ Bioresorbable Protective Sheet can be utilized for the management and protection of tendon injuries where there has been no substantial loss of tendon tissue. The bioresorbable protective sheet minimizes soft tissue attachments to the device when in contact with other tissues.

Safety

OrthoWrap™ is a protective sheet made from an amorphous bioresorbable copolymer 70:30 Poly(L-lactide-co-D,L-lactide) commonly referred to as PLA. PLA has no known side effects with minimal risk of inflammatory reaction.(1,2,3) The non-porous hydrophobic nature of the material is known to resist attachments.(4-13) PLA and similar bioresorabable materials have been used in surgical implants and suture materials for over thirty years. (1,3)

Transparent

Virtually weightless bioresorbable protective sheet is clear and allows for complete visualization of all anatomy for ease of placement.

Handling Characteristics

OrthoWrap™ is easily repositioned in wet environments, can be sutured into place for complete surgeon control, and can easily be trimmed and cut for specific anatomical considerations.

Impermeable

OrthoWrap™ is impermeable throughout the critical healing period and up to 8 weeks.

Technique Guides

• Upper Extremity Acute Tendon Repair
• Foot and Ankle Tendon Repair

Literature

Use of a Bioresorbable Polylactide Sheet (OrthoWrap™) for Reduction of Soft Tissue Attachments in Hand Surgery
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OrthoWrap™ Product Brochure and Procedural Coding Considerations
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Plantar Fibroma Excision
Download PDF (450K)

Tendon Repair – Foot & Ankle
Download PDF (482K)

Foot and Ankle Surgery
Download PDF (1.1MB)

Upper Extremity Acute Tendon Repair
Download PDF (1MB)

References

1. Holmes, R.E., Cohen, S.R., Cornwall, G.B., Thomas, K.A., Kleinhenz, K.K. and Beckett, M.Z. “MacroPore Resorbable Devices in Craniofacial Surgery.” Clin Plast Surg. 31(3):33-406, 2004.

2. Tai, J.W., Wiseman, D.M., Moser, R.C. and Thomas, K.A. “Resorbable Polylactide Film Does Not Inhibit Healing in a Rabbit Anastomosis Model.” Society for Biomaterials 30th Annual Meeting, 316.

3. Middleton, J.C. and Tripton, A.J. “Synthetic Biodegradable Polymers as Orthopedic Devices.” Biomaterials. 21:2335-2346, 2000.

4. Klopp, L.S., Welch, W.C., Tai, J.W., Bioeng, M., Toth, J.M., Cornwall, G.B. and Turner, A.S. “Use of Polylactide Resorbable Film as a Barrier to Postoperative Peridural Adhesion in an Ovine Dorsal Laminectomy Model.” Neurosurgical Focus. 16(3) Article 2, 2004.

5. Rossi, C., Margaritondo, E., Bizzari, F. and Costanzo, G. “La Barriera Antiderenziale MacroPore’s SurgyWrap Nel Trattamento Chirurgico Delle Sindromi da Compressione Nervosa Dell’arto Superiore.” Riv Chir Mano.41(3):158-162, 2004.

6. Walsh, W.R., Evans, R.N., Iliopoulos, J., Cornwall, G.B. and Thomas, K.A. “Evaluation of a Bioresorbable Polylactide Sheet for the Reduction of Pelvic Soft Tissue Attachments in a Porcine Animal Mode.” J Biomed Mater Res Part B: Appl Biomater. 79B:166-175, 2006.

7. Iliopoulos, J., Cornwall, G.B., Evans, R.N., Manganas, C., Thomas, K.A., Newmanm, D.C. and Walsh, W.R. “Evaluation of a Bioresorbable Polylactide Film in a Large Animal Model for the Reduction of Retrosternal Adhesions.” J Surg Res. 118: 144-153, 2004.

8. Williams, N. “Management of Tissue Attachmens Through the Use of SurgiWrap Bioresorbable Sheets.” Clin Insights Bariatric Surg. 1(1): Jan/Feb, 2005.

9. Cornwall, G.B., Walsh, W.R., Iliopoulos, J., Thomas, K.A., Dona, E., Kleinhenz, K., Manganas, C. and Newman, D. “Long Term Evaluation of a Polylactide Film in a Retrosternal Pericardial Adhesion Model.” Transactions of the Seventh World Biomaterials Congress; Sydney, Australia, P. 1050, May, 2004.

10. Lee, C. and Alexander, H. “Prevention of Postlaminectomy Scar Formation.” Spine. 9:305-312, 1984.

11. Medinaceli, L., Khoury, R. and Merle, “Large Amounts of Polylactic Acid in Contact with Divided Nerve Sheaths Have No Adverse Effects on Regeneration.” J Recon Microsurg.11:43-49, 1995.

12. Rodgers, K., Cohn, D., Hotovely, A., Pines, E., Diamond, M. and diZerega, G. “Evaluation of Polyethylene Glycol/Polylactic Acid Films in the Prevention of Adhesions in the Rabbit Adhesion Formation and Reformation Sidewall Models.” Fertility and Sterility. 69: 403-408, 1998.

13. Yamaoka, T., Takahashi, Y., Fujisato, T., Lee, C., Tsuji, T., Ohta, T., Murakami, A. and Kimura, Y. “Novel Adhesion Prevention Membrane Based on a Bioresorbable Co Poly (Ester-Etehre) Comprised of Poly-L-Lactide and Pluronic: In Vitro and In Vivo Evaluations.” J Biomed Mater Res. 54:470-479, 2001.

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