Meniscus tear repair sling device
A meniscus tear repair sling device has a collagen membrane having a first end portion and a second end portion. The first end portion is configured to pass under a tear in a meniscus and wrap over and above the tear and extend past the meniscus and overlay the second end portion thereby enveloping a portion of the meniscus with a tear and forming the sling device. The first end portion and the second end portion form exposed overlying tails extending external of a knee joint. The tails are configured to be affixed to a portion of a tibia. The tails when tensioned close the tear by providing a lateral strain on the torn meniscus when the tails are affixed to a tibia adjacent the knee joint.
1 . A method of performing a meniscus tear repair, comprising:
providing a collagen membrane having a first end portion and a second end portion, wherein the collagen membrane comprises one or more of an amniotic membrane, a placental tissue membrane, and an umbilical cord membrane; wherein the first end portion is configured to pass under a tear in a meniscus and wrap over and above the tear and extend past the meniscus and overlay the second end portion, thereby forming a sling device wherein the first end portion and the second end portion form exposed overlying tails extending externally from a knee joint, the tails, when tensioned, close the tear by providing a lateral strain on the torn meniscus when affixed to a tibia adjacent the knee joint;
inserting the device inside a cannula, the device being rolled to form a cylindrical shape sized to fit inside the cannula;
inserting the cannula into the knee joint, delivering the device to wrap over and under the meniscal tear;
pulling the device at the first end portion to slide the device into position and leaving the first end portion and second end portion exposed external to the knee joint; and
tensioning the device to create a lateral strain and fixing the tails to the tibia, creating an intraarticular and interarticular extracapsular fixation, wherein the meniscus is not exposed to suture penetration.
2 . The method of claim 1 , wherein the collagen membrane comprises an inner surface and an outer surface, wherein the inner surface comprises biologic materials and growth factors to accelerate healing of the tear.
3 . The method of claim 2 , wherein the biologic materials and growth factors are selected from a group consisting of amino acids, purines, pyrimidines, vitamins, hyaluronic acid, acellular biologic material, amniotic fluid, and combinations thereof.
4 . The method of claim 2 , wherein the biologic materials comprise non-whole cellular components.
5 . The method of claim 2 , wherein the inner surface comprises exosomes.
6 . The method of claim 1 , wherein the collagen membrane comprises a polyampholyte protectant or cryoprotectant.
7 . The method of claim 6 , wherein the cryoprotectant comprises ε-poly-1-lysine.
8 . The method of claim 6 , wherein the collagen membrane is cryolyophilized, stored, and soaked in a liquid prior to use of the collagen membrane in the meniscus tear repair.
9 . The method of claim 1 , wherein the collagen membrane is cryolyophilized, stored, and soaked in a liquid prior to use of the collagen membrane in the meniscus tear repair.