Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 8, pp 1922–1924 | Cite as

Fibrin glue as a non-invasive outpatient treatment for post-arthroscopic knee seromas

  • David J. BerkoffEmail author
  • Matthew Kanaan
  • Ganesh Kamath


Post-surgical seromas and cysts have been reported across many surgical subspecialties including orthopaedics. Treatments include both invasive surgical approaches and more recently reported non-invasive techniques. Non-invasive approaches currently include compressive wrapping, vasopneumatic cryotherapy, and motion exercises. Persistent lesions have been treated with talc or doxycycline sclerodesis. This case presents a patient with a post-arthroscopic seroma that was treated with fibrin glue in an outpatient setting. Fibrin glue has not been reported in the post-arthroscopy outpatient setting to address cystic lesions. This case suggests a viable non-invasive treatment option for these lesions. Level of evidence V.


Fibrin glue Seroma treatments Post-arthroscopic seroma 


  1. 1.
    Chin A, Ragavendra N, Hilborne L, Gritsch HA (2003) Fibrin sealant sclerotherapy for treatment of lymphoceles following renal transplantation. J Urol 170:380–383PubMedCrossRefGoogle Scholar
  2. 2.
    Harma A, Inan M, Ertem K (2004) The Morel-Lavallee lesion: a conservative approach to closed degloving injuries. Acta Orthop Traumatol Turc 38:270–273PubMedGoogle Scholar
  3. 3.
    Kulber DA, Bacilious N, Peters ED, Gayle LB, Hoffman L (1997) The use of fibrin sealant in the prevention of seromas. Plast Reconstr Surg 99:842–849PubMedCrossRefGoogle Scholar
  4. 4.
    Pierzchała A, Kusz D, Widuchowski J (2003) Complication of arthroscopy of the knee. Wiad Lek 56(9–10):460–467PubMedGoogle Scholar
  5. 5.
    Reigstad O, Grimsgaard C (2006) Complications in knee arthroscopy. Knee Surg Sports Traumatol Arthroscopy 14(5):473–477CrossRefGoogle Scholar
  6. 6.
    Schlag G, Redl H (1988) Fibrin sealant in orthopedic surgery. Clin Orthop Relat Res 227:269–285PubMedGoogle Scholar
  7. 7.
    Schwabegger AH, Ninkovic MM, Anderl H (1998) Fibrin glue to prevent seroma formation. Plast Reconstr Surg 101(6):1744–1745PubMedGoogle Scholar
  8. 8.
    Shaikh N, Abdel-Galil K, Compson J (2004) An unusual complication of knee arthroscopy: portal site synovial cyst. Knee 11(6):501–502PubMedCrossRefGoogle Scholar
  9. 9.
    Shigeno Y, Harada I, Katayama S (1995) Treatment of cystic lesions of soft tissue using fibrin sealant. Clin Orthop Relat Res 321:239–244PubMedGoogle Scholar
  10. 10.
    Tejwani SG, Cohen SB, Bradley JP (2007) Management of Morel-Lavallee lesion of the knee: twenty-seven cases in the national football league. Am J Sports Med 35:1162–1167PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • David J. Berkoff
    • 1
  • Matthew Kanaan
    • 2
  • Ganesh Kamath
    • 1
  1. 1.Department of OrthopaedicsUniversity of North Carolina Chapel HillChapel HillUSA
  2. 2.Duke UniversityDurhamUSA

Personalised recommendations