Mar 26, 2018 · The first layer of BMAC in the lesion is approximately 2 to 4 mm deep . This is then covered and sealed with a layer of Tisseel, using the working portal under direct vision. Tisseel is a mixture of fibrin and thrombin and acts as a sealant. This ensures the BMAC stays in the lesion, protecting the MSCs from the synovial fluid.
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