In this demonstration of viscosupplement injection, the superolateral approach is used for the Synvisc-One injection procedure. In addition, this video also demonstrates the proper technique for determining needle placement and the C.L.A.S.S. method for injecting Synvisc-One.
Remove any synovial fluid or effusion before injecting Synvisc-One. Strict adherence to aseptic technique must be followed.
To successfully administer Synvisc-One, remember C.L.A.S.S.
After marking the location for the injection, apply alcohol, and
swab injection site with a povidone iodine
preparation (e.g.
betadine®).
* Do not concomitantly use disinfectants containing quaternary
ammonium salts for skin preparation because
hyaluronan can precipitate in their presence.
Numbing the skin with an ethyl chloride spray or lidocaine injection prior to intra-articular injection may help patients feel more comfortable. If ethyl chloride spray is used the injection site will beed to be cleaned again as per instructions above.
Insert an 18- to 20-gauge needle; this needle size optimizes fluid dynamics and may help make aspiration and the injection easier. Aspiration confirms accurate needle placement inside the joint space and allows removal of synovial fluid and effusion.
Remove any synovial fluid or effusion before injecting Synvisc-One. Strict adherence to aseptic technique must be followed.
Inject Synvisc-One using standard techniques; patients should flex and bend the knee 3 to 4 times following injection.
Do not inject Synvisc-One extra-articularly, into the synovial tissues, into the fat pad or joint capsule, or intravascularly.
Tell your patients to:
Make sure to remind them that most patients reported pain relief starting at four weeks after treatment for knee osteoarthritis with Synvisc-One.
Learn about the different ordering options and how to get next-day delivery with your MySynviscONE™ account.
Share these tools to help patients get the most out of their treatment.
