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Huber, Michaela ; Eder, Christoph ; Loibl, Markus ; Berner, Arne ; Zellner, Johannes ; Kujat, Richard ; Nerlich, Michael ; Gehmert, Sebastian

RFE based chondroplasty in wrist arthroscopy indicates high risk for chrondocytes especially for the bipolar application

Huber, Michaela, Eder, Christoph, Loibl, Markus , Berner, Arne, Zellner, Johannes, Kujat, Richard, Nerlich, Michael und Gehmert, Sebastian (2015) RFE based chondroplasty in wrist arthroscopy indicates high risk for chrondocytes especially for the bipolar application. BMC Musculoskeletal Disorders 16 (6), S. 1-8.

Veröffentlichungsdatum dieses Volltextes: 05 Feb 2015 06:48
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.31286


Zusammenfassung

Background: The application of radiofrequency energy (RFE) has become widespread for surgical performed chondroplasty especially due to the anticipated sealing effect, however the safety of this procedure in the wrist remains unclear. The purpose of this study was to investigate the subchondral temperature during radiofrequency energy (RFE) application simulating chondroplasty in an arthroscopic ...

Background: The application of radiofrequency energy (RFE) has become widespread for surgical performed chondroplasty especially due to the anticipated sealing effect, however the safety of this procedure in the wrist remains unclear. The purpose of this study was to investigate the subchondral temperature during radiofrequency energy (RFE) application simulating chondroplasty in an arthroscopic setting of the wrist. Methods: A chondroplasty of the lunate fossa was performed during an arthroscopy setting on 14 cadaver arms using monopolar or biopolar RFE. The temperature was recorded simultaneously from 7 predefined anatomical landmarks. Results: The mean temperature for both application modes did not exceed more than 30 degrees C at all measured points, except for the lunate fossa. The highest subchondral measured peak temperature was 49.35 degrees C (monopolar) and 69.21 degrees C (bipolar) in the lunate fossa. In addition, the temperature decreased for both radiofrequency (RF) devices depending on the distance of the sensors to the RF-probe. Conclusion: It remains to be questionable how safe RFE can be used for chondroplasty in wrist arthroscopy under continuous irrigation and constant movement to obtain the desired sealing effect. However, the bipolar device should be applied with more caution since peak temperature in the lunate fossa almost reached 70 degrees C even under continuous irrigation.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBMC Musculoskeletal Disorders
Verlag:BIOMED CENTRAL LTD
Ort der Veröffentlichung:LONDON
Band:16
Nummer des Zeitschriftenheftes oder des Kapitels:6
Seitenbereich:S. 1-8
Datum31 Januar 2015
InstitutionenMedizin > Lehrstuhl für Unfallchirurgie
Identifikationsnummer
WertTyp
10.1186/s12891-015-0460-2DOI
Stichwörter / KeywordsMONOPOLAR RADIOFREQUENCY ENERGY; THERMAL CHONDROPLASTY; MECHANICAL DEBRIDEMENT; ARTICULAR-CARTILAGE; CHONDROCYTE DEATH; CHONDRAL LESIONS; EQUINE MODEL; IN-VITRO; KNEE; OSTEONECROSIS; Temperature; Subchondral; Chondroplasty; RFE; Wrist; Arthroscopy
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-312864
Dokumenten-ID31286

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