Arthroscopic monopolar radiofrequency thermal stabilization for chronic lateral ankle instability: A preliminary report on 10 cases

The Role of Flexible Radiofrequency Energy Probes in Hip Arthroscopy

“…28 Because significant shrinkage can result from RF treatment of soft tissues, this treatment has been used to stabilize lax medial collateral 41 and anterior cruciate ligaments 7,36 in the knee. Radiofrequency treatment has also been used to treat hypermobile lateral menisci in the knee, 18,29 laxity of the ulnar collateral ligament in the thumb, 41 instability in the lateral ankle, 30 and hip instability. 32,33 At higher temperatures, more energy is transferred to the collagen.…”

Arthroscopic Capsular Shrinkage for Chronic Ankle Instability with Thermal Radiofrequency: Prospective Multicenter Trial

“…(table 3). Four reports on thermal capsular shrinkage for chronic ankle instability have been published since the study by Ollof et al 2,3,14,25,29 These 4 studies all have follow-up periods longer than the current study. The strength of this series as compared to these reports is its prospective multicenter design, the larger group representing a normal population, and that no patients were lost to follow-up.…”

“…An estimate of the required sample size was calculated from mean values with standard deviations (SD) for improvement of the anterior talar translation and talar tilt found in the literature. 17,29 An average decrease in anterior talar translation of 3 mm, SD 2.6, or a decrease in talar tilt of 3 0 , SD 3.8, was considered to be clinically relevant. Given an !…”

“…Five retrospective studies on the treatment of chronic ankle instability with capsular shrinkage have been published, showing good results in the vast majority of patients at up to 2.5 years followup. 2,3,14,25,29 Potential advantages of the procedure, compared to an open procedure, are the minimally invasiveness, reduced operating time, outpatient setting, less surgical morbidity, fast recovery and quick return to work and sports. A more extensive prospective clinical study is required to determine the efficacy of arthroscopic thermal shrinkage in chronic ankle instability in a general population.…”

Il trattamento chirurgico dell’instabilità di caviglia nello sportivo: come, quando e perché

“…Questo tipo di lesione può essere trattato con l'utilizzo di un motorizzato tipo "cutter" o "full radius". Per quanto riguarda la stabilizzazione articolare, una tecnica da noi utilizzata da qualche anno dopo le positive esperienze di Wolin, Fanton e Oloff [11,12] è il ritensionamento termico capsulare per via artroscopica (Fig. 5).…”