Mechanical Effects of Heat Exposure From a Bipolar Radiofrequency Probe on Suture Under Simulated Arthroscopic Conditions

Valet, Sebastian; Weisse, Bernhard; Fischer, Beatrice; Meyer, Dominik C.

doi:10.1016/j.arthro.2016.03.006

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Likewise, the patients were instructed to lay on the bed as mentioned above, the peripheral venous access was opened, and their vital signs were monitored. LTPRA was conducted using the ArthroCare SystemR-12000 (19). Under the guidance of the C-arm, the matching puncture needle was inserted into the foramen of the DRG at the corresponding stage, and a 1 ml of blocking solution was injected.…”

Section: Treatment Methodsmentioning

confidence: 99%

A clinical study of C arm-guided selective spinal nerve block combined with low-temperature plasma radiofrequency ablation of dorsal root ganglion in the treatment of zoster-related neuralgia

Zhang

Zhao²,

Du³

et al. 2023

Front. Neurol.

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BackgroundThis study evaluated the analgesic efficacy and psychological response of low-temperature plasma ablation of dorsal root ganglion (DRG) combined with selective spinal nerve block in patients with acute or subacute zoster-related neuralgia (ZRN).MethodsTotally 90 ZRN patients were randomly and evenly divided into three groups. Treatment was given to Group A using C arm-guided selective spinal nerve block (C-SSVB), Group B using C-SSVB and pulsed radiofrequency (PRF), and Group C using C-SSVB and low-temperature plasma ablation of the DRG. The outcomes were examined using the Visual Analog Scale (VAS). Anxiety and depression of patients were evaluated using the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Quality of life was assessed using the Pittsburgh Sleep Quality Index (PSQI) and postoperative Satisfaction scale. In addition, data on adverse events and medication usage rates were collected.ResultsThe 90 patients were eligible for this study. The three treatments reduced VAS scores with no significant difference between groups A and B at the same time points; however, group B tended to have numerically lower VAS scores. Comparatively, group C had significantly reduced VAS scores on day 1 and 1 month after treatment compared with the other two groups. In terms of the decreasing SAS, SDS and PSQI scores, all the three treatments improved the anxiety, depression and sleep quality of the patients. In addition, significant alleviation in anxiety was found in group C compared with group A at all- time points. However, there was no statistically significant difference among the three groups in treatment-related adverse events that mainly focused on puncture pain at the surgical-site, skin numbness and medication usage rates.ConclusionsC-SSVB and LTPRA of DRG will be considered as a promising treatment option for ZRN patients if those results can be confirmed after further validation.

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Section: Treatment Methodsmentioning

confidence: 99%

A clinical study of C arm-guided selective spinal nerve block combined with low-temperature plasma radiofrequency ablation of dorsal root ganglion in the treatment of zoster-related neuralgia

Zhang

Zhao²,

Du³

et al. 2023

Front. Neurol.

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“…Studies that disclosed the performance profile of RF usage in the shoulder were further analyzed. These studies were grouped by temperature profile (Table 4) [3,20,[52][53][54][55][56][57][58][59][60][61][62] and complications (Table 5) [21,[63][64][65][66][67][68].…”

Section: Performance Profilementioning

confidence: 99%

Radiofrequency in arthroscopic shoulder surgery: a systematic review

Vij¹,

Liu²,

Amin³

2023

Clin Shoulder Elb

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BackgroundRadiofrequency has seen an increase in use in orthopedics including cartilage lesion debridement in the hip and knee as well as many applications in arthroscopic shoulder surgery. The purpose of this systematic review is to evaluate the safety and usage of radiofrequency in the shoulder.MethodsThis systematic review was registered with PROSPERO (international registry) and followed the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines. Embase and PubMed were searched using: “shoulder,” “rotator cuff,” “biceps,” “acromion” AND “monopolar,” “bipolar,” “ablation,” “coblation,” and “radiofrequency ablation.” The title and abstract review were performed independently. Any discrepancies were addressed through open discussion.ResultsA total of 63 studies were included. Radiofrequency is currently utilized in impingement syndrome, fracture fixation, instability, nerve injury, adhesive capsulitis, postoperative stiffness, and rotator cuff disease. Adverse events, namely superficial burns, are limited to case reports and case series, with higher-level evidence demonstrating safe use when used below the temperature threshold. Bipolar radiofrequency may decrease operative time and decrease the cost per case.DiscussionShoulder radiofrequency has a wide scope of application in various shoulder pathologies. Shoulder radiofrequency is safe; however, requires practitioners to be cognizant of the potential for thermal burn injuries. Bipolar radiofrequency may represent a more efficacious and economic treatment modality. Safety precautions have been executed by institutions to cut down patient complications from shoulder radiofrequency. Future research is required to determine what measures can be taken to further minimize the risk of thermal burns.

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Heat-Related Complications from Radiofrequency and Electrocautery Devices Used in Arthroscopic Surgery: A Systematic Review

Eck

Meel

Bekerom

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Mechanical Effects of Heat Exposure From a Bipolar Radiofrequency Probe on Suture Under Simulated Arthroscopic Conditions

Cited by 3 publications

References 3 publications

A clinical study of C arm-guided selective spinal nerve block combined with low-temperature plasma radiofrequency ablation of dorsal root ganglion in the treatment of zoster-related neuralgia

A clinical study of C arm-guided selective spinal nerve block combined with low-temperature plasma radiofrequency ablation of dorsal root ganglion in the treatment of zoster-related neuralgia

Radiofrequency in arthroscopic shoulder surgery: a systematic review

Heat-Related Complications from Radiofrequency and Electrocautery Devices Used in Arthroscopic Surgery: A Systematic Review

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