2000, Number 2
Acta Ortop Mex 2000; 14 (2)
Carriedo REG, Torres-Roldán F, Abrego AC
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ABSTRACTThe present communication is a longitudinal, descriptive study in a consecutive series of cases in which the ArthroCare equipment (high frequency electrosurgery device with multiple electrodes with cut and vaporization features) was used.
We present a consecutive series of 64 patients on which an arthroscopic surgery was performed (34 in knee an 30 in shoulder), within the period of October, 1996 to August, 1998 in the Arthroscopy and Knee Surgery Module of the Trauma Emergencies Hospital of the Mexican Social Security System and in the private practice of the authors.
In knee surgery, the ArthroCare was used on 34 patients: 12 for Arthrofibrolysis, four for meniscectomy, six for Sinovectomy, six for Reconstruction of Anterior Cruciate Ligament and six cases of chondromalatia with lateral retinacular release.
It was used on 30 cases of shoulder surgery: four patients with adhesive capsulitis, four for Arthrofibrosis release, four cases with Bankart’s injure, four with rotator cuff injure and 14 patients with subacromial impingement syndrome in which five cases of subacromial calcifications were found.
In all of them, complementary procedures were made, in which the ArthroCare equipment improved the surgical area visibility, to support the coagulation and making sharper cuts, in sinovectomy tissue vaporization was obtained.
The reduction of transoperative time, the performance of the equipment, the wide-angle view of the surgical area and the inobservance of complications in the use of this equipment allow us to recommend ArthroCare as a useful and comfortable tool in the arthroscopic surgery.