2.1 μm Holmium:YAG Arthroscopic Laser Débridement of Degenerative Knees: 148 Cases
Laser energy has been shown to have biologic effects on articular cartilage (Schultz et al., 1985). It has been demonstrated with several wavelengths that it can be used for arthroscopic applications. It has precision in cutting, making it attractive for the management of articular flap tears. Laser energy appears to preserve more remaining articular cartilage than do mechanical shavers. The combination of cartilage sparing and biostimulation offer theoretic improvements over mechanical instrumentation. The 2.1 μm holmium:YAG laser has the added advantage of versatility and has been my arthroscopic instrument of choice for performing combined partial meniscectomy and chondroplasty in degenerative knees.
KeywordsObesity Arthritis Dioxide Osteoarthritis Prostaglandin
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- Collier MA, Bellamy T, Hangland LM, et al (1993) Initial effects of holmium:YAG laser on equine cartilage adjacent to traumatic lesion: a histopathological assessment. Trans Vet Orthop Res Soc 22:5Google Scholar
- Garrick JG (1992) CO2 laser arthroscopy using ambient gas pressure. Semin Orthop 7(2):90–94Google Scholar
- Glick J (1984) Use of the laser beam in arthroscopic surgery. In Casscells SE (ed), Arthroscopy: Diagnostic and Surgical Practice. Lea & Febiger, Philadelphia p 181Google Scholar
- Inoue K, et al (1984) Arthroscopic Laser Surgery. IAA, London, pp 29–30.9Google Scholar
- Lane G, Sherk HH, Mooar PA, Lee SJ, Black J (1992) Holmium:yttrium-aluminum-garnet laser versus carbon dioxide laser versus mechanical arthroscopic debridement. Semin Orthop 7(2):95–101Google Scholar
- Livesley PJ, Doherty M, Needoff M, Moulton A (1991) Arthroscopic lavage of osteoarthritic knees. J Bone Joint Surg [Br] 73:922–926Google Scholar
- Vangsness Jr CT, Smith CF, Marshall GJ, Sweeny JR, Johansen E (1992) CO2 laser vaporization of articular cartilage. Semin Orthop 7(2)83–85Google Scholar