Radiofrequency Chondroplasty of the Knee Yields Excellent Clinical Outcomes and Minimal Complications: A Systematic Review.

Autor:	Tuthill T; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Jackson GR; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Schundler SF; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Lee JS; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Allahabadi S; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Salazar LM; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., McCormick JR; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Jawanda H; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Batra A; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Khan ZA; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Mameri ES; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.; Instituto Brasil de Tecnologia da Saúde, Rio de Janeiro, Brazil and Department of Orthopedics and Traumatology, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil., Chahla J; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A., Verma NN; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Jazyk:	angličtina
Zdroj:	Arthroscopy, sports medicine, and rehabilitation [Arthrosc Sports Med Rehabil] 2023 Jul 17; Vol. 5 (4), pp. 100749. Date of Electronic Publication: 2023 Jul 17 (Print Publication: 2023).
DOI:	10.1016/j.asmr.2023.05.006
Abstrakt:	Purpose: To evaluate reported clinical outcomes and complications following radiofrequency (RF) ablation for the treatment of knee chondral lesions. Methods: A literature search was performed according to the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines by querying EMBASE, PubMed, and Scopus computerized databases from database inception through October 2022. Level I to IV clinical studies that reported outcomes or complications following RF-based chondroplasty were included. Postoperative outcome scores and complications were aggregated. Study quality was assessed via the Newcastle-Ottawa Scale. Results: Ten articles from 2002 to 2018 consisting of 1,107 patients (n = 1,504 lesions) were identified. Four studies were of Level I evidence, 3 studies were Level II, 1 study was Level III, and 2 studies were Level IV. The mean patient age was 41.8 ± 6.3 years (range, 12-87). Seven studies (n = 1,037 patients) used bipolar RF devices, and 3 studies (n = 70 patients) used monopolar RF devices. The overall mean postoperative Lysholm, Tegner, and IKDC scores ranged from 83 to 91, 3.8 to 7, and 49 to 90, respectively, in lesions ranging from grade I-IV according to the Outerbridge Classification. Monopolar RF devices reported qualitatively similar mean changes in Lysholm scores (83), Tegner scores (3.8), and IKDC scores (range, 49-69) compared with bipolar RF devices (range, 86.4-91, 4.5-7, 90, respectively). The incidence of complications ranged from 0% to 4%. The most commonly reported complication was osteonecrosis (range, 0% to 4%). The incidence rate of patients undergoing additional surgery ranged from 0% to 4.5%. Conclusions: The available literature on RF-based chondroplasty shows its efficacy and safety for the treatment of knee chondral lesions, with good clinical outcome scores and low complication and reoperation rates. Level of Evidence: Level IV, systematic review of Level I-IV studies. (© 2023 The Authors.)
Databáze:	MEDLINE
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