| Autor: |
Thal R; Town Center Orthopaedic Associates, Reston, VA 22090, USA., Danziger MB, Kelly A |
| Jazyk: |
angličtina |
| Zdroj: |
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 1996 Feb; Vol. 12 (1), pp. 92-4. |
| DOI: |
10.1016/s0749-8063(96)90226-1 |
| Abstrakt: |
We present two cases referred from other physicians with chondral damage and cartilage slough secondary to use of the holmium:YAG laser during knee arthroscopy. The first patient had a partial lateral meniscectomy, which was done with a 20-W Ho:YAG laser. The patient never fully recovered and underwent a second arthroscopy that revealed full-thickness cartilage defects of the lateral femoral condyle. The second patient had debridement of Outerbridge grade III changes of the lateral tibial plateau and patella, as well as a partial lateral meniscectomy using a Ho:YAG laser. The patient developed recurrent symptoms, and when a second arthroscopy was performed, new degenerative changes to the lateral femoral condyle were noted with large areas of cartilage loss. A careful look needs to be taken at the limited use of lasers until further randomized prospective studies are carried out comparing patient outcomes, cost, and long-term complications. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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