Radiofrequency-Based Plasma Microtenotomy Compared With Arthroscopic Subacromial Decompression Yields Equivalent Outcomes for Rotator Cuff Tendinosis

Taverna, Ettore; Battistella, Ferdinando; Sansone, Valerio; Perfetti, Carlo; Tasto, James P.

doi:10.1016/j.arthro.2007.04.018

Cited by 53 publications

(32 citation statements)

References 27 publications

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“…(Level I) The surgical treatment of impingement syndrome traditionally has been subacromial decompression. Taverna et al 7 performed a randomized prospective study to determine whether radiofrequency microtenotomy was effective for treating chronic supraspinatus tendinosis when compared with arthroscopic subacromial decompression. All patients had had a failure of nonoperative treatment and had Neer stage-II impingement syndrome, radiographic evidence of a type-II acromion, and magnetic resonance imaging or ultrasound evidence of supraspinatus tendinosis.…”

Section: Frozen Shouldermentioning

confidence: 99%

Whatʼs New in Shoulder and Elbow Surgery

Ramsey

Getz

Parsons³

2009

The Journal of Bone and Joint Surgery-American Volume

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Section: Frozen Shouldermentioning

confidence: 99%

Whatʼs New in Shoulder and Elbow Surgery

Ramsey

Getz

Parsons³

2009

The Journal of Bone and Joint Surgery-American Volume

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“…Tissue regeneration then sustains clinical improvement in the medium and long run. 14,26,38,40,45,46 Mullett et al observed that most patients experienced pain relief 2 weeks after arthroscopy. 47 Verhaar et al 29 found that 40% of the patients had moderate-to-severe pain at 6 weeks after the release and open techniques.…”

Section: Discussionmentioning

confidence: 96%

Radiofrequency Microtenotomy for the Treatment of Chronic Insertional Tendinopathy: Comparison of 2 Surgical Techniques and Preliminary Results

Canquerini¹,

Gomes²

2009

Techniques in Shoulder &Amp; Elbow Surgery

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To determine whether the clinical results of radiofrequency microtenotomy for the treatment of chronic insertional tendinopathy are comparable to those of monopolar electrocautery. Sixteen patients with chronic knee and elbow tendon injuries who were refractory to conservative therapy, between January 2006 and July 2007, were selected in the surgical ward of Hospital de Clínicas de Porto Alegre, Brazil. Eight patients underwent microtenotomy with a Topaz probe (Arthrocare) whereas the remaining 8 patients underwent microtenotomy with monopolar electrocautery. The patients were assessed using a Visual Analog Pain Scale and the Mayo Elbow Performance Score. Statistically significant differences with regard to the relief of pain were perceived in both groups on postoperative day 7. Both groups showed remarkable alleviation of pain after the seventh day and their pain scores decreased over time. Most patients (75%) scored 1 or less on the pain scale 3 months after surgery. In contrast, at 6 months, 93.7% of the patients scored 1 or less on the pain scale. The groups did not show any differences in terms of the Mayo Elbow Performance Score. On postoperative day 14, 77% of the patients had a score greater than 75, which is rated as good. After 6 months, all patients had good and excellent outcomes. Radiofrequency microtenotomy, either with a Topaz probe or with conventional electrocautery, yielded good and excellent results, respectively, for the treatment of chronic insertional tendinopathy.

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“…En estudios cadavéricos se comprobó la presencia de la neoangiogénesis capilar, haciendo válido por tanto esta terapia para pacientes con fallos congestivos de corazón [22][23][24][25][26][27] . La primera aplicación no vascular de la radiofrecuencia fue en la cirugía ortopédica del miembro superior, encaminada a tratar epicondilitis y tendinopatías del supraespinoso u otros problemas tendíneos del hombro, obteniendo un 95% de buenos resultados según la escala DASH, en 5 años de evolución [10][11][12][13][14][15][16][22][23][24][25][26][27][28] . Se ha demostrado en estudio cadavérico en el tendón femoropatelar que las propiedades elásticas, fuerza tensil y resistencia no se ven modificadas con esta técnica 29 .…”

Section: Discussionunclassified

Uso de la microtenotomía por radiofrecuencia con el dispositivo Topaz® para el tratamiento de la tendinopatía aquílea no insercional

Gómez

Capapé²,

López‐López

et al. 2013

Rev. Int. Cienc. Podol.

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Los autores declaran no tener ningún tipo de interés económico o comercial. ReSuMenLas lesiones del tendón de Aquiles son un motivo frecuente de consulta en el ámbito de la podología y de la cirugía del pie y tobillo. El dolor del tercio medio del tendón es un problema habitual en corredores, pero también se ve en pacientes sedentarios. El término correcto para referirnos a esta lesión es el de tendinopatía aquílea no insercional. Existen numerosos tratamientos que intentan disminuir el dolor y mejorar la función del tejido lesionado. Los medios conservadores suelen tener buenos resultados, pero existe un porcentaje de pacientes que precisan cirugía. Presentamos una técnica poco invasiva para esta patología en la que utilizamos un dispositivo de radiofrecuencia para tratar la tendinosis. Palabras clave: tendón de aquiles; tendinosis; radiofrecuencia. AbStRACtAchilles tendon injuries are a common disease in podiatric and foot and ankle surgery consultation. Midportion pain is a frequent problem in runners but could be seen in sedentary people too. Correct term for this condition is non insertional Achilles tendinopathy. There are many treatment options that try to reduce the pain and improve the function of damaged tissue. Conservative treatments usually have good results but there are some cases that could need surgery. We present a minimally invasive technique using a radiofrequency microdebrider to treat the tendinosis. Key words: achilles tendon; tendinosis; radiofrequency.Sumario: 1. Introducción, 2. Concepto e indicaciones de la microtenotomía por radiofrecuencia (RF), 3. Aplicaciones, 4. Resultados, 5. Discusión, 6. Conclusiones, Bibliografía.Referencia normalizada: Sánchez Gómez, R., López Canapé, D., López López, D., Rodríguez Sanz, D., Soriano Medrano, A., Morales Ponce, A. Uso de la microtenotomía por radiofrecuencia con el dispositivo Topaz ® para el tratamiento de la tendinopatía aquílea no insercional. Rev. Int. Cienc. Podol. 2013; 7(1): 57-66.http://dx

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Radiofrequency-Based Plasma Microtenotomy Compared With Arthroscopic Subacromial Decompression Yields Equivalent Outcomes for Rotator Cuff Tendinosis

Cited by 53 publications

References 27 publications

Whatʼs New in Shoulder and Elbow Surgery

Whatʼs New in Shoulder and Elbow Surgery

Radiofrequency Microtenotomy for the Treatment of Chronic Insertional Tendinopathy: Comparison of 2 Surgical Techniques and Preliminary Results

Uso de la microtenotomía por radiofrecuencia con el dispositivo Topaz® para el tratamiento de la tendinopatía aquílea no insercional

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