The use of lasers in orthopaedic surgery

Imhoff, Andreas B.

doi:10.1016/s1048-6666(95)80013-1

Cited by 11 publications

(2 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Röntgen und MRT-Kontrolle zeigten bis auf eine Ausnahme (sekundäre Implantatsinterung) eine vollständige Inkorporation und Vitalität sowie eine gute Oberflächenkongruenz der Transplantate [37,39,41].…”

Section: Operative Technikunclassified

Operative Therapiemöglichkeiten des Knorpelschadens

Burkart¹,

Schoettle²,

Imhoff³

2001

Der Unfallchirurg

View full text Add to dashboard Cite

Therapy of cartilage damage is a frequent problem, especially in the young and active patient. For the treatment of a cartilage damage we have to consider the size of the defect, age and weight of the patient, meniscal tears, ligament instabilities and varus-/valgus-malalignment. Lavage, shaving and debridement are only sufficient for a short time and have no long term effect. Abrasio and drilling could be useful in eldery people. Microfracturing seems to be an effective alternative for small defects. The restoration of the cartilage surface with the use of autologous chondrocyte transplantation, osteochondral autograft transplantation and posterior condyle transfer seems to be an adequate treatment for younger patients.

show abstract

Section: Operative Technikunclassified

Operative Therapiemöglichkeiten des Knorpelschadens

Burkart¹,

Schoettle²,

Imhoff³

2001

Der Unfallchirurg

View full text Add to dashboard Cite

show abstract

“…The clinical application of lasers has been widely used in orthopedics, including spinal surgery. 24,25 To date, various types of lasers in spinal surgery have been reported in clinical or experimental studies, including the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser, 26,27 holmium:YAG (Ho:YAG) laser, [28][29][30] and CO2 laser. 31 Among them, Ho:YAG laser has a wavelength of 2.1 μm and reaches a depth of <0.5 mm in tissue.…”

Section: Introductionmentioning

confidence: 99%

Trans-Sacral Epiduroscopic Ho:YAG Laser Ablation of the Ligamentum Flavum in a Live Pig

Tamagawa

Nojiri

Okuda

et al. 2022

Spine Surg Relat Res

View full text Add to dashboard Cite

Introduction:For the aging population, surgery for lumbar spinal canal stenosis (LSCS) requires minimally invasive procedures. Recently, trans-sacral epiduroscopic laser decompression for lumbar disc herniation has been reported with good results. In this study, we devised a new method to perform trans-sacral epiduroscopic laser ablation of the ligamentum flavum (LF), known to be the major cause of LSCS. Using a live pig, this study aims to evaluate the efficacy, safety, and drawbacks of this procedure.Methods: Using an epiduroscope, we observed intra-spinal canal structures and then examined the feasibility and problems of a decompression procedure to ablate the LF using holmium:YAG (Ho:YAG) laser. The pig was observed for behavioral changes and neurological deficits after the procedure.Histological analysis was performed to evaluate the amount of tissue ablation and damage to surrounding tissues. Results:Although it was possible to partially ablate the LF using the Ho:YAG laser under epiduroscopy, it was difficult to maintain a clear field of view, and freely decompressing the target lesion has been a challenge. After the first two experiments, the pig neither showed abnormal behavior nor any signs of pain or paresis. However, in the third experiment, the pig died during the operation. On autopsy, no thermal or mechanical injury was noted around the ablated site, including the dura mater and nerve root.

show abstract

Multidirektionale Schulterinstabilität

König¹,

Imhoff²

2001

Schulterchirurgie in Der Praxis

View full text Add to dashboard Cite

The use of lasers in orthopaedic surgery

Cited by 11 publications

References 26 publications

Operative Therapiemöglichkeiten des Knorpelschadens

Operative Therapiemöglichkeiten des Knorpelschadens

Trans-Sacral Epiduroscopic Ho:YAG Laser Ablation of the Ligamentum Flavum in a Live Pig

Multidirektionale Schulterinstabilität

Contact Info

Product

Resources

About