Document Detail

Delayed articular cartilage slough: two cases resulting from holmium:YAG laser damage to normal articular cartilage and a review of the literature.
MedLine Citation:
PMID:  8838736     Owner:  NLM     Status:  MEDLINE    
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.
R Thal; M B Danziger; A Kelly
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  12     ISSN:  0749-8063     ISO Abbreviation:  Arthroscopy     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-12-05     Completed Date:  1996-12-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  92-4     Citation Subset:  IM    
Town Center Orthopaedic Associates, Reston, VA 22090, USA.
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MeSH Terms
Cartilage, Articular / injuries*,  pathology,  surgery
Knee Injuries / etiology*,  pathology,  surgery
Lasers / adverse effects*
Menisci, Tibial / injuries,  pathology,  surgery
Middle Aged
Postoperative Complications / etiology*,  pathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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