By Allen T. Brillhart (auth.), Allen T. Brillhart M.D. (eds.)
Arthroscopic Laser surgical procedure: medical Applications is designed to introduce using lasers to the orthopaedic doctor who plays arthroscopic surgical procedure and is the 1st textual content of its sort solely dedicated to the unification of those interesting applied sciences.
This groundbreaking paintings examines the subsequent topics: - the fundamental sciences of laser arthroscopy in addition to the historical past of its improvement - recommendations for arthroscopic laser purposes within the knee, for carpal tunnel liberate, ankle, shoulder, and lots more and plenty extra - functional, medical directions on its merits, risks, and problems - technical evaluate of the laser structures at present in use within the usa and around the world - vital protection measures and administrative matters - thesaurus of phrases and reference sources.
Each bankruptcy is written through an arthroscopic laser medical professional uncommon in either his wisdom of the subject addressed in addition to through his services with that categorical laser arthroscopic procedure. Over one hundred twenty full-color illustrations improve the presentation. The definitive textual content of arthroscopic laser surgical procedure functions and method, this quantity is a must have info resource for all orthopaedic surgeons.
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Extra resources for Arthroscopic Laser Surgery: Clinical Applications
The synovial tissue included osteoarthritic and rheumatoid arthritis synovium or mature porcine stifle joint synovium. The tissue was minced into 2 mm to 3 mm segments and cultured directly or as fibroblasts in Eagle's minimum essential medium containing 20% fetal calf serum. 06 Jlm neodyrnium:YAG energy in the pulsed mode consistently deregulated hyaluronic acid and protein synthesis. In contrast, the Q mode was deleterious to synovial cell metabolism. Under the conditions used in this study, the laser energy has no significant effect on synovial cell proliferation.
3-3). There is no focal point to a fiber, which means that power density, and hence tissue effect, is highest at the tip of the fiber and falls off rapidly with short distances from the fiber tip. Cutting is achieved with the fiber just off the tissue « 1 mm). Another 1 to 2 mm further back creates sculpting and vaporization. Another millimeter or two causes simple photocoagulation with no vaporization. A desired effect is not possible much past 5 to 10 mm (Fig. 3-3). Gregory T. Absten Handpieces designed to hold the laser fibers for arthroscopic use provide some mechanical stability to these slender fibers.
Power densities change when such elongated spots are formed on tissue because of firing at an angle, which minimizes ablation of stable articular cartilage. Free beam or noncontact fibers provide the option of cutting when placing the fiber near the tissue and then sculpting when backed up 2 to 3 mm. By contrast, contact-type fibers and probes can be used only by directly touching the tissue. Suggested Reading Absten GT (1992) Fundamentals of electrosurgery. Advanced Laser Services Corporation, Columbus OH Absten GT and Joffe SN (1989) Lasers in medicine: an introductory guide.
Arthroscopic Laser Surgery: Clinical Applications by Allen T. Brillhart (auth.), Allen T. Brillhart M.D. (eds.)