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Radiofrequency Repair

  • Alberto VenturaEmail author
Chapter
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Abstract

Arthroscopic procedure for the treatment of chronic lateral ankle instability has been proposed in order to minimize invasiveness, reduce operating time and allow a faster rehabilitation period, and an earlier return to work. Arthroscopic thermal-assisted capsular shrinkage is an established option for the treatment of functional joint instability. Thermal energy, provided by radiofrequency, produces an effective reduction in capsular volume and joint translation by shortening collagenous structures within the connective tissue.

Supplementary material

Video 18.1

Ankle shrinkage (MP4 111,779 kb)

References

  1. 1.
    Berlet GC, Saar WE, Ryan A, Lee TH. Thermal-assisted capsular modification for functional ankle instability. Foot Ankle Clin. 2002;7(3):567–76.CrossRefGoogle Scholar
  2. 2.
    de Vries JS, Krips R, Blankevoort L, Fievez AW, van Dijk CN. Arthroscopic capsular shrinkage for chronic ankle instability with thermal radiofrequency: prospective multicenter trial. Orthopedics. 2008;31(7):655.CrossRefGoogle Scholar
  3. 3.
    Hyer CF, Vancourt R. Arthroscopic repair of lateral ankle instability by using the thermal-assisted capsular shift procedure: a review of 4 cases. J Foot Ankle Surg. 2004;43(2):104–9.CrossRefGoogle Scholar
  4. 4.
    Khan A, Fanton G. Use of thermal energy in the treatment of ankle disorders. Sports Med Arthrosc Rev. 2000;8:354–64.CrossRefGoogle Scholar
  5. 5.
    Maiotti M, Massoni C, Tarantino U. The use of arthroscopic thermal shrinkage to treat chronic lateral ankle instability in young athletes. Arthroscopy. 2005;21(6):751–7.CrossRefGoogle Scholar
  6. 6.
    Oloff LM, Bocko AP, Fanton G. Arthroscopic monopolar radiofrequency thermal stabilization for chronic lateral ankle instability: a preliminary report on 10 cases. J Foot Ankle Surg. 2000;39(3):144–53.CrossRefGoogle Scholar
  7. 7.
    Arnoczky SP, Aksan A. Thermal modification of connective tissues: basic science considerations and clinical implications. J Am Acad Orthop Surg. 2002;8:305–13.CrossRefGoogle Scholar
  8. 8.
    Ventura A, Terzaghi C, Legnani C, Borgo E. Arthroscopic four step treatment for chronic ankle instability. Foot Ankle Int. 2012;33(1):29–36.CrossRefGoogle Scholar
  9. 9.
    Driscoll SW. The healing and regeneration of articular cartilage. J Bone Joint Surg Am. 1988;80(12):1795–812.CrossRefGoogle Scholar
  10. 10.
    Flory PJ, Garrett RR. Phase transition in collagen and gelatine systems. Am J Chem Soc. 2002;80:4836–45.CrossRefGoogle Scholar
  11. 11.
    Cline S, Wolin P. The use of thermal energy in ankle instability. Clin Sports Med. 2001;21:713–25.CrossRefGoogle Scholar
  12. 12.
    Lu Y, Hayashi K, Edwards RB III. The effect of monopolar radiofrequency treatment pattern on joint capsular healing. In vivo and in vitro studies using a ovine model. Am J Sports Med. 2000;28:711–9.CrossRefGoogle Scholar
  13. 13.
    Cannon LB, Hackney MB. Anterior tibiotalar impingement associated with chronic ankle instability. J Foot Ankle Surg. 2000;39:383–6.CrossRefGoogle Scholar
  14. 14.
    van Dijk CN, van Bergen CJA. Advancements in ankle arthroscopy. J Am Acad Orthop Surg. 2008;16(11):635–46.CrossRefGoogle Scholar
  15. 15.
    Ferkel RD, Small HN, Gittins JE. Complications in foot and ankle arthroscopy. Clin Orthop Relat Res. 2001;391:89–104.CrossRefGoogle Scholar
  16. 16.
    Rodeo SA, Forster RA, Weiland AJ. Neurological complications due to arthroscopy. J Bone J Surg Am. 1993;75-A:917–26.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Sport Traumatology and Mininvasive Joint Surgery CenterGaleazzi–San Siro Orthopaedic InstituteMilanItaly

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