Abstract
Lasers are currently utilized in many areas of orthopedic surgery [1, 2]. Due to limitations in fiberoptic and laser medium technology, however, lasers have had limited application in orthopedics [8] as their primary roles have been hemostasis and tissue ablation. The holmium:yttrium-aluminum-garnet (Ho:YAG) laser has gained popularity recently as it has been applied to spine [4, 17], knee [10], and shoulder surgery for capsular [16] cartilage and bone resection while providing excellent tissue hemostasis and controlled penetration depth. Recently, the Ho:YAG laser has been utilized to produce collagen shortening [13] and it may have potential in clinical soft tissue shortening procedures such as capsular tightening in multidirectional shoulder instability.
This work has been presented at the American Orthopaedic Society for Sports Medicine in Toronto, Ontario, Canada, July 16–19, 1995, and at the American Orthopaedic Association Residents’ Meeting in Pittsburgh, Pennsylvania, March 28–April 1, 1995
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References
Abelow SP (1993) Use of lasers in orthopedic surgery: current concepts. Orthopedics 16:551–556
Bass LS, Moazami N, Pocsidio J, Oz MC, LoGerfo P, Treat MR (1992) Changes in type I collagen following laser welding. Lasers Surg Med 12:500–505
Bigliani LU, Pollock RG, Soslowsky LJ, Flatow EL, Pawluk RJ, Mow VC (1992) Tensile properties of the inferior glenohumeral ligament. J Orthop Res 10:187–197
Buchelt M, Kutschera H-P, Katterschafka T, Kiss H, Schneider B, Ullrich R (1992) Erb:YAG and Hoi:YAG laser ablation of meniscus and intervertebral discs. Lasers Surg Med 12:375–381
Dew DK (1995) Laser biophysics for the orthopedic surgeon. Clin Orthop 310:6–13
Dillingham MF, Price JM, Fanton GS (1993) Holmium laser surgery. Orthopedics 16:563–566
Fuller TA (1987) Surgical laser: a clinical guide. MacMillan, New York, pp 1–17
Metcalf RW (1987) Lasers in orthopedic surgery. In: Dixon JA (ed) Surgical application of lasers. Year Book Medical, Chicago, pp 275–286
O’Brien SJ, Neves MC, Arnoczky SP et al (1990) The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder. Am J Sports Med 8:449–456
O’Brien SJ, Miller DV, Fealy SV, Gibne MA, Kelly AM (1992) Lasers and the meniscus. In: Mow VC, Arnoczky SP, Jackson DW (eds) Knee meniscus: basic and clinical foundations. Raven, New York, pp 153–164
Oth JFM, Dumitru ET, Spurr OK, Flory PJ (1957) Phase equilibrium in the hydrothemal shrinkage of collagen. J Am Chem Soc 79:3288–3289
Parrish JA (1987) Laser photomedicine: selective lasertissue interaction. In: Dixon JA (ed) Surgical application of lasers. Year Book Medical, Chicago, pp 34–51
Ren Q, Simon G, Parel J-M, Smiddy W (1993) Laser scleral buckling for retinal reattachment. Am J Ophthalmol 115:758–762
Schaffer JL, Dark M, Itzkan I et al (1995) Mechanisms of meniscal tissue ablation by short pulse laser irradiation. Clin Orthop 310:30–36
Schober R, Ulrich F, Sander T, Durselen H, Hessel S (1986) Laser-induced alteration of collagen substructure allows microsurgical tissue welding. Science 232:1421–1422
Shapiro GS, Fanton GS, Dillingham MF, Perkash R (1995) Lateral retinacular release: the holmium:YAG laser versus electrocautery. Clin Orthop 310:42–47
Sherk HH, Black J, Rhodes A, Lane G, Prodoehl J (1993) Laser discectomy. Clin Sports Med 12:569–577
Sherk HH, Black JD, Prodoehl JA, Diven J (1995) The effects of lasers and electrosurgical devices on human meniscal tissue. Clin Orthop 310:14–20
Stein E, Sedlacek T, Fabian RL, Nishioka NS (1990) Acute and chronic effects of bone ablation with a pulsed holmium laser. Lasers Surg Med 10:384–388
Trauner K, Nishioka N, Patel D (1990) Pulsed holmium:yttrium-aluminum-garnet (Ho:YAG) laser ablation of fibrocartilage and articular cartilage. Am J Sports Med 18:316–320
Trauner KB, Nishioka NS, Flotte T, Patel D (1995) Acute and chronic response of articular cartilage to holmium:YAG laser irradiation. Clin Orthop 310:52–57
Vangsness CT, Ghaderi B (1993) A literature review of lasers and articular cartilage. Orthopedics 16:593–598
Vangsness CT, Akl Y, Nelson SJ, Liaw L-H L, Smith CF, Marshall GJ (1995) In vitro analysis of laser meniscectomy. Clin Orthop 310:21–26
Vangsness CT, Smith CF, Marshall GJ, Sweeney JR, Johansen E (1995) The biological effects of carbon dioxide laser surgery on rabbit articular cartilage. Clin Orthop 310:48–51
White RA, Kopchok GE, White GH, Klein SR, Uitto J (1987) Laser vascular anastomotic welding. In: White RA et al (eds) Lasers in cardiovascular disease. Year Book Medical, Chicago, pp 103–117
Woo SL-Y, Peterson RH, Ohland KJ, Sites TJ, Danto MI (1990) The effects of strain rate of the medial collateral ligament in skeletally immature and mature rabbits: a biomechanical and histological study. J Orthop Res 8:712–721
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Berend, M.E., Glisson, R.R., Speer, K.P. (2001). Soft Tissue Shortening with the Ho:YAG Laser: Experimental Model, Structural Effects, and Histologic and Ultrastructural Analysis. In: Gerber, B.E., Knight, M.T.N., Siebert, W.E. (eds) Lasers in the Musculoskeletal System. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56420-8_23
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