Technique of CO2 laser arthroscopic surgery

Menachem M. Meller M.D.; Henry H. Sherk M.D.; Anthony L.B. Rhodes M.D.; John Sazy M.D.; Gurvinder S. Uppal M.D.; Gregory J. Lane M.D.

doi:10.1117/12.43991

1 May 1991 Technique of CO₂ laser arthroscopic surgery

Menachem M. Meller M.D., Henry H. Sherk M.D., Anthony L.B. Rhodes M.D., John Sazy M.D., Gurvinder S. Uppal M.D., Gregory J. Lane M.D.

Author Affiliations +

Proceedings Volume 1424, Lasers in Orthopedic, Dental, and Veterinary Medicine; (1991) https://doi.org/10.1117/12.43991
Event: Optics, Electro-Optics, and Laser Applications in Science and Engineering, 1991, Los Angeles, CA, United States

Abstract

The CO₂ laser was selected for arthroscopic surgery due to its availability in the hospital high power output and excellent absorption by unpigmented tissues. During the course of this study 4 generations of laser instruments were tested. These include the focused beam delivered via a handpiece the (3 mm O.D.) macrowaveguide the (1.5 mm Q.D.) microwaveguide and the flexible waveguide. The latter two devices complement each other in that the microwaveguide will tolerate and retain up to a 30 degree(s) curve. The flexible waveguide will clear narrow joint tolerances without creating lesions in the articular surface. CO₂ laser arthroscopic tissue ablation must be done under gaseous joint distention but this presents no undue difficulties. At the completion of the procedure saline irrigation must be done for char removal.

Citation Download Citation

Menachem M. Meller M.D., Henry H. Sherk M.D., Anthony L.B. Rhodes M.D., John Sazy M.D., Gurvinder S. Uppal M.D., and Gregory J. Lane M.D. "Technique of CO₂ laser arthroscopic surgery", Proc. SPIE 1424, Lasers in Orthopedic, Dental, and Veterinary Medicine, (1 May 1991); https://doi.org/10.1117/12.43991

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