TOTBİD Dergisi

TOTBİD Dergisi

2017, Cilt 16, Sayı, 3     (Sayfalar: 230-237)

Use of radiofrequency for musculoskeletal system diseases

Hayati Aygün 1, Osman Yaray 1

1 Özel Medicabil Hastanesi Ortopedi ve Travmatoloji Kliniği, Bursa

DOI: 10.14292/totbid.dergisi.2017.32
Görüntüleme: 659
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İndirme : 1067

Radiofrequency energy is used in many surgical procedures such as incision making, hemostasis, capsular release and capsulorraphy in the musculoskeletal system, while radiofrequency ablation is also used in the treatment of some tumors and chronic pain, in almost every field of the medicine. Since 1950, more advanced systems were produced, and it was ensured that the radiofrequency can be transmitted safely to live tissue within the desired amount and time. While it can be used for percutaneous neurotomy or the ablation of some tumors in open surgical areas especially with the help of advanced electrodes, it has been a component of arthroscopic/endoscopic surgical approaches. Some situations, such as infection and bleeding diathesis, are contraindications to RF ablation practices; minor complications may also be seen. The placement of the electrodes in the correct region as best as possible, and the use of radiological guiding methods such as ultrasound, computed tomography and fluoroscopy for this purpose is essential for the success of the procedure and avoidance of complications. The most important advantage of the radiofrequency is that it can be performed percutaneously, being repeatable and safe on daily outpatient when applied with the purpose of ablation. However, most important disadvantages are that it is expensive, and requires assistive guidance of imaging systems.

Anahtar Kelimeler : radiofrequency ablation; RFA; percutaneous neurotomy; chronic pain