title: [Thermal assisted arthroscopic stabilization of unstable shoulder].
abstract: The use of nonablative thermal energy to shrink soft-tissue collagen results in ultrastructural and mechanical changes at temperatures 60 degrees C or above. Due to this effect, the fibrils undergo shortening and shrinkage. Arthroscopic thermal capsulorrhaphy has been used in the treatment of shoulder instabilities and posterior impingement syndrome; in particular, the presence of a Bankart lesion or a superior labral anterior posterior lesion requires a labral or capsulolabral repair. Despite ease of application, thermal techniques have higher complication rates, with no proven superiority over traditional suture techniques. Further studies are required to develop the most appropriate technique for tissue shrinkage without any associated tissue destruction. The mechanical properties and long-term durability of the newly produced collagen need to be analyzed, as well.
authors.affiliation: Başkent Universitesi Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali, Yüreğir, Adana. sercanakpinar@hotmail.com
authors.forename: Sercan
authors.initials: S
authors.lastname: Akpinar
authors.forename: Mustafa
authors.initials: M
authors.lastname: Uysal
authors.forename: Gürkan
authors.initials: G
authors.lastname: Ozkoç
authors.forename: N Reha
authors.initials: NR
authors.lastname: Tandoğan
mesh_terms: D001182:Arthroscopy / Q000379:methods; D004564:Electrocoagulation / Q000379:methods; D006801:Humans; D007593:Joint Instability / Q000473:pathology / Q000601:surgery*; D019534:Shoulder Impingement Syndrome / Q000473:pathology / Q000601:surgery*; D012785:Shoulder Joint / Q000473:pathology / Q000601:surgery*