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Related Experiment Videos

Conventional instrument vs. laser-assisted arthroscopic meniscectomy.

D E Yakin1, V P Rogers

  • 1West Tennessee Orthopedic and Sports Medicine (DC), Jackson, Tennessee 38301, USA.

Lasers in Surgery and Medicine
|December 22, 1999
PubMed
Summary

Conventional arthroscopic partial meniscectomy is more cost-effective than using a holmium laser. Outcomes like range of motion and effusion were similar between the two surgical methods.

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Area of Science:

  • Orthopedic Surgery
  • Medical Technology Assessment

Background:

  • Arthroscopy is a common surgical procedure.
  • Lasers have been proposed as an alternative to conventional instruments in arthroscopy.
  • Previous studies show no significant outcome differences between laser and conventional arthroscopy.

Purpose of the Study:

  • To compare the clinical outcomes and costs of conventional arthroscopic partial meniscectomy versus holmium:yttrium-aluminum-garnet (Ho:YAG) laser arthroscopic partial meniscectomy.
  • To assess the economic implications of using laser technology in arthroscopic procedures.

Main Methods:

  • A comparative study involving 93 patients undergoing partial meniscectomy.
  • Patients were divided into two groups: conventional arthroscopy (43 patients) and Ho:YAG laser arthroscopy (50 patients).

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  • Data collected included tourniquet time, range of motion, effusion, pain, and total cost.

    • Main Results:

    • No significant differences were observed in range of motion or effusion between the conventional and laser groups.
    • The mean cost for conventional arthroscopic partial meniscectomy was significantly lower ($1,102) compared to laser arthroscopic partial meniscectomy ($1,536).
    • The higher cost for the laser group was attributed to equipment rental fees.

    Conclusions:

    • Conventional arthroscopic instrumentation is recommended for routine partial meniscectomy due to its cost-effectiveness.
    • Laser arthroscopy does not offer superior clinical outcomes to justify its increased cost in routine partial meniscectomy.