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Updated: Aug 18, 2026

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
Safe parameters for laser chondroplasty of the knee
C J Janecki1, M W Perry, A O Bonati
1The Bonati Institute for Advanced Arthoscopic Surgery, Hudson, Florida 34667, USA.
Background And Objective:
The purpose of this study is to summarize our use of the Holmium laser as a tool in performing chondroplasties of the knee and to determine whether any untoward affects developed at the site of laser application.
Study Design/Materials And Methods:
A retrospective review of 504 laser chondroplasties of the medial femoral condyle was done. Laser parameters and the average number of joules to perform the chondroplasties were recorded. The average follow-up was 11 months.
Results:
Preoperative MRI interpretation indicated that 8% of the patients had osteonecrosis prior to surgery. 88% of the patients were satisfied with the procedure. All failures were evaluated by X-ray, MRI, bone scan, or biopsy of the medial femoral condyle. No new cases of osteonecrosis were determined.
Conclusion:
No new cases of osteonecrosis were documented of the medial femoral condyle following laser chondroplasty utilizing the parameters in this study. The Holmium laser remains a safe and efficacious tool in performing chondroplasty.

