Articular Cartilage and Soft Tissue Damage from Radiofrequency Thermal Ablation Wands in Wrist Arthroscopy

Description

This video transcript captures a discussion led by Grey Giddins, highlighting the dangers associated with the use of thermal wands in orthopedic surgery. Starting with an acknowledgment of the shared title, Grey narrates a series of cautionary tales concerning injuries caused by thermal wands, asserting that even experienced surgeons can encounter severe damage from improper use. He recounts six specific cases, detailing the complications such as skin burns, extensor tendon ruptures, and damage to articular cartilage, emphasizing that these incidents, though few in number, are significant within the medical literature.



The presentation underscores that thermal wands can inflict serious injuries, particularly at high temperatures where collagen denaturation occurs. Grey proposes that it may stem from a manufacturing issue, and he advises on safe practices, including using short bursts and ensuring good fluid flow. Furthermore, he discusses former experiences with various wands and shares cautionary insights about consenting patients about potential risks.



The discussion wraps up with murmurs from the audience, who engage with queries regarding safer practices and past experiences with specific thermal wands. Grey suggests a careful approach while recognizing that the choice of whether to use such instruments remains a surgeon's decision, stressing the importance of providing patients with a clear understanding of the risks involved in their operations.

DOI: 10.1302/3114-221342

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