Journal of Shoulder and Elbow Surgery
Volume 16, Issue 1 , Pages 95-100 , January 2007

Treatment of ligament laxity by electrothermal shrinkage or surgical plication: A morphologic and mechanical comparison

  • Adam M. Hill, BSc

      Affiliations

    • Department of Musculoskeletal Surgery, Imperial College London, London, England
    • Department of Bioengineering, Imperial College London, London, England
    • ,
  • Ioan T. Jones, FRCS

      Affiliations

    • Department of Musculoskeletal Surgery, Imperial College London, London, England
    • ,
  • Ulrich Hansen, PhD

      Affiliations

    • Department of Mechanical Engineering, Imperial College London, London, England
    • ,
  • Amrita Suri, BSc

      Affiliations

    • Department of Musculoskeletal Surgery, Imperial College London, London, England
    • ,
  • Ann Sandison, FRCP

      Affiliations

    • Department of Histopathology, Charing Cross Hospital, London, England
    • ,
  • Jill Moss, PhD

      Affiliations

    • Department of Investigative Sciences, Imperial College London, London, England
    • ,
  • Andrew L. Wallace, PhD, FRACS

      Affiliations

    • Department of Musculoskeletal Surgery, Imperial College London, London, England
    • Department of Bioengineering, Imperial College London, London, England
    • Corresponding Author InformationReprint requests: A. L. Wallace, PhD, FRACS, Consultant Orthopaedic Surgeon, The Shoulder Unit, Hospital of St John and St Elizabeth, 60 Grove End Rd, St John’s Wood, London, W6 8RF, England.

References 

  1. D’Alessandro DF, Bradley JP, Fleischli JE, Connor PM. Prospective evaluation of thermal capsulorrhaphy for shoulder instability: indications and results, two- to five-year follow-up. Am J Sports Med. 2004;32:21–33
  2. Faryniarz DA, Chaponnier C, Gabbiani G, Yannas IV, Spector M. Myofibroblasts in the healing lapine medial collateral ligament: possible mechanisms of contraction. J Orthop Res. 1996;14:228–237
  3. Hamada K, Fukuda H, Nakajima T, Yamada N. The inferior capsular shift operation for instability of the shoulder (Long-term results in 34 shoulders). J Bone Joint Surg Br. 1999;81:218–225
  4. Hayashi K, Thabit G, Massa KL, Bogdanske JJ, Cooley AJ, Orwin JF, et al. The effect of thermal heating on the length and histologic properties of the glenohumeral joint capsule. Am J Sports Med. 1997;25:107–112
  5. Hayashi K, Hecht P, Thabit G, Peters DM, Vanderby R, Cooley AJ, et al. The biologic response to laser thermal modification in an in vivo sheep model. Clin Orthop Relat Res. 2000;265–276
  6. Hecht P, Hayashi K, Lu Y, Fanton GS, Thabit G, Vanderby R, et al. Monopolar radiofrequency energy effects on joint capsular tissue: potential treatment for joint instability (An in vivo mechanical, morphological, and biochemical study using an ovine model). Am J Sports Med. 1999;27:761–771
  7. Holden JP, Grood ES, Korvick DL, Cummings JF, Butler DL, Bylski-Austrow DI. In vivo forces in the anterior cruciate ligament: direct measurements during walking and trotting in a quadruped. J Biomech. 1994;27:517–526
  8. Levy O, Wilson M, Williams H, Bruguera JA, Dodenhoff R, Sforza G, et al. Thermal capsular shrinkage for shoulder instability (Mid-term longitudinal outcome study). J Bone Joint Surg Br. 2001;83:640–645
  9. Neer CS, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder (A preliminary report). J Bone Joint Surg Am. 1980;62:897–908
  10. Savoie FH, Field LD. Thermal versus suture treatment of symptomatic capsular laxity. Clin Sports Med. 2000;19:63–75vi
  11. Schaefer SL, Ciarelli MJ, Arnoczky SP, Ross HE. Tissue shrinkage with the holmium:yttrium aluminum garnet laser (A postoperative assessment of tissue length, stiffness, and structure). Am J Sports Med. 1997;25:841–848
  12. Thornton GM, Frank CB, Shrive NG, Leask GP. Ligament scar creeps more than normal ligament in early healing. Trans Orthop Res Soc. 1997;22:73
  13. Wallace AL, Forrester K, Sutherland CA, Barclay LD, Bray RC, Shrive NG, et al. Early spontaneous recovery of surgically-induced laxity in an extra-articular ligament model. Trans Orthop Res Soc. 1999;24:306
  14. Wallace AL, Hollinshead RM, Frank CB. The scientific basis of thermal capsular shrinkage. J Shoulder Elbow Surg. 2000;9:354–360
  15. Wallace AL, Sutherland CA, Marchuk LL, Waddell M, Hollinshead RM, Shrive NG, et al. Creep behavior of a rabbit model of ligament laxity after electrothermal shrinkage in vivo. Am J Sports Med. 2002;30:98–102
  16. Wallace AL, Hollinshead RM, Frank CB. Electrothermal shrinkage reduces laxity but alters creep behavior in a lapine ligament model. J Shoulder Elbow Surg. 2001;10:1–6

PII: S1058-2746(06)00097-8

doi: 10.1016/j.jse.2006.03.003

Journal of Shoulder and Elbow Surgery
Volume 16, Issue 1 , Pages 95-100 , January 2007

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