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Effects of Radiofrequency Probe Application on Irrigation Fluid Temperature in the Wrist Joint

Authors
Journal
The Journal Of Hand Surgery
0363-5023
Publisher
Elsevier
Publication Date
Volume
34
Issue
10
Identifiers
DOI: 10.1016/j.jhsa.2009.07.006
Keywords
  • Ablation
  • Fluid Temperature
  • Radiofrequency
  • Wrist Arthroscopy
  • Outflow

Abstract

Purpose Radiofrequency (RF) probes used in wrist arthroscopy may raise joint fluid temperature, increasing the risk of capsular and ligamentous damage. The purposes of the current study were to measure joint fluid temperature during wrist arthroscopy with the use of RF probes, and to determine whether using an outlet portal will reduce the maximum temperature. Methods We performed wrist arthroscopy on 8 cadaveric arms. Ablation and coagulation cycles using RF probe were performed at documented locations within the joint. This was done for 60-second intervals on both the radial and ulnar side of the wrist, to mimic clinical practice. We used 4 fiberoptic phosphorescent probes to measure temperature (radial, ulnar, inflow-tube, and outflow-tube probes) and measured joint fluid temperature with and without outflow. Results There was a significant difference between wrists with and without outflow when examining maximum ablation temperatures (p < .002). All specimens showed higher maximum and average ablation temperatures without outflow. Maximum joint temperatures, greater than 60°C, were observed in only no-outflow conditions. Conclusions In performing RF ablation during wrist arthroscopy, the use of an outlet portal reduces the joint fluid temperature. Without an outlet portal, maximum temperatures can exceed desirable levels when using ablation; such temperatures have the potential to damage adjacent tissues. It is useful to maintain adequate outflow when using the radiofrequency probes during wrist arthroscopy.

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