Orthopedics

Holmium Lasers for Orthopedics

The Holmium laser has been utilized as an arthroscopic tool in a number of orthopedic procedures such as spinal decompression, discectomy, tendon debridement, capsular shift, peripheral joint surgery and more. Its multiple applications, small probe size, fiberoptic capability, and fluid medium transmissibility with pulsed energy delivery offer significant clinical value in such procedures.

Holmium Lasers for Orthopedics

With 2100 nm wavelength, the Holmium laser is well-absorbed by water and due to this absorption, when the beam is fired, a small amount of laser energy at the tip of the fiber will boil immediate water adjacent to it (in an aqueous medium). This creates a vapor bubble, which allows the laser energy to pass through this bubble, reach the target tissue and vaporize it.

These lasers successfully combine precision with minimal amount of thermal necrosis and is able to cut and ablate any tissue type with great ease, resulting in optimal tissue effect. The Holmium Laser energy simultaneously cuts the tissue and coagulates the blood vessels with minimal charring compared with other cauterized modalities, thus less irritation and inflammation will follow.

The Lumenis Solution

Unique requirements are set for orthopedic procedures, which calls for precisely localized delivery of laser energy to the tissue, with minimal thermal spread and flexibility to work in a confined surgical field. Lumenis’ range of Holmium solutions include custom designed delivery systems that are suited for orthopedic surgeries with a focus on spine surgeries. It also offers the arthroscopic surgeon the potential to decrease hemarthrosis, iatrogenic articular damage, and postoperative morbidity.

Advantages for Physicians

  • Increased post procedure pain relief[1]
  • Long term pain relief and disability reduction[2]
  • Reduce the risk of bleeding and minimal complications[3]
  • Precision and maneuverability of energy delivery using the laser system and customized fibers
  • Cost effective[4]

Lumenis Medical Devices

References

1. Lee, S.H, Lee, H.S., Lim, K.T. (2016), Trans-Sacral Epiduroscopic Laser Decompression for Symptomatic Lumbar Disc Herniation: A Preliminary Case Series, Photomed Laser Surg., 34(3):121-9.

2. Lee, G.W., Jang, S.J., Kim, J.D. (2014), The efficacy of epiduroscopic neural decompression with Ho:YAG laser ablation in lumbar spinal stenosis,Eur J Orthop Surg Traumatol, Suppl 1:S231-7.

3. Hudak, E.M., Perry, M.W. (2015), Outpatient minimally invasive spine surgery using endoscopy for the treatment of lumbar spinal stenosis among obese patients, J Orthop, 3;12(3):156-9.

4. Casper, G.D., Hartman, V.L., Mullins, L.L. (1996), Results of a clinical trial of the holmium:YAG laser in disc decompression utilizing a side-firing fiber: a two-year follow-up, Lasers Surg Med., 19(1):90-6.

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