Short-term effects of radiofrequency shrinkage treatment for anterior cruciate ligament relaxation on proprioception

J Int Med Res. 2013 Oct;41(5):1586-93. doi: 10.1177/0300060513487644. Epub 2013 Aug 23.

Abstract

Objective: Radiofrequency (RF) shrinkage is used in anterior cruciate ligament (ACL) reconstruction. The present study investigated the therapeutic effects of RF on ACL relaxation and the probable influencing factors.

Methods: Patients with ACL relaxation were included. Participants were randomly divided into two groups: a treatment group, in which patients were treated with RF shrinkage (RF group); a control group, in which patients received conventional surgical treatment. Thermal shrinkage was performed on ACL using an ArthroCare® CAPSure® wand. Lysholm scores, proprioceptive testing and Tegner activity scores were evaluated before and after treatment (at 6 and 12 months).

Results: A total of 38 patients were included. The mean ± SD Lysholm score of those in the RF group at 12 months' post-treatment was significantly higher than in controls. The angle of deviation of the knee joint in RF group was significantly larger than in the control group at 6 months' post-treatment.

Conclusions: RF shrinkage treatment for ACL laxity could improve knee scores, and may affect proprioception and recovery of activity after surgery.

Keywords: ACL; Radiofrequency; anterior cruciate ligament; laxity; proprioception; shrinkage.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament / pathology
  • Anterior Cruciate Ligament / radiation effects*
  • Arthroscopy
  • Female
  • Humans
  • Knee Joint / pathology
  • Knee Joint / radiation effects*
  • Male
  • Middle Aged
  • Proprioception / physiology
  • Proprioception / radiation effects*
  • Pulsed Radiofrequency Treatment / methods
  • Radiofrequency Therapy*
  • Range of Motion, Articular / physiology
  • Range of Motion, Articular / radiation effects*
  • Treatment Outcome
  • Young Adult