{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:17:54Z","timestamp":1773566274570,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,1,21]],"date-time":"2008-01-21T00:00:00Z","timestamp":1200873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2008,1,21]],"date-time":"2008-01-21T00:00:00Z","timestamp":1200873600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate tissue effect (tissue removal plus underlying cell death) of two chondroplasty techniques: mechanical debridement (MD) using a rotary shaver blade and thermal chondroplasty using radiofrequency energy (RFE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty\u2010eight human chondromalacic cartilage samples were treated with either MD or RFE. Pre\u2010 and post\u2010treatment arthroscopic images of the cartilage surface were recorded. Samples were incubated with cell viability stain and visualized with confocal laser microscopy to determine tissue effect. Smoothing was quantitated by three surgeons using a visual analog scale (VAS) as well as a subjective rating regarding whether smoothing was \u201carthroscopically acceptable.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Tissue effect at the surgical endpoint of arthroscopically acceptable smoothing was 385 \u03bcm for MD versus 236 \u03bcm for RFE, a significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Mean post\u2010treatment VAS for MD was 2.8 points less smooth than for RFE (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Overall, arthroscopically acceptable smoothing was achieved in 90% of RFE samples compared to 49% of MD samples.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results shown that chondroplasty using a RFE probe results in greater smoothing of chondromalacic cartilage in fewer treatment passes and with decreased total tissue effect than MD using a rotary shaver blade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>If safety and efficacy can be shown in vivo, thermal chondroplasty may represent an alternative for treatment of symptomatic chondromalacia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2007.09.018","type":"journal-article","created":{"date-parts":[[2008,1,8]],"date-time":"2008-01-08T10:33:00Z","timestamp":1199788380000},"page":"410-415","source":"Crossref","is-referenced-by-count":32,"title":["Ex Vivo Comparison of Mechanical Versus Thermal Chondroplasty: Assessment of Tissue Effect at the Surgical Endpoint"],"prefix":"10.1002","volume":"24","author":[{"given":"Marie L.","family":"Lotto","sequence":"first","affiliation":[{"name":"Endoscopy Division, Smith &amp; Nephew Andover Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma J.","family":"Wright","sequence":"additional","affiliation":[{"name":"Endoscopy Division, Smith &amp; Nephew Andover Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Appleby","sequence":"additional","affiliation":[{"name":"Endoscopy Division, Smith &amp; Nephew Andover Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven B.","family":"Zelicof","sequence":"additional","affiliation":[{"name":"Sound Shore Medical Center New Rochelle New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J.","family":"Lemos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Sports Medicine, Lahey Clinic Burlington Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James H.","family":"Lubowitz","sequence":"additional","affiliation":[{"name":"Taos Orthopaedic Institute Research Foundation Taos New Mexico U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,1,21]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500513"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.66B5.6501358"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(85)80037-2"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290011201"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.03.018"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.01.006"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1109\/TBME.2005.845155"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300012801"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.32840"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300050601"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.7690"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275013"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21254"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.06.018"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21903"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.06.008"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.29906"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.013"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70054-4"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2006.06.021"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.58.1.27"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806307009589?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806307009589?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2007.09.018","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2007.09.018","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2007.09.018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:46:00Z","timestamp":1773564360000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2007.09.018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,21]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,4]]}},"alternative-id":["10.1016\/j.arthro.2007.09.018"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2007.09.018","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,1,21]]}}}