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All studies reporting complications after arthroscopy using electrosurgery devices were included. Only English\u2010 and Dutch\u2010language articles were included. Basic science\/nonclinical studies\/human cadaveric studies and animal studies were excluded. Article selection was performed by 2 separate reviewers. Interobserver agreement of the selection procedure was determined by Cohen\u2019s kappa. All included articles were critically appraised using an adapted version of the ROBINS\u2010I tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010five studies were included in this systematic review. A total of 309 cases of heat\u2010related complications were identified. Chondrolysis was present in 45 cases and dermal burns in 15 cases. Axillary nerve injuries were reported in 197 cases of arthroscopic adhesive capsulitis release. However, it was unclear whether these injuries were directly related to the overheating of the arthroscopic fluid. No one specific risk factor for thermal complications was identified, but related factors included the leakage of the arthroscopy fluid, use of a thermal device continuously for a long period of time, proximity of the thermal device to the tissue, intra\u2010articular local anesthetic injection or the use of intra\u2010articular pain pumps, and certain surgical procedures, such as thermal capsulorrhaphy, capsular release, and synovectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The most common heat\u2010related complications in arthroscopy are dermal burns and chondrolysis. Risk factors include leakage of arthroscopy fluid, use of a thermal device, intra\u2010articular anesthetics\/pain pumps, and performing specific surgical procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Systematic review of level III\u2010IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2020.12.002","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T19:49:45Z","timestamp":1614109785000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Heat\u2010Related Complications from Radiofrequency and Electrocautery Devices Used in Arthroscopic Surgery: A Systematic Review"],"prefix":"10.1002","volume":"3","author":[{"given":"Carola F.","family":"van Eck","sequence":"first","affiliation":[{"name":"Department of Orthopaedic 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}