NDLI: Time and cost savings in arthroscopic subacromial decompression: the use of bipolar versus monopolar radiofrequency.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Diab, Mohammed A. Fernandez, G. N. Elsorafy, Kareem
Description	Author Affiliation: Diab MA ( Orthopaedic and Trauma Department, Dorset County Hospital, William's Ave., Dorchester, Dorset, DT1 2EB, UK, diab61@hotmail.com.)
Abstract	There is currently an increased interest in the use of electro surgery in arthroscopy. Since the introduction of the bipolar arthroscopic radiofrequency (RF) wand, it has started to replace the classic Bovie monopolar probe on the assumption that the new technology provides multifunctional devices, combining both tissue removal and haemostasis into one instrument. The more efficient tissue ablation and precise haemostasis achieved with these instruments should result in a significant reduction in the operative time and cost. We ran a prospective comparative randomised study to test this hypothesis. Forty patients underwent arthroscopic subacromial decompression, randomised into two groups. The group treated with bipolar RF was associated with an average operative time saving of 8 min (P < 0.0001) and an average cost saving of pound 83 (euro 111) per case (P < 0.003), compared to monopolar RF. Bipolar RF is the instrument of choice in arthroscopic shoulder surgery, as it saves time and money.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-008-0541-z
Journal	International Orthopaedics
Issue Number	1
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-02-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Arthroscopy Catheter Ablation Cost Savings Statistics & Numerical Data Decompression, Surgical Shoulder Impingement Syndrome Surgery Instrumentation Cost-benefit Analysis Debridement Prospective Studies Time Factors Randomized Controlled Trial
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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Time and cost savings in arthroscopic subacromial decompression: the use of bipolar versus monopolar radiofrequency

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