Review ArticleOpinion On Thermal Energy Application on Articular CartilageUribe, John W MDAuthor Information From the Department of Orthopedics, University of Miami School Of Medicine, Coral Gables FL. Reprints: John W. Uribe, MD, Department of Orthopedics, University of Miami, 1150 Campo Sano Ave, Coral Gables, FL 33146 (e-mail: firstname.lastname@example.org). Reprinted from 24th Annual Meeting of the Arthroscopy Association of North America Presentation, Orlando FL April 2004.Voloshin I, De Haven KE et al, Athroscopic evaluation of radiofrequency chondroplasty of the knee, with permission from Arthroscopy Association of North America. Sports Medicine and Arthroscopy Review: December 2005 - Volume 13 - Issue 4 - p 202-205 doi: 10.1097/01.jsa.0000190104.85812.f9 Buy Metrics Abstract Articular Cartilage lesions are frequently encountered during arthroscopic procedures and may be the source of effusions and pain. Stabilizing the margins and removing loose articular cartilage is an essential step in their management. Although controversial, radiofrequency generated thermal energy is being used on articular cartilage with increasing frequency. This controversy stems from conflicting findings of acute effect in vitro studies of radiofrequency on articular cartilage. In vivo and short-term clinical studies suggest that its use is safe and perhaps more effective than the standard mechanical debridement; albeit, long term evidence-based studies are warranted. Moreover, proper patient selection and surgical technique are essential in minimizing collateral tissue damage. © 2005 Lippincott Williams & Wilkins, Inc.