Ultrasonic energy helps perform fasciotomy and surgical tenotomy for tendinosis, fasciosis

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The technology has been in use in the United States just over 1 year. A prospective study of 20 patients, published in the

American Journal of Sports Medicine, revealed 19 of the patients were satisfied they had the procedure at 1-year surveillan

date, in more than 2,500 uses, there have been no complications requiring medical attention or additional treatment.

Procedural description

Using ultrasound guidance, the FAST procedure removes degenerative tendon tissue without damaging surrounding health

tissue. The device used for the procedure is the TX1 Tissue Removal System (Tenex Health; Lake Forest, Calif.) and it is

available as a disposable kit that includes lidocaine, a syringe, the microtip, a #11 scalpel, ultrasound gel and a probe cover

hand piece or microtip is attached to a central console via a sterile water intake and output tubing.

This procedure requires local anesthesia only. The area to be treated is prepped and draped in the usual sterile fashion as i

typically done in a procedure room for any procedure performed under local anesthesia (Figure 1).