KnotesFree Orthopaedic & FRCS notes, viva stations and higher order SBAs

Diathermy

Must KnowApplied Basic SciencesthinKbox SBA

An electrical circuit is created involving the patient, where the patient is the point of resistance generating heat

General

  • Frequency 100KHz, DC is used
  • Monopolar
    • Active electrode
    • Return electrode else where of large surface area
    • Cut: continuous current with more heat
    • Coag: intermittent with less heat
    • Fulguration: Coagulation over a wider area, with diathermy away from tissue

Bipolar

  • Active and return point electrodes at the surgical site

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026