Preview

Knee Arthroscopy

Good Essays
Open Document
Open Document
667 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Knee Arthroscopy
KNEE ARTHROSCOPY
Procedure Steps:

1. The surgeon marks the anteromedial and anterolateral joint lines and portal positions with a skin marker.
2. The skin areas for portal placement are infiltrated with local epinephrine. If the knee has an effusion, the surgeon aspirates it with a 16-gauge needle on a 60ml syringe, followed by injection of a small amount of distending fluid.
3. After a small stab incision with a #11 or #15 knife blade, the surgeon inserts the irrigation cannula and trocar into the lateral suprapatellar pouch near the superior pole of the patella. Lactated Ringer’s or normal saline solution is connected to the cannula and the joint is distended using gravity or a pressure-sensitive arthroscopy pump.
4. A stab incision is then made laterally or medially 2-3 mm above the tibial plateau or patellar tendon at the joint line. A sharp trocar and sheath are inserted through the stab wound and just through the capsule.
5. A blunt trocar is used to pass the sheath into the knee joint. The surgeon removes the trocar and inserts a 30 or 70 degree scope into the sheath. The light source and video camera are connected to the scope.
6. The inflow may remain in the suprapatellar area, and the tubing is connected to the arthroscope, or the position may be reversed.
7. A spinal needle can be introduced under direct vision to determine the best angle for an opposite portal for insertion of probes and operative instruments. The cruciates and menisci are probed to determine integrity and tears.
8. The scope is moved to the opposite portal to facilitate complete examination.
9. The joint is irrigated periodically and at the end of the procedure to maintain good visualization and clear the joint of blood and tissue fragments.
10. Necessary repairs are made using special arthroscopic instruments, drills, shavers, or implants.
11. The surgeon closes the portals with nylon or undyed polyglactin suture and ½ inch wound closure strips.
12. Local of surgeon’s

You May Also Find These Documents Helpful

  • Satisfactory Essays

    15. In reference to the surgery guidelines at the beginning of the Musculoskeletal System subsection, when coding for an excision…

    • 430 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    BC3020 Week 5 Assignment

    • 271 Words
    • 2 Pages

    4. Q) Why do cardiovascular surgeons often t o use artificial materials to repair damaged areas of vessels?…

    • 271 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Knee Lab

    • 271 Words
    • 2 Pages

    2: Mark areas on the knee with the marker, where the ligament attachment points are for the PCL…

    • 271 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    He was prepped and draped in the usual sterile fashion. A rectal catheter was placed prior to draping the patient and a Foley catheter was placed on the field using a septic technique. A midline infraumbilical incision approximately 2cm in length was made. The section was carried down to level of the fascia, which was incised in the midline. The space of Retzius was developed bluntly with the index finger and then the peritoneum was swept cephalad to allow pararectal 12mm trocar placement bilaterally. These were placed and the balloon trocar was placed in the midline incision. Subsequently under lapascropic vision, the space was developed such that the pubis was identified. The…

    • 732 Words
    • 3 Pages
    Good Essays
  • Good Essays

    HCC145 quiz2

    • 393 Words
    • 2 Pages

    Which of these surgeries is used to create a permanent opening in the abdomen in order to feed a patient through a feeding tube?…

    • 393 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    A tunnel will be made under your skin, between your two incisions. This will be done by cutting some of the tissue beneath your skin.…

    • 970 Words
    • 4 Pages
    Powerful Essays
  • Best Essays

    Dunscombe,A. (2007) ‘Sutures, needles and instrument’,in Rothrock J (ed)Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. pp. 158 - 181.…

    • 3293 Words
    • 14 Pages
    Best Essays
  • Satisfactory Essays

    Hip Resufd Research Paper

    • 403 Words
    • 2 Pages

    While under general or localized anesthesia, the surgeon makes a six to eight inch incision above the hip joint. The surgeon then removes a few centimeters of bone around the femoral head. The femoral head is shaped to fit precisely within the cap. The cap is cemented over the femoral head. The acetabulum is prepared in a similar manner with a few centimaters being removed before the cup is pressed securely into place. The incision is then closed.…

    • 403 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Previous incision site was then prepped and draped in the usual sterile fashion. Then 10 mL of 1% lidocaine with 1:200,000 epinephrine was injected along the previous…

    • 613 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    Module 01 Lab Worksheet

    • 2406 Words
    • 11 Pages

    Understanding and proper use of anatomical terminology is necessary within the health sciences field and will be vital for the various dissections that will be performed in future labs. Specifically, the terms: anterior (rostral), posterior (caudal), lateral, medial, superior (dorsal), inferior (ventral), distal, proximal, superficial and deep. If you are unfamiliar with any of these terms, please review them prior to the lab.…

    • 2406 Words
    • 11 Pages
    Good Essays
  • Better Essays

    Fantastic Voyage

    • 1223 Words
    • 5 Pages

    Here we go as Chris injects me in the femoral vein, which is considered to be one of the largest veins in the venal system and is located at the right of the thigh and runs close to the femoral artery. This vein returns blood in the leg to the heart via the iliac vein. Moving north we will pass through a structure that is called the inguinal ligament. This ligament forms like a band that runs from the anterior superior iliac spine to the pubis area of the spine. (Yahoo health 2012) The inguinal ligament serves as a base to the inguinal canal because hernias can easily form at that spot.…

    • 1223 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Pdhpe Sports Medicine

    • 881 Words
    • 4 Pages

    ‘Davo Dickson’ was thrown from a bull during his training one afternoon. He was tossed into the steel cattle yards, screaming in agony he clutched his right forearm which clearly showed signs of bone deformity. Davo is in immense pain and has obvious signs of bone deformity; these are all clear symptoms that he has either broken his right forearm, or at the least fractured it. The injury would be identified as a direct hard tissue injury due to the impact his forearm has just gone through and the signs of bone deformity, there would also be signs of soft tissue injury, such as bruising.…

    • 881 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Attention Getter: How many people here have ever had to get an IV in the hospital? Was it a positive or negative experience for you? If you are one of the people that said yes then you know it can be a frightening and sometimes painful experience. What I am about to explain to you comes from my 8 years of experience as an emergency room nurse starting thousands of IVs. Some of the things I tell you could help you understand the process better and ease your anxiety for any future emergency room visit you or your loved one may have.…

    • 526 Words
    • 3 Pages
    Powerful Essays
  • Better Essays

    Epidural Anesthesia

    • 762 Words
    • 4 Pages

    If an epidural catheter has not been placed in your injection site or left there, a small bandage (dressing) will be placed over the injection site.…

    • 762 Words
    • 4 Pages
    Better Essays
  • Good Essays

    To begin the procedure, the surgeon will place the incision in one of four different sites. If you have chosen the areola technique, the surgeon will open the areola as the entry site. The transaxillary method involves placing the incision in the armpit and feeding the empty implant through to the appropriate area, then filling it. If you opted…

    • 403 Words
    • 2 Pages
    Good Essays

Related Topics