Nursing Considerations for Arthroscopy cases Arthroscopy Small incisions less invasive Knee shoulder wrist elbow ankle hip Different instrumentation than open procedures Diagnostic amp operative ID: 559475
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Slide1
Orthopedics
Nursing Considerations for Arthroscopy casesSlide2
Arthroscopy
Small incisions, less invasive
Knee, shoulder, wrist, elbow, ankle, hip
Different instrumentation than open procedures
Diagnostic & operative
Debridement, repair, reconstruction
May perform open procedure after scopeSlide3
Standard Equipment
Video Tower
Arthroscopy pump
Shaver
Cautery
Tourniquet
Suction
Sitting stoolSlide4
Standard Instruments
Arthroscopy instruments
Arthroscope
Standard size: 4mm 30º & 70º
Small joint: wrist
Shaver & shaver tips
Resectors
, aggressive, oval & round burs
Cannulas
/
trocarsSlide5
Positioning
Knee Arthroscopy
Supine with leg holder
Knee at break in bed
Pillow under non operative side leg
Shoulder Arthroscopy
Beach chair
Lateral on
vac
pac
Shoulder traction with weights
Pillows between legs
Ax rollSlide6
Medications/Irrigations
Local with
epi
Scope irrigation
LR with or without
epi
Steroid injections in jointSlide7
Common Knee Procedures
Meniscetomy
Meniscal
repair
Chondroplasty
Microfracture
Ligament Reconstruction
ACL, PCL, MCL, PLCSlide8
Common Shoulder Procedures
Subacromial
Decompression
Distal Clavicle Resection
Rotator Cuff Repair
Labral
Repair
Bankhart
SLAP
AC ReconstructionSlide9
ACL Instruments & Implants
Power
ACL Instruments
Drills, femoral &
tibial
guides,
sizers
, reamers
Graft harvester
Screws
bioabsorbable
or titanium
Femur
e.g. Tightrope,
endobutton
,
ridgidfix
pin
Autograft
ACL: hamstring, BTB
AC joint: hamstring (Semitendinosus)
Allograft
Semi –T
Anterior
Tibialis
Achilles
Patela
TendonSlide10
What is the Plan?
Age, weight, allergies
Diagnosis and procedure
Laterality for bed and room set up
Other procedures: EUA, injections
Implants: anchors, screws, suture
Autograft
or allograft for reconstructionsSlide11
Remember…
Do not run out of fluid
Try to keep the floor as clean as possible
Pictures
Check implants, equipment, supplies before cases
Document implants