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Wrist Arthroscopy
Position and Draping
Anesthesia
GA/RA
Position
Supine
Draping
1.Sterile drape (餐巾) for disinfection
2.Hand drape
3.Screen
Procedure
Procedure
1.On tourniquet
2.Load the operating arm to traction tower with finger traps
3.Create portal made with surgical blade 15
4.Dissect soft tissue with mosquito artery forceps (curved) 5 Insert 1.9mm cannula with obturator, then connect arthroscope, shaver handpiece, insufflating tube with 3000ml irrigation N/S on pump set, FOB and endocamera
5.Go through the entired joint with video, and perform shaving when necessary
Wound closing
Ethilon 4/O
Cosmopore (S)
Plain gauze
Velband and crepe bandage
Instrument and Consumable
Indication:
- Operative arthroscopy: treatment of intra-articular fractures of the distal radius and scaphoid, wrist lavage, synovectomy (ie, rheumatoid arthritis), ganglionectomy, distal ulnar shortening, detection and removal of loose bodies, debridement of degenerative arthritis, management of septic arthritis
- Diagnostic arthroscopy