Menu
Arthroscopic assisted reduction of AC joint
Position and Draping
Anesthesia
GA
Surgeon
LA block under USG after GA
20ml (10ml 2% lignocaine with adrenaline + 10ml NS)
Position
Beach-chair
Draping
1.Sterile drape (餐巾) for disinfection
2.Sterile cover for spider
3.Spider kit for extremity
4.U-drape
5.Spider kit for extremity
6.Universal drape
7.Op-tape
8.Anae screen
Procedure
Procedure
1.GA
2.Beach chair position
3.Skin prep and drap
4.Spider 2 limb positioning device
5.Posterior arthroscopic portal opened by angiocath
6.Anterior portal opened under direct vision
7.Glenohumeral joint arthroscopy
8.Dissection at rotator interval towards medial surface until the base of coraoid reach
9.Incision over clavicle from 3.5cm from ACJ
10.Anterior and posterior border of clavicle identified
11.Guide pin insertion through aiming guide
12.Pin position confirmed under X-ray
13.4mm cannulated drill
14.Suture passing guidepin inserted to drill cannulation
15.Tip of guidewire retrieved through the anterior portal
16.Superior to inferior passage of AC tightrope
17.Inferior button passed and locked
18.uperoir button placed and device tightened, knots tied to secure fixation
19.Reduction of coracoclavicle interval and distal claviclefracture
20.Wound irrigation
Wound closing
Ethilon 3/O
Cosmopore (S)
Plain gauze
Burn pack
Instrument and Consumable
