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Dasar Arthroscopy: Muh. Sakti

This document provides an overview of arthroscopy, including key components of arthroscopy equipment, basic instruments used, positioning considerations, irrigation systems, sterilization of instruments, advantages and disadvantages of arthroscopy. It discusses the camera system, monitor, video recorder, irrigation systems and pressure levels for different joints. It also outlines the basic instrument kit including arthroscopes, sheaths, trocars, probes, scissors, basket forceps, grasping forceps, motorized meniscus cutter and shaver, and miscellaneous equipment.

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Juandri Pia Torocozzick
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117 views28 pages

Dasar Arthroscopy: Muh. Sakti

This document provides an overview of arthroscopy, including key components of arthroscopy equipment, basic instruments used, positioning considerations, irrigation systems, sterilization of instruments, advantages and disadvantages of arthroscopy. It discusses the camera system, monitor, video recorder, irrigation systems and pressure levels for different joints. It also outlines the basic instrument kit including arthroscopes, sheaths, trocars, probes, scissors, basket forceps, grasping forceps, motorized meniscus cutter and shaver, and miscellaneous equipment.

Uploaded by

Juandri Pia Torocozzick
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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DASAR ARTHROSCOPY

Muh. Sakti

Towerarthroscopy

Camera system

Monitor & Video recorder

Irrigation Systems
O Optimal pressure in the joint
O Knee : 60-80 mmHg

O Shoulder : 30 mmHg below systolic BP


O Elbow and ankle : 40-60 mmHg

O Each foot elevate from the level of the joint


O Produced 22 mmHg pressure

O Outflow site should be closed during suction


O Potentially contaminated fluid into the joint

Basic instrument kit


O Arthroscopes
O 30 and 70 degrees

O O O O O O O O

Sheats & Trocar Probe Scissors Basket forceps Grasping forceps Arthroscopic knives Motorized meniscus cutter and shaver Miscellaneous epuipment

Scope

Angle inclination Scope

Diameterscope

Miscellaneous Equipment
O Sheaths and trocars O Blade No.11 O Switching sticks

Probe
O The extension of the arthroscopists finger
O To feel the consistency of a structure O To determine the depth
O To identify and palpate loose structures O To maneuver loose bodies into more accessible

grasping position O Etc.

O Most are right-angled O 3-4mm tip size


O Use the elbow of the probes to palpation

Scissors
O 3-4 mm in diameter O Jaws : straight or hooked
O Hooked scissors are preferred
O Pulling the tissue rather than pushing away

O Right and left curved

Basket Forceps
O One of the most commonly used
O Open base that permits the tissue to drop

free within the joint


suction

O Subsequently removed from the joint by

O 3-5mm sizes with straight or curved shaft O Straight or hooked jaws O Usually used for trimming the peripheral rim

of the meniscus

Grasping Forceps
O Retrieve material from the joint O Grasping tissue to cutting

Motorized Shaving Systems


O Consisting of
O Outer hollow sheath O Inner rotating cannula with corresponding

windows

Irrigation Systems

Tourniquet
O Contraindications
O History of thrombophlebitis O Significant peripheral vascular disease

O Advantages
O Increased visibility

O Disadvantages
O Blanching of the synovium
O Difficult to diagnosis synovial disorders

O Ischemic damage if prolonged touniquet time (90-

120min)

Care and Sterilization of Instruments


O Fiberoptic arthroscopes and cables
O Best method is
O Gas (ethlyene oxide) :1 hour O Low-temperature sterilization process (steris)

:30 min

O Most commonly used


O Activated glutaraldehyde (Cidex)

O Knives, graspers, basket forceps, cannulas


O Steam autoclave

Position

Position

Position

Position

Advantages of Arthroscopy
O O O O O

Reduced postoperative morbidity Smaller incision Less intense inflammatory response Improved thoroughness of diagnosis Absence of secondary effects

O O O O

Reduced hospital cost Reduced complication rate Improved follow-up evaluation : second-look Possibility of performing surgical procedures that difficult to perform through open arthrotomy

O Neuromas, scars

Disadvantages of Arthroscopy
O Temperament to perform arthroscopic

surgery O Need to maneuver within the tight confines of the intraarticular space
O Time-consuming procedures O Expensive equipment

TERIMA KASIH

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