Left Knee, Arthroscopy Setup and Loose Body Removal - GoPro Fusion 360 скачать в хорошем качестве

Left Knee, Arthroscopy Setup and Loose Body Removal - GoPro Fusion 360

Mary Lloyd Ireland, MD Professor Dept. of Orthopaedic Surgery & Sports Medicine University of Kentucky Lexington, Kentucky www.MaryLloydIreland.com 0:00 drape completed arthroscope set up marks at 30 degrees of flexion 00:15 patellar tendon scope in 00:26 horizontal portals - skin incision through the capsule into the fat pad 00:42 timeout 00:58 portal incision - lateral left knee 01:11 cannula - knee thirty degrees of flexion 01:22 suprapatellar pouch look for fluid or hemarthrosis of the knee 01:53 surface of the patella - loose body from patellar dislocation 02:06 trochlear groove - loose body in the lateral gutter 02:21 look for other loose bodies from medial aspect of her patella this is going down 02:27 popliteus tendon - loose bodies often in the suprapatellar pouch the medial or lateral gutter 02:39 Plica and plical fold medial meniscus 02:47 flush the knee - if there's fluid or hemarthrosis 3:02 loose body 03:10 difficulties flushing 03:30 switch the scope portal 03:53 don't lose the loose body in the soft tissue rookie mistake mini arthrotomy keep your eye on the ball 04:13 schlesinger grasper 04:37 scope handoff 04:48 increase incision for loose body removal 04:58 mini arthrotomy help loose body removal 05:08 scope in medial portal change scope to another portal don't ding your camera 05:36 where did that loose body come from... 05:37 medial patellar facet scope back to the lateral portal patella tracking and moving the knee flexion extension 05:56 assessing further surgery of a patella femoral realignment 06:09 if curved shaver is at the same degree of knee flexion it goes in easily portals should be big enough for instruments 06:25 articular cartilage debridement - shaver on oscillate 06:36 articular cartilage - getting rid of loose edges debridement not formal chondroplasty of the patella 06:52 dislocating laterally goes lateral to the trochlear groove into the lateral femoral condyle 07:00 tracking looking for loose bodies body placement