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Tips For A Safe Knee Arthroscopy

Author(s): S Rajkumar

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 2;
Issue: 5;
Date: 2005;
Original page

Keywords: touriquet | white balancing

1. Safety is of paramount importance. 2. Always ask for senior help if in doubt. 3. Make sure the indications for arthroscopy is correct before placing the patient in the list. 4. Obtain full informed written consent including risks involved and mark the limb. 5. Ask about peripheral vascular disease and sickle cell status before applying the tourniquet. 6. Avoid placing tourniquet if planning for synovial biopsy. 7. Place the tourniquet high so as not to interfere with superior portals placement. 8. EUA must always precede the operative procedure. 9. Be familiar with all the instruments, sizes and assembly. 10. Do not use sharp trocar as it may damage the articular cartilage. 11. Obtain a white balance before proceeding to insert the scope. 12. Ensure that the scope and instruments can be passed effortlessly into the knee if this not possible due to flexion of knee, resite the portals. 13. Ensure the orientation of camera is anatomically constant at all times. 14. Maximise the viewing window by rotating the scope. 15. Familiarise with the magnifying changes seen on ‘pistoning’ the scope. 16. Keep a routine for your examination; remembering the gutters, trochlea grove and to examine the ACL and PCL with the hook. 17. Do not forget the blunt hook is important for performing diagnostic arthroscopy. 18. Do not send synovial samples taken from shaver as this cannot be processed. 19. Never allow the tip of scope to touch the patient or the drape as it is hot and can cause burns. 20. Don’t forget to check for tracking of patella.
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