Wednesday, September 10, 2008

#9. KNEE ARTHROSCOPIC DICTATION

DESCRIPTION OF THE PROCEDURE: He was placed supine on the operating room table. After a suitable anesthetic was obtained by general anesthetic, the right lower extremity was prepped and draped in the usual sterile fashion for arthroscopic surgery. The right lower extremity was then exsanguinated with the use of an Esmarch bandage and the tourniquet was inflated to 350 mmHg.
The operation commenced with creation of the inferolateral portal. The arthroscope was directed into the suprapatellar pouch with the knee held in extension. A systematic examination of the right knee was begun arthroscopically. The patellofemoral articulation was visualized and the findings were as noted above. The majority of the patellar articulating surface was felt to be in good shape. The medial gutter was entered. No loose bodies were identified. The medial compartment was then entered and the inferomedial portal was established under direct visualization. The arthroscopic probe was used to inspect the contents of the medial compartment with the findings as noted above.
At this point, using a series of straight upbiting and curved meniscal punches, the posterior horn of the medial meniscus was resected to a stable base. This was further improved with the use of a 4.5 sucker shaver. The notch was then visualized. The anterior cruciate ligament was inspected with the findings as noted above. Intraoperative Lachman's testing was negative. The arthroscope was directed into the lateral compartment with the findings as noted above.
The instruments were then removed. The portals were closed with 4-0 nylon and Xeroform and a light compressive dressing was applied. A mixture of Marcaine and Astramorph was injected into the right knee and Ace bandage wrap was applied. The tourniquet was deflated and a Dura-Kold compression ice wrap was applied. The patient was recovered from his anesthetic and was returned to the recovery room in stable condition. There were no complications.

1 comment:

OAKS Clinic said...

Knee arthroscopy is one of the most frequently used orthopaedic procedures. This surgical procedure is done using an instrument called an arthroscope (keyhole). Keyhole surgery is not just confined to the knee and can be used in most joints in the body.