Nursing Considerations for Arthroscopy cases Orthopedics Nursing Considerations for Arthroscopy cases

Arthroscopy Small incisions, less invasive Knee, shoulder, wrist, elbow, ankle, hip Different instrumentation than open procedures Diagnostic & operative Debridement, repair, reconstruction May perform open procedure after scope Arthroscopy

Standard Equipment Video Tower Arthroscopy pump Shaver Cautery Tourniquet Suction Sitting stool Standard Equipment

Standard Instruments Arthroscopy instruments Arthroscope Standard size: 4mm 30º & 70º Small joint: wrist Shaver & shaver tips Resectors, aggressive, oval & round burs Cannulas/trocars Standard Instruments

Positioning Knee Arthroscopy Shoulder Arthroscopy Supine with leg holder Knee at break in bed Pillow under non operative side leg Shoulder Arthroscopy Beach chair Lateral on vac pac Shoulder traction with weights Pillows between legs Ax roll Positioning

Medications/Irrigations Local with epi Scope irrigation LR with or without epi Steroid injections in joint Medications/Irrigations

Common Knee Procedures Meniscetomy Meniscal repair Chondroplasty Microfracture Ligament Reconstruction ACL, PCL, MCL, PLC Common Knee Procedures

Common Shoulder Procedures Subacromial Decompression Distal Clavicle Resection Rotator Cuff Repair Labral Repair Bankhart SLAP AC Reconstruction Common Shoulder Procedures

ACL Instruments & Implants Power ACL Instruments Drills, femoral & tibial guides, sizers, reamers Graft harvester Screws bioabsorbable or titanium Femur e.g. Tightrope, endobutton, ridgidfix pin Autograft ACL: hamstring, BTB AC joint: hamstring (Semitendinosus) Allograft Semi –T Anterior Tibialis Achilles Patela Tendon ACL Instruments & Implants

What is the Plan? Age, weight, allergies Diagnosis and procedure Laterality for bed and room set up Other procedures: EUA, injections Implants: anchors, screws, suture Autograft or allograft for reconstructions What is the Plan?

Remember… Do not run out of fluid Try to keep the floor as clean as possible Pictures Check implants, equipment, supplies before cases Document implants Remember…