2. ARTROSCOPY Rouchal M., Ryba L., Vališ P., Nýdrle M., Filipovič M. Ortopedická klinika FN Brno-Bohunice

3. endos c opic methodendos c opic method –PORTS OPTIC (light +c amera)OPTIC (light +c amera) INSTRUMENTSINSTRUMENTS

4. KNEEKNEE SHOULDERSHOULDER ANKLEANKLE ELBOWELBOW WRISTWRIST HIPHIP SMALL JOINTSSMALL JOINTS RETRO-TENDINOUS SPACE (ACHILLES TENDON)RETRO-TENDINOUS SPACE (ACHILLES TENDON)

5. MONITOR PC light source camera processor

6. pump shaver

7. 30 deg ree optic

8. ARTHROSCOPIC INSTRUMENTS

9. IMPLANTS

10. TOURNIQUET (extremity ischemization, for bloodless surgery)TOURNIQUET (extremity ischemization, for bloodless surgery) –cca 250 Torr (syst. BlPres+100) –maximum 90 min –knee, ankle

11. Preparation TOURNIQUET

13. STERILITY

17. surgeon scrub nurse asistent patient a nesthetist

18. UPPER EXTREMITY

19. SHOULDER DEGENERATIVE DISORDERSDEGENERATIVE DISORDERS TRAUMA, POSTRAUMATICTRAUMA, POSTRAUMATIC DISORDERS DISORDERS INFLAMMATIONINFLAMMATION TUMOURTUMOUR

20. SURGERY ARTHROSCOPY –RECCURENT DISLOCATION –DEGENERATIVE AFFECTION OF ROTATOR CUFF –SUBACROMIAL PROBLEMS (IMPINGEMENT ) –DEGENERATIVE ARTHRITIS

21. SURGERY TECHNIQUE

26. ANCHORS (TIGHTENING OF JOINT CAPSULE FOR INSTABILITY)

27. POSTOPERATIVE TREATMENT Desault orthosis

28. OPEN SURGERY MINIMALLY INVASIVE –SUTURE OF ROTATOR CUFF –LATERAL CLAVICULA RESECTION (Stewart)

29. SURGERY TECHNIQUE

30. POSTOPERATIVE TREATMENT Abduction orthosis

31. ARTROSCOPY OF THE WRIST WRIST and FINGERS ARTHRODESIS LIMITED WRIST ARTHRODESIS PARTIAL EXCISION OF CARPUS OSTEOTOMY OF DISTAL RADIUS/ULNA CARPAL TUNEL DECOMPRESSION

32. WRIST ARTROSCOPY wrist instability synovectomy TFCC surgery (wrist meniscus) navicular pseudoarthrosis smaller optics, instruments without pump

33. LOWER EXTREMITY

34. HIP ARTROSCOPYARTROSCOPY –posttraumatic disorders –degenerative arthritis –coxitis –DEBRIDEMENT –LOOSE BODIES REMOVING –LABRUM SURGERY –RINSE (LAVAGE)

35. KNEE ARTROSCOPYARTROSCOPY –„acute injuries“ –instability –degenerative arthritis –gonitis (surgery of meniscus, plicae, loose bodies removing, lateral patellar retinaculum release, etc.)

37. Method with graft sec.Brückner - BTB graft (BONE-TENDON-BONE) (source – ligamentum patellae) so called „golden standard“ Treatment of ACL – Ant. Cruciate Ligament Instability

38. CHONDRAL DEFECT MOSAICPLASTY AUTOLOGOUS CHONDROCYTES TRANSPLANTATION

39. MOSAICPLASTY (Puzzle technique)

41. Mosaicplasty

42. AUTOLOGOUS CHONDROCYTES TRANSPLANTION 2 SURGERIES –arthroscopic chondral sample taking –chondrocytes cultivation on bone bank for 4-8 weeks –open implant of cartilaginous tissue graft (using fibrin glue)

43. CHONDROCYTES transplantation ADVANTAGE „ultimate“ chondral defects healing DISADVANTAGE 2 surgeries price

48. ANKLE ARTHROSCOPY –injury –degenerative arthritis –chondral defects mosaicplasty Chondrograft – chondrocytes transplantation

49. 7.6.2016 V.R.

50. 7.6.2016 Surgery – defect filling with chondrograft

51. 7.6.2016 Surgery – defect filling with chondrograft

52. 7.6.2016 Surgery – defect filling with chondrograft

53. 7.6.2016 Surgery – defect filling with chondrograft

54. 7.6.2016 V.R. Surgery – defect filling with chondrograft