1. Nursing Considerations for Arthroscopy cases
Orthopedics
Nursing Considerations for Arthroscopy cases

2. 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

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

4. 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

5. 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

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

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

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

9. 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

10. 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?

11. 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…