ARTHROSCOPY

• Arthroscopy of the knee


  Minimally invasive procedure involving endoscopic visualization of the knee joint, used to diagnose and treat a range of knee conditions
• Anesthesia

  1. Local Anesthesia

  2. Regional Anesthesia

  3. General Anesthesia
• Preparation of the Patient


  1. Apply antiembolitic stocking

  2. Position patient in supine with affected leg close to table edge

  3. Apply Webril and tourniquet

  4. Secure leg holder

  5. Pad bony prominences

  6. Apply electrosurgical dispersive pad
• Arthroscopy of the Knee

  1. Distend knee joint with Ringer's lactate

  2. Make incision over anterolateral aspect

  3. Insert trocar and sheath

  4. Replace trocar with obturator

  5. Replace obturator with arthroscope

  6. Attach inflow and outflow irrigation

  7. Use fluid management system

  8. Thoroughly examine knee joint

  9. Employ additional ports as needed

  10. Perform therapeutic procedures

  11. Irrigate using ringer's lactate and aspirate wound

  12. Withdraw arthroscope

  13. Close incisions

  14. Apply soft bandage and pressure stocking
• Instruments


  • Limited access procedures tray
  • Arthroscope
  • Cannulas
  • Trocars
  • Electrosurgical suction
  • Obturator
  • Rasp
  • Sharp and dull probes
  • Grasping forceps
  • Nerve hooks
  • Beaver blade handle
  • Knife
  • Hook knife
  • Pituitary forceps
  • Osteotomes
  • Guide
  • Ligament passer
  • Meniscal hook blade
  • Synovial elevator
  • Acromionizer
• Risks & Complications


  • Bleeding
  • Infection
  • Allergic reaction
  • Formation of blood clots
  • Swelling or stiffness of the knee joint
  • Scar tissue
  • Pain
  • Recurrence of the original problem
• Preoperative Nursing Care


  • Assess patient's health status and provide education
  • Ensure necessary preoperative tests and assessments
  • Prepare surgical site by shaving the area above and below the joint
  • Administer preoperative medications
• Intraoperative Nursing Care


  • Assist in positioning and draping patient
  • Monitor patient's vital signs and provide support to anesthesia team
  • Assist the surgeon by handing instruments and maintaining sterile field
  • Monitor and document the procedure
• Postoperative Nursing Care


  • Monitor patient's vital signs and level of consciousness
  • Assess surgical site for bleeding, swelling, or infection
  • Administer medications and provide comfort measures
  • Instruct patient on postoperative care
  • Help patient with activities of daily living
  • Provide emotional support
• Arthroscopy is the examination of joints using an arthroscope, which is a small camera that can be inserted into the body through a small incision.