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1. Wrist Arthroscopy, Glasgow 2004 Wrist ArthroscopySet - up and Equipment Paul R Stuart
Hand & Upper Limb Surgeon
Newcastle upon Tyne
2. Wrist Arthroscopy, Glasgow 2004 Anaesthesia general anaesthesia
majority, d/c, quick
regional block
patient can observe, ‘dead arm’
local anaesthesia
tourniquet pain, incomplete anaesthesia, finger pain
3. Wrist Arthroscopy, Glasgow 2004 Theatre set-up size
layout
lighting
4. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension vertical position
traction to open joint
tower / suspension system
shoulder holder
5. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension
6. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension
7. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension re-usable finger traps
plastic / metal
8. Wrist Arthroscopy, Glasgow 2004 Prep & Drape un-dyed prep solution
hand off prior to taking infusion fluid
sterile finger traps (multi-use)
waterproof drapes
top drapes
9. Wrist Arthroscopy, Glasgow 2004 Prep & Drape
10. Wrist Arthroscopy, Glasgow 2004 Tourniquet Pros
no portal bleeding, no interference with vision
support for weights
Cons
? Loss of definition of colour
pain in conscious patient (<15 mins)
11. Wrist Arthroscopy, Glasgow 2004 Fluids Gravity fed 1 litre bag n/s
joint filled via 3/4 / MCR portals using 20 ml syringe
bubbles are the enemy!
12. Wrist Arthroscopy, Glasgow 2004 Basic equipment Marking pen
15 blade
green / white needles
small straight clip
2.5mm, 25o small joint scope
probe (1.5mm tip)
13. Wrist Arthroscopy, Glasgow 2004 Basic equipment
14. Wrist Arthroscopy, Glasgow 2004 Basic equipment
15. Wrist Arthroscopy, Glasgow 2004 Basic equipment
16. Wrist Arthroscopy, Glasgow 2004 Simple Operative Equipment Suction punch
small graspers
small power instruments
17. Wrist Arthroscopy, Glasgow 2004 Advanced Operative Equipment Procedure specific (eg tfc)
electrodes
distal radial fracture fixation
scaphoid fixation