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Equipment and Techniques of Arthroscopy
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Equipment:
Several companies offer a large selection of instruments in equine arthroscopy and we all know that as a starting less experienced arthroscopic surgeon there is a tendency to purchase too many instruments or instruments that have no optimal use in equine arthroscopy.
The aim of this lecture is to demonstrate the type of instrument, I believe, should be present in a basic and in a more advanced arthroscopy set.
Basic arthroscopy set: Hand equipment.
Arthroscope 30 or 25 °, 4 mm ∅ is a multifunctional arthroscope which can be used in all equine joints including the smaller DIP and PIP joint and navicular bursa.
Arthroscope sleeve:
Always 2 arthroscope sleeves should be present in a basic set. It allows you to move the arthroscope to another places in the joint or tendon sheath and coming back to the first insertion point without loosing time and distension.
For example:
In a stifle: 1 sleeve between middle and lateral patellar ligament, 1 sleeve suprapatellar.
In the digital flexor tendon sheath: 1 sleeve proximal and 1 sleeve distal to the palmar annular ligament.
One or 2 stopcock for ingress and egress: 1 is enough, the second one can sometimes disturb proper positioning of the scope.
Two rotating stopcocks can be handy when you use both fluid and gas distension.
Always use rotating stopcock so the ingress line can be positioned away from the limb or instruments.
Trocar or obturator:
Each sleeves comes with an obturator, which can be blunt, conical, blunt or sharp (= trocar).
The conical blunt is the most versatile. The sharp one is only used to penetrate thick muscle mass (e.g. suprapatellar insertion through quadriceps muscles). [...]
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