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Before and after arthroscopic cruciate ligament reconstruction with

Sign change, in a timely manner under the circumstances intraoperative surgery headlights on, close observation of the need for knee replacement Saline irrigation; surgery need to be adjusted according to patient position and use of materials prepared in time units. After surgery should be relaxed to the computer tourniquet, and Yu Xing skin conditions on the tourniquet site 『brother. 2.5.2 equipment connected with the right care ten beam light guide, cold light source, TV camera system; arthroscopy by the former, the lateral approach is set, connect and open infusion bag. L39 · first comprehensive examination of knee joint cavity, if the purposes of meniscal meniscectomy or meniscal repair processing; ACI, PCL reconstruction and steps: ① cruciate ligament stump after trimming Excluding the proceeds. In the process, equipment care: i = shunt and to timely delivery of cutting clean up the joint cavity of different operating equipment, handling mergers injury, removal of the former planing,[link widoczny dla zalogowanych], posterior cruciate ligament stump, clear vision fully guaranteed. ② If the autologous B-T-B, then the first body to take both sides from 1 / 3 of the patellar tendon with bone graft and graft repair,[link widoczny dla zalogowanych], and you should prepare electric knife, time to stop bleeding. Advanced nurse 5cm blade devices installed in the saw cut for the surgeon when the bone samples were used, and will measure the patella tendon in advance steel ruler ready. After patellar tendon should also be prepared to take another console for doctors sterile dressing tendon, and the timely provision of electric drills, steel wire, the first cortical joint suture for doctors to wear a lead hole and pulling wire in a sterile marking pen a little patellar tendon, bone and tendon junction of color identification for the reconstruction position. ③ repair tendons in the same time, another group with low physician locator positioning the first and the posterior cruciate ligament tibial drill and the femoral tunnel, and then use the locator to drill the tibial anterior cruciate ligament and femoral tunnel, nurses, various positioning rod to promptly and the drill is passed to the physician. ④ the knee flexion 90. The introduction of the posterior cruciate ligament graft fixation, and the introduction of anterior cruciate ligament graft, flexion 30. Fixed, a good nurse to repair the tendon with normal saline gauze. Will be trimmed when the tendon is passed to the physician should pay attention to guide wire placed along the bar can not be entangled together, we can not tie a knot. Physician will place the proper position when the tendon to pass time, and extrusion screw extrusion screw guide pin positioning. Indwelling drainage tube after a joint cavity. 3 before and after nursing both cruciate ligament repair surgery is a difficult, relatively strong operational and the need to take both sides of the patellar tendon, surgery time and when asked by the tourniquet restrictions, not only the technical requirements of doctors high, but also the cooperation between doctors with nurses,[link widoczny dla zalogowanych], demanding high. In practice I should pay attention to: ① All articles must be strictly sterilized surgical and examination: the deep tissue ligament reconstruction surgery, and ligaments need to squeeze Chou fixation screws and other items, once the surgical sterilization,[link widoczny dla zalogowanych], but off items, will would have disastrous consequences for the entire operation. Also, patients must strictly follow the principles of aseptic technique. ② equipment in the preoperative nurses must fully grasp the various surgical steps required to master at least Nurse simple anterior cruciate ligament or posterior cruciate ligament reconstruction, but also in the surgery the doctor must be able to think about the next step, take the initiative to prepare to pass the next time a surgical instrument,[link widoczny dla zalogowanych], so as to save the operation between the tourniquet for a period of time to complete the operation. ③ circuit protection must be closely observed ten the number of joint fluid, fluid replacement in time to avoid the narrow air into the joint cavity. Once the air into the joint cavity, not only affects the doctors to operate, and would delay the operation time. ④ arthroscopic instruments are expensive precision instruments. Optical fiber during the operation to avoid a discount or pay attention to compression, scrub clean equipment after use, can not have a residual lumen dirt. Arthroscopic surgery should be equipped with hand custody of special equipment, positioning placement. Application lens lens cleaning paper, to avoid scratches, camera lens protection cap should be set to avoid the bump.

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