Mary Lloyd Ireland, MD
Professor
Dept. of Orthopaedic Surgery & Sports Medicine
University of Kentucky Lexington, Kentucky
www.MaryLloydIreland.com

0:00
drape completed
arthroscope set up
marks at 30 degrees of flexion
00:15
patellar tendon
scope in
00:26
horizontal portals
skin incision through the capsule into
the fat pad
00:42
timeout
00:58
portal incision lateral left knee
01:11
cannula knee
thirty degrees of flexion
01:22
suprapatellar pouch
look for fluid or
hemarthrosis of the knee
01:53
surface of the patella loose body from
patellar dislocation
02:06
trochlear groove loose body in the
lateral gutter
02:21
look for other loose bodies from medial
aspect of her patella this is going down
02:27
popliteus tendon loose bodies
often in the suprapatellar
pouch the medial or lateral gutter
02:39
Plica and plical fold
medial meniscus
02:47
flush the knee if there's fluid or hemarthrosis
3:02
loose body
03:10
difficulties flushing
03:30
switch the scope portal
03:53
don't lose the loose body in the soft tissue
rookie mistake
mini arthrotomy
keep your eye on the ball
04:13
schlesinger grasper
04:37
scope handoff
04:48
increase incision for loose body removal
04:58
mini arthrotomy help loose body removal
05:08
scope in medial portal
change scope to another portal
don't ding your camera
05:36
where did that loose body come from...
05:37
medial patellar facet
scope back to the lateral portal
patella tracking and moving the knee flexion extension
05:56
assessing further surgery of a patella femoral
realignment
06:09
if curved shaver is at the same degree
of knee flexion it goes in easily
portals should be big enough for
instruments
06:25
articular cartilage debridement shaver on oscillate
06:36
articular cartilage getting rid of loose edges
debridement not formal chondroplasty of the patella
06:52
dislocating laterally goes lateral to
the trochlear groove into the lateral
femoral condyle
07:00
tracking
looking for loose bodies
body placement