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λιβαδειά 2012

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λιβαδειά 2012

  1. 1. Αρθροσκόπηση ΏμουΑρθροσκόπηση Ώμου Μάνος Αντωνογιαννάκης Διευθυντής Κέντρου Αρθροσκόπησης & Χειρουργικής Ώμου www.shoulder.gr Ορθοπαιδική Κλινική ΓΝ Λιβαδειάς Εβδομαδιαίο Εκπαιδευτικό Πρόγραμμα 2012-2013 7/11/2012
  2. 2. Shoulder Bones & Joints
  3. 3. Rotator Cuff Muscles Front View Back View
  4. 4. Biceps
  5. 5. Labrum & Ligaments
  6. 6. Video Anatomy
  7. 7. Tips and Tricks • Anesthesia • Patient positioning • Surgeons Position • Portals • Haemostasis • Instrumentation
  8. 8. Have Good Friends around !
  9. 9. Light General Anesthesia with Laryngeal Mask
  10. 10. Plus Local Anesthesia Scalene Block
  11. 11. Positioning the patient Lateral decubitus - My preferred position Lateral decubitus allows easy access to the anterior and posterior part of the joint
  12. 12. Beach Chair position
  13. 13. Patient Positioning Padding bony prominences Beware of the neck
  14. 14. Keep the operating room cold to avoid fogging but Keep the patient warm
  15. 15. Basic Arthroscopic Tools Have them all ready from the beginning
  16. 16. Draping
  17. 17. Be careful with traction
  18. 18. Traction: NOT more than 4 Kgr
  19. 19. Instruments in side pocket
  20. 20. Is everything ready BEFORE starting ?
  21. 21. Arthroscopic tower opposite the surgeon
  22. 22. Commonly used tools arranged by the scrub nurse
  23. 23. Skin Marking
  24. 24. Before Entering the Scope Saline Backflow Saline in
  25. 25. Making the scope portal
  26. 26. 30o Scope Entrance
  27. 27. Anterior Superior Portal
  28. 28. Changing Outflow
  29. 29. Control bleeding
  30. 30. Keys to control bleeding
  31. 31. Making Anterior Inferior Portal
  32. 32. Three Basic Portals Proper portal placement is essential to the success of the operation
  33. 33. Surgeons’ Position
  34. 34. Working Team
  35. 35. Rotator Cuff Repair
  36. 36. Normal Rotator Cuff Side View
  37. 37. Anchor Repair
  38. 38. Repair Animation
  39. 39. Arthroscopic View
  40. 40. Arthroscopic Repair
  41. 41. Biceps tenodesis or tenotomy
  42. 42. Later…
  43. 43. Calcifying Tendonitis
  44. 44. Radiographs
  45. 45. Calcification Repair
  46. 46. Later…
  47. 47. Frozen Shoulder
  48. 48. Normal Shoulder
  49. 49. Frozen Shoulder
  50. 50. Later…
  51. 51. 2 months post-op
  52. 52. Anterior Instability
  53. 53. Labrum & Ligaments
  54. 54. Bankart Lesion
  55. 55. Engaged Hill-Sachs Lesion
  56. 56. Examination Under Anesthesia
  57. 57. Normal Shoulder
  58. 58. Arthroscopic View
  59. 59. Inverted Pear Estimation
  60. 60. Inverted Pear & Hill Sachs
  61. 61. Checking Hill-Sachs
  62. 62. Bankart Repair
  63. 63. Large Hill-Sachs
  64. 64. Hill-Sachs Repair - Remplissage
  65. 65. Later…
  66. 66. But sometimes…
  67. 67. Μάνος Αντωνογιαννάκης Διευθυντής Κέντρου Αρθροσκόπησης & Χειρουργικής Ώμου www.shoulder.gr Ορθοπαιδική Κλινική ΓΝ Λιβαδειάς Εβδομαδιαίο Εκπαιδευτικό Πρόγραμμα 2012-2013 Ευχαριστώ!Ευχαριστώ!

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