Arthroscope AM™ Surgicalstraight

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Type of endoscope
Shaft / blade


Key Benefits Uniportal access for surgical simplicity Saves valuable OR time by eliminating patient repositioning Scope-mounted blade ensures excellent visualization Introduction There are advantages to the Endoscopic Gastrocnemius Release (EGR). They include smaller incision(s) with less loss of function in the early postoperative period and the ability to regain propulsion. Concerns with endoscopic surgical techniques include potential complications (such as neurovascular injury), as well as a learning curve. Positioning the Patient The heel may be placed on a sterile bulky towel roll if the patient is supine. This allows the instruments to pass freely. The surgeon must take care, however, not to allow the knee to be in recurvatum when assessing ankle dorsiflexion. Alternatively, as an isolated procedure, the EGR may be performed with the patient in the prone position. Anesthesia General anesthesia is preferred. Creating the Pathway Using the Fascial Elevator, bluntly dissect down to the fascia. Separate the subcutaneous tissue (which contains the neurovascular structures including the greater saphenous vein, medial sural cutaneous, sural, and saphenous nerves) from the gastrocnemius fascia. Remove the Fascial Elevator and introduce the Cannula/Obturator assembly into the same pathway. Remove the Obturator from the Cannula and insert a 4 mm, 30° endoscope. The neurovascular structures are completely protected in this manner


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