Arthroscopic Shoulder Surgery

Anesthesia

  • Interscalene block with general anesthesia (preferred) or sedation

  • No paralysis

  • No foley catheter

  • 2 gm Cefazolin (if PCN allergy, 1 gm Vancomycin)

  • Irrigation fluid with Epinephrine (0.33 mg/L)

 

Positioning

  • Beach chair position, Spyder arm holder, padded leg cushion

  • OR bed turned 30° from anesthesia (i.e. turned "slightly")

  • Foot-control electrocautery (Ambient MegaTurbo Vac) and shaver (4.5 mm S&N Incisor Elite Premium straight)

  • One non-sterile 1015 drape 

  • Two sterile U-drapes with additional 3M Steri-Drape U-Pouch

 

Surgery

  • Equipment

    • Arthroscopy tower

    • Shoulder arthroscopy instruments with 30° and 70° scopes

    • Power drill

  • Cannulas

    • 7 mm threaded cannula x 2

  • Implants

    • Newton-Wellesley Hospital

      • Rotator cuff repair

        • Arthrex swivelock 4.75 mm anchor x 4

        • 2mm Fibertape x 2 (can be one Fibertape and one Tigertape)

        • 18G spinal needles x 2

        • Suturelasso passing instruments with looped Nightnal wire

    • Norwood Hospital

      • Rotator Cuff Repair

        • S&N 5.5mm Healicoil PK anchor (x3) w/ one Ultratape and one Ultrabraid suture (product #72203984)

        • S&N 5.5mm MultiFix S Ultra (x2) anchor (product #72290001)

        • S&N 2.8mm Q-fix all-suture anchor disposable kit (product #25-2800)

        • S&N Firstpass ST suture passer

        • S&N AccuPass 70° Upbend

 

Closure

  • 2-0 Vicryl x 1

  • 1/2" steri-strips cut in half (6 total)

  • 4x4 gauze with foam tape about the shoulder

  • Shoulder brace/sling will be brought by the surgeon

  • Discharge home

 

Resources

  • Coming soon

Position with the surgical side closer to surgeon (right shoulder above)

Norwood:  7.5 bio x 2

NWH:  7.5 bio, 8.0 bio

This card can be used as the "base" for every arthroscopic shoulder procedure.  Particular of each case are stated below.

Contact Information

Ortho.Boston 

145 Rosemary Street, Suite C

Needham Heights, MA  02494

Phone:  781-429-7700

Fax:  781-429-7701

Billing:  781-881-2189

E-mail:  team@ortho.boston

Hours

Monday - Friday:   8:30am - 5:00pm

Saturday:   By Appointment

Sunday:   Closed

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Ortho.Boston is a private Orthopedic Surgery practice located in Needham Heights, MA.

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