Name: Tibial Aspiration Pearls
Uploaded: 2016-07-19T00:00:00Z
Duration: 1 min 48 s
Channel: Arthrex

Orthobiologics

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English  - en

video

VPT1-00631-EN | A | Tibial Aspiration Pearls

Stephen J. Voto

Human

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Surgical Technique Videos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

Tibial Aspiration Pearls

Step one targeting an approach and the introduction of the jamshidi needle into the tibia. I basically approached this by outlining my landmarks for the anterior lateral arthroscopy portal. I make a small incision. I slide down to the proximal tibia and angle it approximately 30 degrees away from the tibia, trying to keep it as vertical as possible and 30 degrees away, sneaking behind the tibial tubercle. Once we penetrate 3 to 4cm into the tibia, by noting the side markings on the cannula, we place a Luer lock syringe on the system, which is heparinized, and we start the aspiration. We perform the aspiration in ten kHz increments, allowing the pressure to equalize each step of the way. If the aspiration slows down, you can gently twist the cannula side to side, exposing the holes to a different area of the tibia. And if it slows down completely, you can actually withdraw the cannula one cc at a time, exposing it again to a different area. One important point is not to advance it, especially not advancing it without the blunt trocar in place. Once the specimen is done, we gently lift the entire system up and hand it off for concentration, which typically takes 15 to 17 minutes with the Angel Arthrex Arthrex system.