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this is doctor troy layton sportsmed orthopedic surgery and spine center in huntsville
alabama
we are working on a forty year old female with a torn cartilage
the first picture
is the patel femoral joint and now we demonstrating small area of arthritis
next step will be moving into the medial compartment
and on the top of the screen will be the
end of the femur the bottom of the screen is the top of the shin bone
in the structure in between is the meniscus
and that is also known as the cartilage
now are moving into the notch that's the acl or the anterior cruciate ligament and
now into the lateral compartment
immediately upon entering you'll notice that this meniscus covers
the vast majority of this joint surface this is a torn discoid
lateral meniscus which is somewhat atypical
where lifting it up showing the top in the bottom
this patient had locking and catching in the knee because of this torn meniscus
you'll see us begin to
resect the torn portion we describe this saucerization because we take the structure that
is
half moon shaped and change it to its normal horseshoe shaped
these forceps or biters that you're seeing the screen resect a small portion of this meniscus
and judgment is used as to the
amount of meniscus that is resected essentially you take it back to what a normal structure
should appear
the baskets will be alternated with a shaver blade that contours and removes all those
fragments
you'll see this instrument biting at a ninety degree angle begin trying to shape this meniscus
back to the normal
shape that it should be if it were not a discord meniscus
now approaching the final point of the resection
we will use the shaver blade to remove the loose fragments and contour the edges so that uh...
it's a smooth transition from the old torn structure to the
remaining new meniscus
now you can see that it looks more horseshoe shaped in its normal in its appearance
and that's the shaver blade that will
contour the edges
it's essentially a uh... sharp round razor blade that spins at a certain speed
and for lack of a better word it buffs the edges of the meniscus or the torn cartilage
once were done with this that will complete the procedure
by removing the torn portion and conquering the edges
we will give the patient complete pain relief and restore normal anatomy
so that will resolve her previous blocking catching and swelling within the knee
for more information on
arthroscopic knee surgery such as this or any other type of
knee surgery please visit us at www.sportsmedalabama.com