APEX Foundations in Arthroscopy Basic Lectures-Basic Knee Arthroscopy & Portals

Video Transcription

Video Summary

Greg Gandry from the University of Rochester presents a detailed overview of diagnostic knee arthroscopy and portal placement techniques. Emphasizing proper patient positioning—using either a side post or a leg holder—is crucial for successful procedures. Portal strategies vary between two-portal (working and viewing) and three-portal (separate inflow/outflow) techniques, with vertical portals often recommended for beginners due to their forgiving nature. Proper portal placement is vital to avoid surgical difficulties. Gandry demonstrates methods for identifying accurate landmarks and highlights the importance of direct visualization when creating portals, especially intermedial ones. He outlines a systematic diagnostic arthroscopy approach, stressing visualization, knee positioning (flexion/valgus stress), and thorough examination of compartments, menisci, ligaments, and articular surfaces. Avoiding common pitfalls like narrow views and scope misorientation is advised. For cadaver practice, he recommends caution to prevent femur fractures and suggests practicing on easier lateral meniscus areas. Mastery of posterior portals facilitates access to the posterior knee, enhancing surgical effectiveness.

Asset Caption

Dr. Greg Nicandri

Keywords

diagnostic knee arthroscopy

portal placement techniques

patient positioning

two-portal and three-portal strategies

arthroscopy landmarks and visualization

posterior knee portals