APEX Foundations in Arthroscopy Basic Lectures-Basics of Arthroscopy

Video Transcription

Video Summary

This lecture reviews the fundamentals of arthroscopy, covering its history, equipment, techniques, and safety considerations. Originating in Japan with Dr. Takagi and improved through fiber optics, arthroscopy has evolved into a key minimally invasive surgical approach. The course focuses on three skill levels: scope mechanics, basic interventions like shaving, and complex repairs such as ligament reconstruction. Key topics include portal placement, scope handling, fluid management to maintain visibility, and orientation in a 3D joint viewed on a 2D screen. Safety issues like preventing joint damage, infection, and nerve injury are emphasized, along with patient positioning and avoiding complications like wrong-site surgery and fluid extravasation. The importance of using compatible tools properly, recognizing problems early, and confirming procedures intraoperatively with imaging are highlighted. The lecturer encourages practicing these skills as they are durable once mastered, underscoring arthroscopy’s crucial role in modern orthopedic surgery beyond diagnostics, including fracture management and soft tissue releases.

Asset Caption

William Ciccone, M.D

Keywords

arthroscopy fundamentals

minimally invasive surgery

scope mechanics

joint visualization

surgical safety

orthopedic techniques