APEX Foundations in Arthroscopy Basic Lectures-Getting Started with Knee Arthroscopy

Video Transcription

Video Summary

This Fundamentals in Arthroscopy course by Dr. Mark Hutchinson, an experienced orthopedic surgeon, focuses on mastering knee arthroscopy and meniscus surgery. Emphasizing stepwise motor skill development, learners start with simulator and cadaveric practice to build scope orientation, hand stabilization, camera control, and ambidexterity. Proper leg positioning and portal placement—including anterior lateral, anterior medial, and posterior medial/lateral portals—are critical for effective visualization and access, with care taken to avoid nerve injury. Diagnostic arthroscopy follows a consistent sequence through the suprapatellar pouch, gutters, medial and lateral compartments, intercondylar notch, and posterior compartments, using knee flexion and varus/valgus stresses to optimize viewing. Common arthroscopy errors include losing perspective and inadequate portal placement.<br /><br />Meniscus anatomy, vascular zones, and tear types inform treatment choices—repair or partial meniscectomy—to preserve function and reduce arthritis risk. Repair techniques covered include inside-out (standard with safety incisions to protect nerves), outside-in (useful for anterior horn tears), and all-inside (more recent, efficient devices with anchors). Suturing strategies favor vertical mattress sutures with appropriate spacing for optimal healing. Successful repair is enhanced by stable knees (e.g., combined ACL reconstruction) and biological augmentation. The course stresses hands-on lab practice, faculty feedback, using diverse device systems, and avoiding cartilage damage throughout. The goal is to advance skills safely and effectively for improved surgical outcomes.

Asset Caption

Dr. Mark Hutchinson

Keywords

arthroscopy fundamentals

knee arthroscopy

meniscus surgery

motor skill development

portal placement

diagnostic arthroscopy

meniscus repair techniques

suture strategies

surgical skill advancement