By Gary M Gartsman

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Figure 2-93 Wissinger rod.  Operating Room Setup 63 in the operative notes. They have the added advantage of documenting normal findings that surgeons commonly omit from the operative record. Most arthroscopy systems have the ability to take photographs during surgery with the use of a foot switch or a control button on the camera. The photographs can be printed directly or stored on recordable media or on a computer hard drive. Since I began performing shoulder arthroscopy I have also made video recordings of the operations.

Reconstructive shoulder arthroscopy is complicated, and it is helpful when the scrub nurse, assistant, and circulating nurse can perform their jobs without instruction from the surgeon. The surgical nurse can load the Caspari or Spectrum suture instruments so that they are ready for the next step, clean the shavers and burs so that they function appropriately, and have the next instrument ready so that the operation runs smoothly. Anchors I most commonly use 5-mm metallic TwinFix anchors for rotator cuff repair and the BioRaptor for glenohumeral joint instability and labrum repair.

I use lactated Ringer’s solution. I do not use epinephrine because I find it provides no major improvement in visualization. If a surgeon considers epinephrine helpful, I advise adding it to every other bag of Ringer’s solution to minimize any potential cardiotoxic effects. Chapter 2 Transfer Rods Surgeons who prefer to create portals with the insideout technique will find the Wissinger rod useful (described in Chapter 3). Switching rods are blunt on both ends and are used to maintain the cannula position when the arthroscope is moved from one position to another (Figs.

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