Surgical Technique - smith&nephew RT-PLUS Surgical Technique

Surgical Technique

Positioning of the patient for the surgery
Surgery is performed whilst the patient is
supine.
It is recommended that the blood supply be
partially blocked with the use of a tourniquet.
But this is not absolutely necessary.
The leg must be covered, so as to allow mo-
vement, and secured to the operating table
in such a way that the knee joint is brought
into a stable 90° fl exion position. Most of the
surgical steps are performed in this position.
Surgical procedure
The skin incision can be a midline incision or
a parapatellar incision.
If there are scars from skin incisions made
during previous surgery, it is advisable to use
them for access in order to reduce the risk of
cutaneous blood fl ow disorders. Medial ar-
throtomy is recommended, or an approach
adapted to the pathological situation.
After the usual preparation (meniscus resec-
tion, removal of osteophytes and synovecto-
my if necessary), the cruciate ligaments
are sectioned and if necessary, the collateral
ligaments are removed close to the bone.
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