수술준비 OS procedure

Shoulder A/S SLAP, Bankart, RCR

Pkg, 중포*1, S-T*2, S-T, Bowl, EB4“, SN”4, suction line*3, Tab, 18G spinal needle, maker, A/S set, A/S line, 4mm30’scope, A/S care, tip set, STAR sleeve, pump, cannular, #11 blade(Dr.안 #15 blade), vicryl 3/0 steri-strip, bond(or Nylon3/0), golve,
20cc syringe, regenseal 1cc*2

OS1(Dr,이광열) glove 7,7

※ care로 capsule 지지고 cannular insert
-Decom : @5.75 crystal smooth *2 L-curette #2

-Repair : @7.0 crystal cannular*1, shoulder set, NS mallet

SLAP, Bankart : Y-knot Flex
A/D, dirll bit, Y-knot guide, lasso(흰색), scorpion 사용
prn) cvd curette, rib knife

RCR : Y-knot RC, RC awl, lasso(흰색), scorpion 사용
Tie 할 때 : 골무, under – under – over – under 실을 돌려줘야 함.

OS2(Dr.안영주) Glove8,7½

※ 앞치마, tip 거꾸로, 발판 사용, care suction X, burr 사용 시 suction X
EB4“ S-T로 둘둘 말아서 겨드랑이 받치고 시작.
-Routine으로 subscap or biceps simple repair : shoudler set, PDS#0, lasso(초록,연두)
-Decom : @6.5 clear flexable*2, @7.0 dry doc*1

-Repair : @7.0 dry doc *1, shoulder set, NS mallet, round burr 사용X

SLAP, Bankart : Y-knot Flex
A/D, drill bit, Y-knot guide, lasso(초록, 연두)
prn) goid retriever

RCR : @4.5 cork screw (@4.5 cork screw awl) @5.5 cork screw or triple
lasso(초록,연두), scopion 사용
Side anckor : @4.5 push rock
Tie 할 때 : mosquito에 실 물려줘야 함.


OS3(Dr.김태호) Glove 7½,7

※ care power 3, repair 할 때 medix band 붙임, 발판 2개사용
-cocktail : Naropin 8cc + Triam 1cc + 2%ildocane 1cc
-Decom : @5.75 crystal smooth *1, L-curette#2

-Repair : @7.0 crystal *1, shoulder set, NS mallet

SLAP, Bankart : Y-knot Flex
A/D, drill bit, Y-knot guide, lasso, suture hook
prn) cvd curette, rib knife

RCR : @5.5 cork screw or triple
scorpion, lasso 사용
Side anckor : @4.5 push rock

OS4(Dr.양상훈) glove 7,7

※ 시작시 metal cannular에 suction 연결, 발판사용, curette #4~5
-Caclfic remove : c-arm 봄
-Capsulectomy : @5.75 crystal smooth*1, switching stick, 18G S-N, Triam 1cc injec
Flat punch or Ar punch

-Repair : @8.25 twist cannular*1, shoulder set, NS mallet

SLAP, Bankart : Y-knot Flex or J-knot @1.5
A/D, drill bit, Y-knot(@1.5 J-knot) guide, lasso(파랑,하늘), scorpion
prn) cvd curette, rib knife

RCR : @4.5(@4.5 awl) or @5.5 or @5.5 triple cork screw,
Y-knot RC(RC awl), @2.9 J-knot(A/D, guide)
Side anckor : @4.75 swive rock BCC (@4.5 push rock awl 사용)

Tenodesys : @7.0 or @8.0 swive rock
lasso(검은색), PDS#0, OS set, 무영등,
A/D, swive rock reamer, ns mallet, Ethibond #2, empty needie
Ankle A/S

Pkg, 중포*1, S-T*1, OS set, Bowl, EB6“, SN6”, suction line, 방수포, maker, #11 blade(Dr.안 @15 blade), vicryl3/0, steri-strip, bond, 20cc syringe, sugical gown*2
A/S line, ankle scope(trocha), small joint set, ankle care, pump, regenseal1cc*1

Open MBO( OS 1, 3, 4 )
Ankle A/S상, 무영등*2, OS rongeur, curette #2, S-met, bovie, ns mallet, #15 blade, A/D , anckor guide, anckor*2

OS1(Dr,이광열) glove 7,7
※ position : supine, lateral bar 사용,
EB 4“로 꽈배기 만들어 traction, 무릎에 중포, N/S injec X, 21G needie 사용
Open MBO 먼저하고 A/S debri, s-met 잘 사용x
MBO : @2.4 suture tak *2 (suture하고 cut한 실 또 사용하니 버리지 말것!!)
@2.4 drill bit guide, OS1 전용 N-H 사용

OS2(Dr.안영주) Glove8,7½
※ position : supine, 발 침대 끝에 맞춰야함.
앞치마, 18G pink needie로 N/S injec, 18G spinal N 사용, burr 사용 시 suction x,
drill bit, anckor 박을시 scrub이 counter!!, 중포 새로 깔아줘야함.
MBO(open x) : Ankle A/S상, 무영등, Rt.angle, mallet
A/D, Y-knot guide/ drill bit, Y-knot flex*2,
Ynot pusher, A/S cutter(shoulder set), Flat punch,
prn) 4mm shver(agg), round burr

OS3(Dr.김태호) Glove 7½,7
※ position : supine, lateral bar 사용
N/S injec X, A/S debri 하고 Open MBO, curette/rongeur 잘 사용x
MBO : @1.4 J-knot *2
@1.4 J-knot guide/bit, Ethibond#2, vicryl2/0

OS4(Dr.양상훈) glove 7,7
※ 앞치마, N/S injec
MBO : @1.4 J-knot *2
@1.4 J-knot guide/bit, Ethibond#2/0 or 3/0, vicryl2/0
Wirst A/S

Pkg, 중포*1, S-T *1, OS set, Bowl, EB4“, SN4”, cobab1“방수포, maker, #11blade(Dr.안 #15)
A/S line, wirst scope(trocha), small joint set, ankle care, pump, finger traction,
vicryl3/0 steri-strip, bond, glove, sugical gown*2, regenseal 1cc*1

TFCC repair
18G spinal N, PDS#1, mini lasso/wire, knot pusher, A/S cutter

OS1(Dr,이광열) glove 7,7
※ finger traction 걸고 EB로 팔 고정. injec x
repair 안해도 splint routine

OS2(Dr.안영주) Glove8,7½
※ 18G pink needle로 injec, 18G spinal N 사용, 앞치마

OS3(Dr.김태호) Glove 7½,7
※ injec x

OS4(Dr.양상훈) glove 7,7
※ 21G needle로 injec
Elbow A/S

Pkg, 중포*1, S-T *1, OS set, Bowl, EB4“, SN”4, 방수포, maker, #11blade(Dr.안 #15)
A/S line, wirst scope(trocha), small joint set, ankle care, pump, finger traction,
vicryl3/0 steri-strip, bond, glove, sugical gown*2, regenseal 1cc*1

open repair
Elbow A/S상, 무영등*2, OS rongeur, curette #2, S-met, bovie, ns mallet, #15 blade, A/D , anckor guide, anckor*1

OS1(Dr,이광열) glove 7,7
※ opne 먼저 하고 A/S debri(scope 안볼때도 있음), N/S injec x
repair : @2.4 suture tak *2 (suture하고 cut한 실 또 사용하니 버리지 말것!!)
@2.4 drill bit guide, OS1 전용 N-H 사용

OS2(Dr.안영주) Glove8,7½
※ 앞치마, 18G pink needle N/S injec, 18G spinal N 사용
repair : @1.4 J-knot *2
@1.4 J-knot guide/bit, Ethibond#2, vicryl2/0

OS3(Dr.김태호) Glove 7½,7
※ A/S debri 하고 open, N/S injec x
repair : @1.4 J-knot *2
@1.4 J-knot guide/bit, Ethibond#2, vicryl2/0, debri할 때 #10balde사용

OS4(Dr.양상훈) glove 7,7
※ N/S injec
repair : @1.4 J-knot *2
@1.4 J-knot guide/bit, Ethibond#2, vicryl2/0
OR&IF
Pkg, 중포, S-T, c-arm포, OS set, 무영등, Bowl, puspan EN, SN, perio, rongeur, curette, s-met, self, R-clamp, Bone clamp, k-wire, pin cutter, bovie, suction, spoid, glove, A/D, screw set
방수포, maker, #15 blade, 봉합사

OS1(Dr,이광열) glove 7,7
※ OS1 기구

OS2(Dr.안영주) Glove8,7½
※ TPS 무조건 준비, drill bit 물어줄 때 앞쪽으로 물어줘야 함.
cannulated screw 사용시 guide pin 대신 k-wire 사용
k-wire cut 한 끝부분은 깔때기 impacter로 skin 안으로 넣음.

OS3(Dr.김태호) Glove 7½,7
※ A/D chuck single/reamer 챙겨서 power drill 사용

OS4(Dr.양상훈) glove 7,7
※ TBW 할 때 사용한 k-wire 굵기와 비슷한 Roll wire 사용
H/V
Pkg, 중포, S-T, c-arm포, OS set, 무영등, Bowl, EB6“, SN6”, perio, os rongeur, minihohman, curette#1~2, R-clamp, s-met, k-wire, pin cutter, wire N-H, ankle 4mm osteotome, ns malle, TPS l, A/D spoid(or 50cc syringe), 방수포, maker, #15 blade, vicryl2/0, vicryl3/0, steri-strip, bond(or Nylon 3/0), 20cc syringe, glove
lateral release 할 때 : ragnell, skinhook

OS1(Dr,이광열) glove 7,7
※ 거의 bunionectomy.
wedge plate, bio compression screw 사용.

OS2(Dr.안영주) Glove8,7½
※ freer, 깔때기 impacter 사용,
mini hohman 끝에 뾰족한거 사용, saw blade 짧은것만 사용.
vicryl 2/0, Ethibond#2(cutting) 자주 사용, R-clamp 대신 T-clamp 사용.
DCO : k-wire 주로 사용,
PCMO, Weil’s : LPS 사용. guide pin 대신 k-wire 사용.
Scarf : Barock screw 사용