{"id":3323,"date":"2023-11-09T17:19:41","date_gmt":"2023-11-09T09:19:41","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3323"},"modified":"2023-11-09T17:26:58","modified_gmt":"2023-11-09T09:26:58","slug":"arthroscopic-assisted-reduction-of-ac-joint","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3323","title":{"rendered":"Arthroscopic assisted reduction of AC joint"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3323\" class=\"elementor elementor-3323\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f0cc904 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f0cc904\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c0deb84\" data-id=\"c0deb84\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0af989e elementor-nav-menu--stretch elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"0af989e\" data-element_type=\"widget\" data-settings=\"{&quot;full_width&quot;:&quot;stretch&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-0af989e\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3181\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3170\" class=\"elementor-item menu-link\">ACL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4332\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4327\" class=\"elementor-item menu-link\">ATFL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3349\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3323\" class=\"elementor-item menu-link\">Arthroscopic assisted reduction of AC joint<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3279\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3267\" class=\"elementor-item menu-link\">Knee Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3309\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3297\" class=\"elementor-item menu-link\">Hip Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3209\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3191\" class=\"elementor-item menu-link\">PCL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4273\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4264\" class=\"elementor-item menu-link\">PMMR Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4304\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4295\" class=\"elementor-item menu-link\">PMMR repair<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3146\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3136\" class=\"elementor-item menu-link\">Shoulder Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3280\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3253\" class=\"elementor-item menu-link\">Wrist Arthroscopy<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open fas fa-book\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-0af989e\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3181\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3170\" class=\"elementor-item menu-link\" tabindex=\"-1\">ACL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4332\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4327\" class=\"elementor-item menu-link\" tabindex=\"-1\">ATFL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3349\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3323\" class=\"elementor-item menu-link\" tabindex=\"-1\">Arthroscopic assisted reduction of AC joint<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3279\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3267\" class=\"elementor-item menu-link\" tabindex=\"-1\">Knee Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3309\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3297\" class=\"elementor-item menu-link\" tabindex=\"-1\">Hip Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3209\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3191\" class=\"elementor-item menu-link\" tabindex=\"-1\">PCL Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4273\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4264\" class=\"elementor-item menu-link\" tabindex=\"-1\">PMMR Reconstruction<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4304\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4295\" class=\"elementor-item menu-link\" tabindex=\"-1\">PMMR repair<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3146\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3136\" class=\"elementor-item menu-link\" tabindex=\"-1\">Shoulder Arthroscopy<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3280\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3253\" class=\"elementor-item menu-link\" tabindex=\"-1\">Wrist Arthroscopy<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a3f759d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a3f759d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-68658a4\" data-id=\"68658a4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d362b0d elementor-widget elementor-widget-heading\" data-id=\"d362b0d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Arthroscopic assisted reduction of AC joint<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-97e48c9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"97e48c9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0a2bf37\" data-id=\"0a2bf37\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4e12c28 elementor-widget elementor-widget-shortcode\" data-id=\"4e12c28\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<style>\n\t#hotspot-3319 .hotspots-image-container,\n\t#hotspot-3319 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-3319 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-3319 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3319 .hotspot-title,\n\t#hotspot-3319 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-3319 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-3319 .bc-product__title a {\n\t\tcolor: #20418d;\n\t}\n\n\t\t\t#hotspot-3319 .hotspot-style-1 {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3319 .hotspot-style-1:hover,\n\t\t#hotspot-3319 .hotspot-style-1:focus,\n\t\t#hotspot-3319 .hotspot-style-1.hotspot-active {\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\toutline: none;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t\t#hotspot-3319 .hotspot-default {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #20418d;\n\t\t\tfill-opacity: 0.01;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3319 .hotspot-default:hover,\n\t\t#hotspot-3319 .hotspot-default:focus,\n\t\t#hotspot-3319 .hotspot-default.hotspot-active {\n\t\t\tfill: #0d1b3a;\n\t\t\tfill-opacity: 0.01;\n\t\t\toutline: none;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3319 .leaflet-tooltip,\n\t#hotspot-3319 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3319 a.leaflet-rrose-close-button {\n\t\tcolor: #20418d;\n\t}\n\n\t#hotspot-3319 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-3319 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #001440;\n\t\tborder-top-color: #001440;\n\t}\n\n\t#hotspot-3319 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-3319 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-3319 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-3319 .leaflet-tooltip-right:before {\n\t\tborder-right-color: #fafbff;\n\t}\n<\/style>\n\n\n\t<div class=\"hotspots-container  layout-lightbox event-click\" id=\"hotspot-3319\" data-layout=\"lightbox\" data-trigger=\"click\">\n\t\t<div class=\"hotspots-interaction\">\n\t\t\t<div class=\"hotspots-image-container\">\n\t<img\n\t\twidth=\"1280\"\n\t\theight=\"720\"\n\t\tsrc=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/AC-joint.jpg\"\n\t\talt=\"Arthroscopic assisted reduction of AC joint\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-3319\"\n\t\tdata-image-title=\"Arthroscopic assisted reduction of AC joint\"\n\t\tdata-image-description=\"\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"3319\"\n\t\tdata-no-lazy=\"1\"\n\t\tdata-lazy-src=\"\"\n\t\tdata-lazy=\"false\"\n\t\tloading=\"eager\"\n\t\tdata-skip-lazy=\"1\"\n\t\t>\n<\/div>\t\t<\/div>\n\t\t<map name=\"hotspots-image-3319\" class=\"hotspots-map\">\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"98,272,98,225,377,225,377,272\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3319-0\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Position and Draping\"\n\t\t\t\t\talt=\"Position and Draping\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3319-0\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"108,503,108,450,377,450,377,503\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3319-1\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Procedure\"\n\t\t\t\t\talt=\"Procedure\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3319-1\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"841,315,841,248,1205,248,1205,315\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3319-2\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Instrument and Consumable\"\n\t\t\t\t\talt=\"Instrument and Consumable\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3319-2\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t<\/map>\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3319-0\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Position and Draping<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Anesthesia<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">GA<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Surgeon<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">LA block under USG after GA <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">20ml (10ml 2% lignocaine with adrenaline + 10ml NS)<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Position<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Beach-chair\u00a0 <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Draping<\/span><\/u><\/p>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Sterile<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">drape<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">(<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u9910\u5dfe<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">) for disinfection<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Sterile cover for <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">spider<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Spider kit for extremity<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">U-drape<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">5.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Spider <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">kit for extremity<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">6.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Universal drape<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">7.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">O<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">p-tape\u00a0 <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Anae<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">scree<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">n<\/span><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3319-1\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Procedure<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p>&nbsp;<\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Procedure<\/span><\/u><\/p>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">GA<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Beach chair position<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Skin prep and <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">drap<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Spider 2 limb positioning device<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">5.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Posterior arthroscopic portal opened by angiocath<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">6.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Anterior portal opened under direct vision<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">7.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Glenohumeral joint arthroscopy<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Dissection at rotator interval towards medial surface until the base of <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">coraoid<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> reach<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">9.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Incision over clavicle from 3.5cm from ACJ<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">10.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Anterior and posterior border of clavicle identified<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">11.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Guide pin insertion through aiming guide<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">12.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Pin position confirmed under X-ray<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">13.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">4mm cannulated drill<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">14.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Suture passing <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">guidepin<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> inserted to drill cannulation<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">15.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Tip of guidewire retrieved through the anterior portal<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">16.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Superior to inferior passage of AC tightrope<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">17.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Inferior button passed and locked<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">18.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">uperoir<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> button placed and device tightened, knots tied to secure fixation<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">19.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Reduction of <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">coracoclavicle<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> interval and distal <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">claviclefracture<\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .34in;text-indent: -.25in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">20.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Wound irrigation<\/span><\/div>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Wound closing <\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Ethilon<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 3\/O <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Cosmopore<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> (S)\u00a0 <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Plain gauze\u00a0 <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Burn pack <\/span><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3319-2\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Instrument and Consumable<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"647\" height=\"856\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/AC-joint-consumable.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/AC-joint-consumable.jpg 647w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2023\/11\/AC-joint-consumable-227x300.jpg 227w\" sizes=\"(max-width: 647px) 100vw, 647px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8732fae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8732fae\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-035e95a\" data-id=\"035e95a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4c539de elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"4c539de\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/ndhorth.synology.me\/wordpress\/?page_id=903\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-undo\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Arthroscopic assisted reduction of AC 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