Arthroscopic Surgery: Standard Protocol and Best Practices

Pre-operative Phase

Patient Assessment

• Complete medical history review
• Physical examination
• Imaging studies evaluation (MRI, X-rays)
• Surgical risk assessment
• Informed consent documentation

Equipment Preparation

• Arthroscope (30° and 70° options)
• Light source and camera system
• Fluid management system
• Specialized instruments
• Recording equipment

Operative Protocol

1. Patient Positioning and Preparation

• Position based on joint (beach chair/lateral decubitus for shoulder)
• Sterile prep and draping
• Anatomical landmark marking
• Portal site identification

2. Portal Placement

• Standard portal creation
• Establish appropriate triangulation
• Maintain safe distances from neurovascular structures
• Portal placement verification

3. Joint Navigation

1. Systematic diagnostic sweep
2. Documentation of pathology
3. Dynamic examination under direct visualization
4. Tissue sampling if indicated

4. Therapeutic Intervention

• Tissue debridement
• Repair techniques as indicated
• Hemostasis confirmation
• Range of motion assessment

Post-operative Care

Immediate Post-op

• Neurovascular status monitoring
• Pain management protocol
• Wound care instructions
• Early mobilization plan

Follow-up Protocol

1. First visit: 7-10 days
2. Suture removal
3. Physical therapy initiation
4. Regular follow-up schedule

Documentation Requirements

• Operative report
• Image documentation
• Post-operative orders
• Rehabilitation protocol