Surgical Instruments Names And Uses Pdf Download
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Strategies for improving the process mentioned above may include: Agreeing on an instrument set as a single, unitized item; standardizing a surgical trays for all types of visual surgeries; developing a manual of surgical instrument use for the most common surgeries; and obtaining a national instrument inventory that standardizes trays across national boundaries [11].
Orthopaedic procedures, including intramedullary nailing, total hip replacement, and total knee replacement, might require a sophisticated precision (posterior) spinal instrument set. The angulation alignment of intramedullary nailing can be affected by many factors, including the degree of deformity, age, level of injury, presence of neurological problems, and accuracy of implant position. Therefore, correct alignment of intramedullary nail is essential for achieving the optimal outcome. Commonly, intramedullary nail is placed in the proximal intertubercular line, between the anterior and posterior tubercles of femur. In this part of the nail insertion, the most common malalignment is in the femoral anteversion, i.e., the angle of the nail entrance point in the articular surface of the femoral head and femoral neck. Compared to total hip arthroplasty, the accuracy of screw insertion is more critical for the posterior hip screws in intramedullary nail for proximal femur surgery. The correct placement of the posterior locking screws is essential for optimal surgical outcome. For intramedullary nail, spinal instruments, which include intramedullary nail guide rod and femoral preparation jig, should be sterilized by different methods and can be combined together before packing surgeons to save cost. During operation, the surgeon can use the instruments according to his or her preference, i.e., independent of the instrument set packing. Except for the femoral preparation jig, all the instruments including intramedullary nail guide rod are disposable. Therefore, the surgical tray should only contain disposable materials. It is generally recommended to complete all the procedures of one procedure in one room and to pack all the instruments together in one tray to ensure the consistency of the preparations and to reduce possible purchasing errors. d2c66b5586
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