| Surgeon: |
Procedure: PCL Reconstruction |
| |
|
| Gloves: |
Position: Lateral on bean bag |
| Prep: Alcohol & Duraprep |
Drapes: In Arthroscopy Pack |
| |
Meds: 4cc duramorph + 25 cc lidocaine + |
| |
30 cc .5% marcaine before incision |
|
INSTRUMENTS
|
STERILE SUPPLIES |
| A-Scope Set |
Arthroscopy Pack |
| Smith Nephew PCL instruments |
Basic Pack |
| Zimmer Alvarado knee holder |
Hand Towels |
| ACL Set (HA) |
Half Drape |
| SmithNeph Calaxo screws all sizes (HA) |
#15 blade |
| Basic Ortho |
Bovie |
| Stryker 4200 (HA) |
1015 U-drape |
| 30 Degree A - Scope |
Y-Tubing Adapter |
| 4.5mm Cannulated Screw Set (HA) |
1/4" Penrose |
| ACL Dilator Set (HA) |
Mitek VAPR |
| Graftmaster (HA) |
2.4mm Drill Tip, Guide Wire 014396 |
| Popliteal retractor (HA) |
4.5 Full Radius Blade(HA) |
| Mitek Screw & Washer Set |
Cryo Cuff |
| |
18-gauge wire |
|
SUTURES
|
4.0mm Barrel Burr (medium (HA) |
| 5 Ticron HOS-14 (Blue) |
|
| 2-0 Vicryl cp-2 |
|
|
|
|
|
|
DRESSINGS
|
EQUIPMENT
|
| Xeroform |
Video Tower opposite operative side |
| 4x4s |
Omni jugs x 2(shaver, Pouch) |
| 6" Webril |
Dyonics Pump |
| Depuy Ace |
Head Light |
| knee immobilizer |
Axillary Roll |
| |
Extra Egg Crate, Pillows |
| |
Sitting Stool |
| |
Tourniquet @ 300 |
| |
Extra Back Table |
| |
VAPR Machine with foot pedal |
| |
|
