Arthroscopic Surgical Instruments-Wire Clamp (4.5mmx170mm)

Usage of Arthroscopic Accessory Surgical Instrument-Threading Forceps
When it comes to the application of the 4.5MM×170MM arthroscopic threading forceps in actual surgeries, the following steps are typically involved:
I. Preoperative Preparation
Thoroughly sterilize the threading forceps to ensure aseptic conditions. This is a critical step to prevent any postoperative infections.
The surgical team should familiarize themselves with the forceps' design and functionality. They need to know how to open and close the jaws smoothly, as well as understand the sensitivity of the gripping mechanism.
II. Suture Passage Procedure
In ligament or tendon reconstruction surgeries, once the surgeon has identified the appropriate tissue attachment points and prepared the necessary tunnels (in bone or soft tissue), the threading forceps come into play.
The surgeon holds the forceps with a firm yet delicate grip, similar to how one would hold a writing instrument for precise work.
With the arthroscopic camera providing a clear view inside the joint, the forceps are carefully inserted through the arthroscopic portal. The slender 4.5MM diameter allows for smooth entry without causing damage to the surrounding tissues.
Once inside the joint, the surgeon uses the forceps to gently grasp the end of the suture. The fine tips of the forceps are designed to securely hold the suture without slipping.
Then, by carefully maneuvering the forceps, the surgeon guides the suture through the narrow tunnels or between layers of tissue. For example, in a knee anterior cruciate ligament (ACL) reconstruction, the suture needs to be passed through the femoral and tibial tunnels. The 170MM length of the forceps provides the necessary reach to complete this task accurately.
Throughout this process, the surgeon constantly monitors the position of the forceps and the suture using the arthroscopic view, making any necessary adjustments to ensure the suture is placed precisely where it's needed for proper repair.
III. Knot-tying Phase
After the sutures have been passed through the required areas, it's time for knot-tying. The threading forceps again play a crucial role.
The surgeon uses one set of forceps to hold one end of the suture, while another instrument (such as a knot pusher) may be used in conjunction.
The forceps delicately retrieve the suture end and hold it steady, allowing the surgeon to form the knot. The slender design of the forceps ensures that they can access the knot-tying area without getting in the way of other instruments or obscuring the view.
As the knot is being tied, the forceps maintain tension on the suture end, ensuring a tight and secure knot. This is vital for the long-term stability of the repaired soft tissues.
IV. Foreign Body Removal Procedure
In cases where there are loose fragments like cartilage or bone chips within the joint, the threading forceps can be quickly repurposed.
Similar to the insertion process for future work, the forceps are inserted through the arthroscopic portal.
Once near the foreign body, the jaws of the forceps are carefully opened and then closed around the fragment. The fine tips and gripping ability enable a precise pick-up.
The surgeon then slowly withdraws the forceps, along with the removed foreign body, through the portal, taking care not to dislodge the fragment and cause further damage.
In summary, the proper use of the arthroscopic threading forceps requires a combination of surgical skills, familiarity with the instrument, and constant visual monitoring through the arthroscopic view to achieve optimal results in joint surgeries.