POSTOPERATIVE DIAGNOSES: Right knee medial meniscus tear, grade IV chondromalacia trochlear groove, loose bodies, medial plica, and left ring finger mass.
OPERATION: Arthroscopy right knee, partial medial meniscectomy, synovectomy with plica excision, chondroplasty of trochlear groove, removal of loose bodies, and removal of ganglion cyst left ring finger.
ANESTHESIA: General.
COMPLICATIONS: None.
BLOOD LOSS: Minimal.
PROCEDURE IN DETAIL:
After obtaining a proper informed consent from the patient, he was taken to the operating room and given general anesthesia per endotracheal tube. Right knee and left hand were prepped and draped in the usual sterile fashion. The right knee was addressed first. Standard arthroscopy was performed through inferolateral and inferomedial portals. The patient had grade III chondromalacia of the patella and grade IV chondromalacia of the trochlea groove with multiple loose bodies flowing throughout the knee joint which we removed with basket and shaver. The patient had a small medial meniscus tear and a partial medial meniscectomy was performed. The patient had thickened medial plica and synovectomy with plica excision was performed. Lateral compartment was normal. ACL and PCL were intact. Knee joint was irrigated and injected with Marcaine and Duramorph. 4-0 nylon sutures were used on the skin. Left hand was then addressed and tourniquet was inflated for 15 minutes during the case. Transverse incision was made at the base of the ring finger over the mass. Care was taken to protect neurovascular structures. Mass was a ganglion cyst coming from the synovial sheath. The ganglion cyst was excised in its entirety. The tendon was intact. It was irrigated and injected with Marcaine. 4-0 nylon sutures were used on the skin.
Sterile dressing was applied. The patient was taken to the recovery room in stable condition.