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Operations at the coracoid process should be under arthroscopic control.
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Hemostasis was then assessed, and the surgery was completed under arthroscopic control.
The position of the Endobutton plate was adjusted under arthroscopic control to cross the dorsal surface of the coronoid process and tightly flattened against the bone surface.
The working space was then cleaned under arthroscopic control, and the orientation of the coracoid process and the directions of conoid and trapezoid fasciculi of the CC ligament were identified (Fig. 2a).
Then, inflow was closed, and all fluid from the joint was aspirated with 50-ml syringe via arthroscope under arthroscopic control.
The coracoid process was explored and identified under arthroscopic control.
Under arthroscopic control the bone block could be now gently be tapped into the femoral tunnel until the bone block lied flush with the entrance of the femoral bone tunnel.
For transplantation, the patient was positioned so that the cartilage defect was facing upward, and synovial MSC suspension was placed on the cartilage defect with a syringe under arthroscopic control.
In the case of a severe tear in the CC ligament (type V IV), a suture was pre-set (prior to clavicular reduction) under arthroscopic control on the upper and lower ends of the torn ligament using a self-threading suture instrument.
This study introduces a novel NIRS-device that is capable of identifying low-grade cartilage lesions under arthroscopic control.
After visualization of lesion with the arthroscope, the OCT catheter (diameter = 0.9 mm) was guided into the joint through a custom made hollow instrument under arthroscopic control.
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