Cover Image
close this bookMinor Surgical Procedures in Remote Areas (MSF, 1989, 172 p.)
View the document(introduction...)
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close this folderChapter 1: Wounds - Burns
View the documentDressings
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View the documentBurns
close this folderChapter 2: Infection of soft tissues
View the documentAbscess
View the documentTreatment of tropical myositis
View the documentInfections of the hand and fingers
close this folderChapter 3: Catheterisation and drainage
View the documentCatheterisation of large veins
View the documentLumbar puncture
View the documentPleural puncture
View the documentThoracic drainage
View the documentPericardial puncture
View the documentDrainage of ascites and intra-peritoneal perfusion
View the documentPuncture and drainage of the knee
close this folderChapter 4: ent procedures
View the documentEpistaxis
View the documentEar drainage
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close this folderChapter 5: uro-genital procedures
View the documentUrinary catheterisation
View the documentReduction of a paraphymosis
View the documentEpisiotomy
View the documentSuturing episiotomies or perineal tears
View the documentIntra-uterine procedures
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close this folderChapter 6: treatment of trauma
View the documentFractures and disIocations: the basics
View the documentShoulder and arm trauma
View the documentTrauma of the lower limb
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close this folderAppendix
View the documentList of essential supplies (absolutely necessary)
View the documentDisinfection and Sterilization of medical equipment and supplies
View the documentBibliography

Puncture and drainage of the knee

Drainage of fluid in the articular cavity of the knee.

Indications

· Painful hemarthroses in cases of knee torsion: wait 24 to 48 hours before puncture and drainage to allow the hematoma to collect and to prevent recurrence.

· Hydarthrosis: injection of diagnostic fluid or removal of post-trauma serous fluid.

If pus is found in the joint space, surgical drainage is necessary.

Material

Large bore needle and syringe or trochar.

Technique
Figures 67, 68

· Rigorous asepsis: drapes and sterile gloves, clean with polyvidone iodine (see table page 7).

· Puncture with a trocar or large needle at an angle above and lateral to the knee cap, and 1/2 cm above and behind.

· Advance at an angle of 45° to the horizontal and sagittal planes, and push the needle behind the knee cap.

· To empty the cavity, squeeze the quadriceps muscle with the left hand while aspirating on the syringe with the other hand.


FIGURE