The O.T. is a Critical Locus in any Hospital-this is more true today-with rapid Urban Growth-Accidents-Personal violence-and National Disasters occuring.The OT is the entry point for emerging techniques and technologies.In the OT complex surgeons expose the patient's internal enviorment to the external enviorment of the atmosphere.The surgeon's skill are at risk if the ambient external enviorment is not controlled and safe.
Wednesday, July 27, 2011
SHARP INSTRUMENTS 5
BONE-CUTTING INSTRUMENTS
Various bone-cutting instruments commonly seen in modern surgery are as follows:
Saw. Bone cutting forceps
Chisel. Rongeurs
Osteotome. Rougine
Bone gouge. Costotomes (Rib cutters)
Saws
All amputations of the extremities involve cutting through the central bone of the limb, thus the need for a saws.
These instruments have teeth on their cutting edge so as to facilitate cutting through bone.
Ferguson Saw has a broad blade and is used for big central bones of lower limb
Adams-Jones is a saw with a short narrow cutting blade and a blunt tip.
• Tip handle is designed to give a grip for the surgeon (Often called a pistol-grip handle) and a blade that can cut in a small space (neck of shaft femur).
• Powered bone saws allow bones to be cut in a short time with minimum effort. ( Stryker saw)
• Gigli saw is a cutting wire edge that cuts small spaces.
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