Table 2.

Pearls and Pitfalls of Pediatric Knee Arthroscopy

Pearls	Pitfalls
Lower tourniquet pressure (∼200 mm Hg) to decrease postoperative pain medication need	Too high of tourniquet pressure leads to tourniquet pain
Position in center of the bed for increased varus moment arm	Poor positioning and setup leading to difficulties during procedures
Sterile towels under foot in figure 4 for even greater varus moment arm	Not using small-enough instruments to prevent iatrogenic injuries
Lower pump pressure (∼30 mm Hg) due to smaller volume in pediatric knees	Poor portal placement, leading to difficulties with soft-tissue work and arthroscopic visualization
Can use wrist or ankle instruments as substitute if do not have access to 1.9-mm small-bore needle arthroscope	Poor follow-up and rehabilitation, leading to poor outcomes

NOTE. Table 2 denotes the common pearls and pitfalls of pediatric arthroscopy.