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hello I'm Dr Chad lavender from Marshall University and we're going to go over the outcomes of standard versus nanoscopic partial meniscectomy we're going to talk about introduction and nanoarthroscopy and then outcomes of a recent trial that we performed and then also the advantages that we saw so when we talk about goals of nanoarthroscopy we're using less than three millimeter incisions and instrumentation especially now with the new Nano resection devices that are less than three millimeters we're also using less fluid into the joint which should improve our recovery and our short-term outcomes dramatically the nanoscope camera has changed how we can do arthroscopy and the procedures that we can do with the nanoscope continue to evolve the addition of the high flow sheath the curved sheath has greatly improved our visualization our flow and it allows for more traditional viewing angles one of the things I'd like to point out about the nanoscope it has a 84 percent reduction in the