Editorial Commentary: To Pump or Not to Pump? Gravity Versus Fluid Pumps for Shoulder and Knee Arthroscopy

Abstract Recent studies and our clinical experience have supported the safety and efficacy of various arthroscopic pumps for use in practice. Different pump designs are to be used in different ways. Although gravity flow can lead to constant low pressure in a cadaveric knee or shoulder, it may not provide optimal visualization or performance to best complete your surgical procedure. To take the best care of our patients, understanding basic fluid pump design and understanding what pump design resides in your operating room is important for all practicing arthroscopists.