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Arthroscopy

What is Arthroscopic surgery?

Arthroscopy is a medical procedure that involves using a small, minimally invasive camera called an arthroscope to visualize and diagnose problems within a joint. The term “arthroscopy” comes from two Greek words: “arthro,” which means joint, and “skopein,” which means to look at or examine. This technique is commonly used to diagnose and treat joint-related conditions, especially in the knees, shoulders, hips, and ankles.

How is arthroscopic surgery performed?

During arthroscopy, a surgeon makes a few small incisions near the affected joint and inserts the arthroscope, a thin, flexible tube with a camera and light source attached. The camera provides real-time video images of the joint’s interior on a monitor, allowing the surgeon to assess the condition of the joint, identify any issues, and make informed treatment decisions.

What are Common Arthroscopic Surgeries?

The prevalence of different arthroscopic surgeries can vary based on the population’s demographics, lifestyle, and specific joint conditions. However, some of the more common arthroscopic surgeries:

Knee Pain Treatment

  • Meniscus Repair/Trimming
  • ACL Reconstruction

 

Shoulder Pain Treatment

  • Rotator Cuff Repair
  • Labrum Repair

 

Hip Pain Treatment

  • Femoroacetabular Impingement (FAI) Correction
  • Labral Repair

 

Ankle Pain Treatment

  • Debridement
  • Synovectomy

 

Wrist and elbow Pain

  • TFCC (Triangular Fibrocartilage Complex) Repair
  • Tennis Elbow Release

What are the benefits of Arthroscopic surgery?

Arthroscopic surgery offers several benefits compared to traditional open surgery for joint-related conditions. Some of the key advantages include:

1. Minimally Invasive: Arthroscopic surgery involves making small incisions, typically around 1/4 to 1/2 inch in size, rather than larger incisions required in open surgery. This results in less tissue damage, reduced scarring and minimized disruption to surrounding structures.

2. Faster Recovery: Due to the smaller incisions and reduced tissue trauma, patients generally experience less post-operative pain, swelling, and discomfort. This often leads to a quicker recovery period compared to open surgery.

3. Shorter Hospital Stay: Many arthroscopic procedures are performed on an outpatient basis, allowing patients to return home on the same day. This reduces the need for extended hospital stays and associated costs.

4. Reduced Infection Risk: Smaller incisions mean less exposure of internal tissues to the external environment, decreasing the risk of infections.

5. Preservation of Healthy Tissues: Arthroscopic techniques allow surgeons to target specific areas of concern without damaging healthy surrounding tissues. This is particularly important in joints where preserving as much healthy tissue as possible is crucial for maintaining joint function.

6. Improved Visualization: The arthroscope provides magnified, high-definition images of the joint’s interior, enabling surgeons to accurately diagnose and address issues that might be difficult to assess with other imaging methods.

7. Less Blood Loss: Because arthroscopic surgeries involve smaller incisions, there is typically less blood loss during the procedure.

8. Quicker Return to Normal Activities: Patients undergoing arthroscopic surgery often experience a faster return to their daily activities, work, and exercise regimens than open surgery.

9. Cosmetic Benefits: The smaller incisions result in more minor scars, which can be more aesthetically pleasing for patients concerned about their appearance after surgery.

10. Less Trauma to Soft Tissues: Traditional open surgery may require cutting through or retracting muscles and other soft tissues. Arthroscopic surgery involves minimal disruption to these structures, potentially leading to fewer complications related to tissue trauma.

11. Diagnostic and Therapeutic Combined: Arthroscopy can be used for diagnostic purposes (visualizing the joint to identify issues) and therapeutic purposes (addressing identified issues during the same procedure).

12. Joint-Specific Procedures: Arthroscopic techniques are developed for specific joints and conditions, allowing for targeted and specialized treatment.

While arthroscopic surgery has many benefits, it might not suit all conditions. Your healthcare provider will evaluate your situation and recommend the most appropriate surgical approach based on factors such as the nature and severity of your condition, overall health, and individual needs.

What to Expect From Arthroscopic Surgery

Preparing for Arthroscopic Surgery

Before undergoing arthroscopic surgery, your doctor will administer medication before the procedure. The medication could either numb the targeted area or induce drowsiness. You may need to fast on the day of the surgery. Additionally, your surgeon might advise you to refrain from taking specific medications that could heighten the risk of bleeding.

Your doctor will provide you with detailed guidelines on how to get ready for your arthroscopic surgery. They will take the time to address any queries you may have.

The Arthroscopy Process

During the arthroscopic procedure, your surgeon will insert a slender and flexible device known as a scope through an incision roughly the size of a buttonhole. The scope is equipped with a camera, allowing the specialist to visualize the interior of your joint and guide the surgical intervention through a video monitor.

The arthroscopic surgery might last up to 2 hours, followed by several hours of recovery at the hospital before you’re discharged to go home.

Recovery and Physical Rehabilitation

Following your arthroscopic surgery, your doctor will prescribe pain and swelling medications. You will also receive comprehensive instructions on joint care, including the application of ice and the use of protective slings or bandages.

Typically, most individuals can stand up and walk within a week and resume their normal activities in around a month. Your surgeon will likely recommend engaging in physical therapy to aid in the restoration of joint functionality and strength.