Arthroscopy is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope, an endoscope that is inserted into the joint through a small incision. Arthroscopic surgery has revolutionized orthopedic medicine over the years. This versatile procedure can both diagnose and treat many conditions of the joints, greatly reducing both treatment and recovery time.
Diagnosing joint injuries and disease begins with a thorough medical history, physical examination, and usually X-rays. Additional tests such as magnetic resonance imaging (MRI) or computed tomography (CT) also scan may be needed.
Through the arthroscope, a final diagnosis is made, which may be more accurate than through “open” surgery or from X-ray studies.
Disease and injuries can damage bones, cartilage, ligaments, muscles, and tendons. Some of the most frequent conditions found during arthroscopic examinations of joints are:
Knee arthroscopy is a surgical procedure performed to diagnose and treat knee joint problems. The minimally invasive knee surgery allows doctors to view the knee joint and detect the root cause, without having to make a large incision through the skin and other soft tissues. The surgeon inserts a small camera, or “arthroscope” into the knee joint to identify and treat problems resulting from joint stiffness or injury.
Arthroscopy, or Minimally Invasive “keyhole” surgery, allows the surgeon to look into the shoulder joint, make an exact diagnosis, and treat the condition with an operation that requires very small skin cuts. The Doctors at The Joint Clinic use specially made instruments that fit through the small skin incisions and we visualize the shoulder using a camera. Because this technique disturbs the shoulder joint less than open surgery, the hospital stay is shorter and the recovery smoother than with “open surgery.
Hip Arthroscopy is a surgical procedure in which a small cut is made around the hip and it is possible to look inside the hip joint with the help of a fiber optic telescope. There are only a few centers in India for hip arthroscopy. It is mainly done for conditions like snapping hip, labral tears, and femero-acetabular impingement. Hip arthroscopy helps the surgeons to identify orthopedic problems more accurately. Check the link to know more about hip arthroscopy.
The term literally means “to look within the joint.” During elbow arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your elbow joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments.
Ankle arthroscopy is surgery that uses a tiny camera and surgical tools to examine or repair the tissues inside or around your ankle. The camera is called an arthroscope. The procedure allows the doctor to detect problems and make repairs to your ankle without making larger cuts in the skin and tissue.
Wrist arthroscopy is surgery that uses a tiny camera and surgical tools to examine or repair the tissues inside or around your wrist. The camera is called an arthroscope. The procedure allows the doctor to detect problems and make repairs to the wrist without making larger cuts in the skin and tissue.
Although the inside of nearly all joints can be viewed with an arthroscope, six joints are most frequently examined with this instrument. These include the knee, shoulder, elbow, ankle, hip, and wrist. As advances are made in fiber optic technology and new techniques are developed by orthopaedic surgeons, other joints may be treated more frequently in the future.
The risks that may occur in arthroscopic surgery are rare. They include the following: –
A small incision is made on the side of the joint that needs to be treated through which the arthroscope is inserted. Tiny incisions are made through which surgical instruments are inserted which are used to cut, remove and stitch injured tissues. After the surgery, the arthroscope is withdrawn and the incision is closed with sutures. A dressing is used to cover the incision area and a brace may be used to wrap around the joint. Arthroscopic surgery is usually done as an outpatient procedure.
The patient is required to rest for several days and keep the joint elevated. Ice packs may be applied to minimize swelling and pain, and undergo an exercise program that helps in strengthening the muscles. signs of infection such as Severe joint pain, Swelling, Bleeding should be reported to the doctor.
You may have some pain in the joint after surgery. Your doctor may prescribe pain medication. He might also prescribe aspirin or other medication to prevent blood clots.
Arthroscopic surgery usually results in less joint pain and stiffness than open surgery. Recovery also generally takes less time.
You’ll have small puncture wounds where the arthroscopic tools went into your body. The day after surgery, you may be able to remove the surgical bandages and replace them with small strips to cover the incisions. Your doctor will remove non-dissolvable stitches after a week or 2.
While your wounds heal, you’ll have to keep the site as dry as possible. This means covering them with a plastic bag when you shower.
Your doctor will tell you what activities to avoid when you go home. You can often go back to work or school within a few days of surgery. Full joint recovery typically takes several weeks. It may take several months to be back to normal.