Knee

arthroscopic surgery

Minimally invasive procedure where a small camera (arthroscope) and surgical instruments are inserted
through small incisions to diagnose and treat problems within the knee joint.

What are the steps of a Arthroscopic Surgery?

Arthroscopic surgery is a minimally invasive surgical procedure used to diagnose and treat joint problems. It involves the use of an arthroscope, a small, pencil-sized instrument equipped with a camera and light source, which allows the surgeon to visualize the inside of the joint on a monitor. Here are the general steps involved in arthroscopic surgery:

  1. Anesthesia Administration:
    • Before the start of the procedure, you will be given anesthesia to ensure that you are comfortable and pain-free during the surgery. The type of anesthesia used may vary depending on the specific procedure and your medical history.
  2. Incision Placement:
    • Once you are under anesthesia, the surgical team will make one or more small incisions near the joint being treated. These incisions are typically less than half an inch in length and serve as access points for the arthroscope and surgical instruments.
  3. Arthroscope Insertion:
    • The surgeon inserts the arthroscope through one of the incisions into the joint space. The arthroscope contains a camera and light source, allowing the surgeon to visualize the internal structures of the joint in real-time on a monitor.
  4. Joint Examination:
    • With the arthroscope in place, the surgeon carefully examines the joint's structures, including the cartilage, ligaments, tendons, and synovium (lining of the joint). The surgeon may manipulate the joint to assess its range of motion and stability.
  5. Diagnostic Assessment:
    • During the examination, the surgeon may identify any abnormalities, such as tears, inflammation, or cartilage damage, that require further evaluation or treatment. Diagnostic tools such as probing instruments or dye injections may be used to better visualize and assess the extent of the problem.
  6. Treatment Intervention:
    • Depending on the findings of the diagnostic assessment, the surgeon may perform various treatment interventions using specialized arthroscopic instruments inserted through the additional incisions. These interventions may include:
      • Repairing torn ligaments or tendons
      • Trimming or removing damaged cartilage or bone fragments
      • Debriding (cleaning) inflamed or damaged tissues
      • Releasing tight or constricted structures (e.g., scar tissue)
  7. Closure of Incisions:
    • Once the necessary surgical interventions have been completed, the surgeon removes the arthroscope and any other instruments from the joint. The incisions are then closed with sutures or adhesive strips, and sterile dressings are applied to protect the surgical site.
  8. Recovery and Observation:
    • After the surgery, you will be moved to a recovery area where you will be closely monitored by the medical team as you wake up from anesthesia. Vital signs such as heart rate, blood pressure, and oxygen levels will be monitored to ensure your safety and stability.
  9. Post-Operative Care Instructions:
    • Before you are discharged from the surgical facility, you will receive post-operative care instructions from your healthcare provider. These instructions may include guidelines for pain management, wound care, activity restrictions, and follow-up appointments.
  10. Rehabilitation and Recovery:
    • Following arthroscopic surgery, you will undergo a period of rehabilitation to help restore joint function, strength, and mobility. This may involve physical therapy, exercises, and activity modification to promote healing and optimize outcomes.

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