Knee Arthroscopy

If you have persistent pain, clicking, catching, locking or instabilty in your knee, arthroscopy may help relieve these problems.

 

Knee Problems

 

Normally, all parts of the knee work together in harmony. Sports, work injuries, arthritis, or weakening of the tissues with age can cause wear and inflammation, resulting in pain and diminished knee function.

 

Arthroscopy can be used to diagnose and treat many of these problems:

  • Torn meniscal cartilage.
  • Loose fragments of bone or cartilage.
  • Damaged joint surfaces or softening of the articular cartilage, known as chondromalacia.
  • Inflammation of the synovial membrane, such as rheumatoid or gouty (crystalline arthropathy) arthritis.
  • Abnormal alignment or instability of the kneecap.
  • Torn ligaments, including the anterior and posterior cruciate ligaments and medial patella femoral ligament(MPFL)

 

By providing a clear picture of the knee, arthroscopy can also help the orthopaedic surgeon decide whether other types of reconstructive surgery would be beneficial.

 

Do you need Arthroscopy?

 


Signs that you may be a candidate for this procedure includes. Instability(feeling of giving away on uneven surface) Swelling, Persistent pain

 

Catching or locking

 

When other treatments, such as the regular use of medications, knee supports, and physical therapy, have provided minimal or no improvement, you may benefit from arthroscopy.

 

Arthroscopic surgeon at A+ OSM will examine you clinically and may discuss the best methods to further diagnose your knee problem such as magnetic resonance imaging (MRI).

 

Preparation for Surgery

 

If arthroscopy is indicated, you may be asked to have a complete physical examination like blood investigations and a pre anesthesia check before surgery. This will assess your health and rule out any conditions that could interfere with your surgery.

 

Arthroscopic Surgery of the Knee

 

Almost all arthroscopic knee surgery is done on a day care basis for healthy patients. Usually, you will be asked to arrive at the hospital an hour or two prior to your surgery. Do not eat or drink anything after midnight the night before your surgery.

 

After arrival, you will be evaluated by a member of the anesthesia team. Arthroscopy can be performed under local, regional, or general anesthesia.

 

If you have local or regional anesthesia, you may be able to watch the procedure on a monitor, if you wish.

 

Common treatments with knee arthroscopy include:

 

  • Removal or repair of torn meniscal cartilage.
  • Reconstruction of a torn cruciate ligament.
  • Trimming of torn pieces of articular cartilage.
  • Removal of loose fragments of bone or cartilage.
  • Removal of inflamed synovial tissue.

 

Usually, you will be ready to go by evening or next day morning. You should have someone with you to drive you home.

 

Your Recovery at Home

 

Recovery from knee arthroscopy is much faster than recovery from traditional open knee surgery. Still, it is important to follow your surgeon’s instructions carefully after you return home.

 


Swelling
Keep your leg elevated as much as possible for the first few days after surgery. Apply ice as recommended by Orthopaedic surgeon to relieve swelling and pain.

 

Dressing Care
You will leave the hospital with a dressing covering your knee. This will be changed after 48 hours and a small band aid is left. You may shower, but should avoid directing water at the incisions. Do not soak in a tub. Keep your incisions clean and dry.

 

The surgeon will see you in the office after two weeks post surgery to check your progress, review the surgical findings, and begin your postoperative treatment program.

 

Bearing Weight
After most arthroscopic surgeries, you can walk unassisted. Surgeon may advise you to use crutches, or a walker for two after surgery. You can gradually put more weight on your leg as your discomfort subsides and you regain strength in your knee.

 

Rehab
You should exercise your knee regularly for several weeks following surgery to strengthen the muscles of your leg and knee. A physical therapist may help you with your exercise program.

 

Medications
Orthopaedic surgeon may prescribe antibiotics to help prevent an infection and pain medication to help relieve discomfort following your surgery.

 

WHAT TO EXPECT AFTER ARTHROSCOPIC SURGERY?

 

Although arthroscopy can be used to treat many problems, you may have some activity limitations following the surgery which gradually becomes better with rehab. The outcome of your surgery will often be determined by the degree of injury or damage found in your knee. For example, if you damage your knee from jogging and the smooth articular cushion of the weight bearing portion of the knee has worn away completely, then full recovery may not be possible. You may be advised to find a low-impact alternative form of exercise.

 

A professional athlete have a potential for early recovery which could be because of over-development of knee muscles.

 

Physical exercise and rehabilitation will play an important role in your final outcome.

 

A return to intense physical activity should only be done under the direction of your surgeon and physiotherapist at A+OSM.

 

It is reasonable to expect that by six to eight weeks you should be able to engage in most of your former physical activities as long as they do not involve significant weight bearing impact. Twisting maneuvers may have to be avoided for a longer time.