Arthroscopy
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Arthroscopy
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ARTHROSCOPY
Arthroscopy is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor. Arthroscopy allows the surgeon to see inside your joint without having to make a large incision. Surgeons can even repair some types of joint damage during arthroscopy, with pencil-thin surgical instruments inserted through additional small incisions.
Doctors use arthroscopy to help diagnose and treat a variety of joint conditions, most commonly those affecting the:
- Knee
- Shoulder
- Elbow
- Ankle
- Hip
- Wrist
Diagnostic procedures:
Arthroscopy is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor. Doctors often turn to arthroscopy if X-rays and other imaging studies have left some diagnostic questions unanswered.
Surgical procedures :
Arthroscopy is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor. Conditions treated with arthroscopy include:
- Bone spurs or loose bone fragments
- Damaged or torn cartilage
- Inflamed joint linings
- Joint infections
- Torn ligaments and tendons
- Scarring or tissue overgrowth within joints
Complications, though uncommon, may include:
Tissue damage
Arthroscopy is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor. The placement and movement of the instruments within the joint can damage the joint’s structures, blood vessels or nerves.
Infection
Arthroscopy is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor. Any type of invasive surgery carries a risk of infection.
Blood clots
Arthroscopy is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor. Rarely, procedures that last longer than an hour can increase the risk of blood clots developing in your legs or lungs.
During the procedure:
The type of anesthesia used varies by procedure.
Local anesthesia
Arthroscopy is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor. Numbing agents are injected below the skin to block sensation in a limited area, such as your knee. With local anesthesia, you’ll be awake during your arthroscopy, but the most you’ll feel is pressure or a sensation of movement within the joint.
Regional anesthesia
The most common form of regional anesthesia is delivered through a small tube placed between two of your spine’s lumbar vertebrae. This numbs the bottom half of your body, but you are still awake.
General anesthesia
Depending on the length of the operation, it may be better for you to be unconscious during the procedure. General anesthesia is delivered intravenously.
You’ll be placed in the best position for the procedure you’re having. This may be on your back, on your stomach or on your side. The limb being worked on will be placed in a positioning device, and a tourniquet may be used to decrease blood loss and make it easier to see inside the joint.
Another technique to improve the view inside your joint is to fill it with a sterile fluid, which helps distend the area and provide more maneuvering room. One small incision will admit the viewing device. Additional small incisions at different points around the joint allow the surgeon to insert surgical tools to grasp, cut, grind and provide suction as needed for joint repair. Each incision will be less than 1/4 inch (7 millimeters) long and can be closed with one or two stitches, or with narrow strips of sterile adhesive tape
After the procedure:
Your aftercare may include.
Medications
Your doctor may prescribe antibiotics to prevent infection, as well as medication to relieve pain and inflammation.
R.I.C.E
At home, you’ll need to rest, ice, compress and elevate the joint for several days to reduce swelling and pain.
Protection
You may need to temporarily use splints, slings or crutches for comfort and protection.
Exercises
Your doctor may prescribe physical therapy and rehabilitation to help strengthen your muscles and improve the function of your joint.
Call your surgeon if you develop:
- The temperature of 100.4 degrees Fahrenheit (38 degrees Celsius) or higher
- Pain not helped by medication
- Drainage from your incision
- Redness or swelling
- New numbness or tingling
In general, you should be able to resume desk work and light activity in a week, and more strenuous activity in about four weeks.
Remember, however, that your situation may dictate a longer recovery period, along with rehabilitation.
