Arthroscopy and Sport Injuries
Q: How is it used?
A: Using the Arthroscope usually involves making small incisions into the joint and then connected to T.V monitor to visualize internal structures of knee.
Through the key hole incision arthroscope is introduced which in turn is connected to T.V. monitor which enables us to visualize the internal structures of the knee.
Q: Why is it better?
- Arthroscopy is a keyhole surgery which minimizes the risk of infection and also reduces the morbidity which is usually associated with open surgery.
- Due to minimal soft tissue handling, the healing time is reduced and hospital stay is reduced.
- Also, rehabilitation is faster, so the patient can go back to work earlier as compared to open surgery.
Q: What joints are being scoped?
A: Knee and shoulder are commonly scoped joints.
Surgical procedures done with the Arthroscope are done on the knee, shoulder, elbow, wrist and ankle.
Initially, knee and shoulder arthroscopy were maximally done, but these days elbow, wrist and ankle
joints are also being scoped. Indications for knee arthroscopy are as follows-
- Meniscal tears
- ACL tears
- PCL tears
- Loose bodies in joint
- Chondral injuries
- Internal dearrangements of knee (diagnostic)
A: Preoperative check up
your doctor will meet with you to explain what the surgery is intending to accomplish and what you can expect. You will be made to undergo blood test, x-rays and ECG to ascertain fitness for anaesthesia to undergo arthroscopic surgery.
Most arthroscopic surgical procedures can be done on day care OPD basis, however more stay may be required at times.
Anesthesia maybe local, regional or general.
Once anaeshtesia is given the operating room nurses and your doctor will prepare your leg for the procedure, setup the arthroscopic equipment and then proceed with the actual procedure.
You will be monitored until discharge or until you are shifted to room.
A: You will be given specific instructions about what to do after your arthroscopy depending on what was the damage inside and what type of procedure was performed.
After discharge You will be advised physiotherapy and will be given a date for follow up.