The arthroscope is a fiber-optic telescope inserted into the joint (commonly the knee, shoulder, and ankle) to evaluate and treat a number of conditions.
A camera is attached to the arthroscope, and the image is visualized on a TV monitor.
Most arthroscopic surgeries are performed as day surgeries and are usually done under general anesthesia.
Knee arthroscopy is very common, with millions of procedures performed each year worldwide.
Arthroscopy is useful in evaluating and treating the following conditions:
Torn floating cartilage (meniscus) – the cartilage is trimmed to a stable rim or occasionally repaired.
Torn surface (articular) cartilage.
Removal of loose bodies (cartilage or bone fragments that have broken off) and cysts.
Reconstruction of the Anterior Cruciate Ligament (ACL).
Patello-femoral (knee-cap) disorders.
Washout of infected knees.
General diagnostic purposes.
Arthroscopy of the Knee: Patient Information :
Please stop taking Aspirin and Anti-inflammatory medications 5 days prior to your surgery. You can continue taking all your other routine medications.
If you smoke, you are advised to stop smoking a few days before your surgery.
You will be admitted on the day of surgery and need to remain fasted for 6 hours prior to the procedure.
The limb undergoing the procedure will be marked and identified before anesthesia is administered.
Once you are under anesthesia, the knee will be prepared in a sterile fashion. A tourniquet will be placed around the thigh to allow a 'blood-free' procedure.
The arthroscope will be introduced through a small (size of a pen) incision on the outer side of the knee. A second incision on the inner side will be made to introduce instruments that allow examination of the joint and treatment of the problem.
Post-operative Recovery :
You will be taken to your room after the procedure.
A bandage will be placed around the operated knee.
Once you are recovered, your IV will be removed, and you will be shown some exercises to do.
Your surgeon will meet with you before discharge to explain the findings and details of the surgery.
Pain medication will be provided and should be taken as directed.
You can remove the bandage 24 hours after the surgery and apply waterproof dressings (provided) over the wounds.
It is NORMAL for the knee to swell after surgery. Elevating the leg when seated and applying ice packs for 20 minutes, 3-4 times a day, will help reduce swelling.
You may return to work when comfortable unless otherwise instructed by your surgeon.
A follow-up appointment will be given 7-10 days after surgery to monitor your progress and remove the 2 stitches. The stitches will typically be removed 15 days post-op.