During this procedure, small incisions are made to insert the arthroscope so that surgery can be performed.
arthroscopic knee surgery It is a non-invasive surgical procedure, in which a small camera is used to look inside the knee and be able to see the joint as a whole.
During arthroscopic knee surgery, pain can be controlled in three ways:local anesthesia
The knee may be numbed with anesthetic medication and the patient may also be given medication to calm nerves and anxiety, although the patient will remain awake.
It is injected into a vertebral space in the spine. Although the patient will be awake, he will not be able to feel anything from the waist down.
general anesthesia or regional anesthesia
The patient will be taken to the operating room for medicines, serum and anesthesia, the patient will be in a deep sleep and will not feel any pain.
General anesthesia within it also penetrates the regional nerve block (blockade of the femoral or adductor canal). This is another type of regional anesthesia. Anesthetic is injected around the nerve in the groin. You will be asleep during the operation. This type of anesthesia will block pain, so less general anesthesia is needed.
arthroscopic surgery in procedure
A cuff-like device may be placed around the thigh to help control bleeding during the procedure.
The surgeon will make 2 or 3 small incisions around the knee and salt will be inserted into the knee to enlarge it. A narrow tube with a small camera on the end will be inserted through one of the incisions.
The camera is connected to a video monitor that allows the surgeon to see the inside of the patient’s knee.
The surgeon may place other small surgical instruments into the knee through other incisions. He will then repair or correct your knee problem.
At the end of the surgery, the knee will drain the saline solution. The surgeon will close the incisions with sutures and cover them with a dressing.
Candidates for Arthroscopic Knee Surgery
Arthroscopy may be recommended in the following cases:
The meniscus is the cartilage that protects the space between the bones of the knee. Surgery is done to fix or remove it.
- An anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) is damaged or torn.
- Torn or damaged collateral ligament.
- Inflammation or damage to the lining of the joint. This lining is called the synovial membrane.
- Patella that is out of position.
- Tiny pieces of torn cartilage in the knee joint.
- Baker’s cyst removal. This is a swelling behind the knee that fills with fluid. Sometimes this happens when there is swelling and pain due to other causes such as arthritis.
- Cartilage defect repair.
- Some fractures in the knee bones.
are related to anesthesia and surgery
- Allergic reaction to drugs
- respiratory system problems
- is bleeding
Additional risks of this surgery may include:
- bleeding within the knee joint
- Damage to the cartilage, menisci or ligaments in the knee
- blood clot in leg
- injury to a blood vessel or nerve
- knee joint infection
- knee stiffness
Preparation before knee arthroscopy
- You should not drink or eat anything for 6 to 12 hours before the procedure.
- The medicines prescribed by your doctor should be taken with a small sip of water.
- Usually you should wear a bandage over your knee dressing.
- Most people can go home the same day as the surgery.
- Your doctor will give you exercises to do, which you can start after your surgery. You may also be referred to a physical therapist.
Full recovery after knee arthroscopy will depend on the type of problem the doctor faced.
For example, problems such as a torn meniscus, torn cartilage, Baker’s cyst, and synovial membrane problems can often be easily corrected. Many people remain active after these surgeries.
In most cases, recovery is quick with simple procedures. However, you may need crutches for some time after some types of surgery.
Your doctor will also prescribe pain relievers to take during recovery.