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Monday 26 June 2023

Recent Innovations in Surgical Techniques for Knee Arthroscopy

 Optimizing Meniscal Surgery in Knee Arthroscopy


What is Knee Arthroscopy?

Arthroscopic knee surgery is a viable treatment option for certain types of knee pain. 

  • It is a procedure that entails attaching a small camera inside the joint.
  • Orthopedists perform knee arthroscopy to diagnose and treat issues of the knee joint.
  • Knee arthroscopy is a hi-tech surgical procedure.
  • Specialized knee arthroscopy procedures are minimally invasive surgeries compared to open forms of surgery.

Your orthopaedic surgeon will make a small incision in your knee and insert an arthroscope, a small camera. On a screen, the surgeon can see what is inside the joint. Your orthosurgeon uses small instruments within the arthroscope to investigate a knee problem. It can also help repair the joint ligaments. 


Joyful Steps after Arthroscopy
Joyful Steps After Arthroscopy

The procedure carries a few risks, but most patients have a positive outcome. 

  • Your surgeon assesses your recovery time, the severity of your knee issue prognosis, and the depth of the procedure required.
  • Medical professionals refer to arthroscopic knee surgery as "scoping the knee" or arthroscopy.
  • After directly making skin incisions, your surgeon examines and treats problems with an inserted arthroscope.
  • The procedure takes less than an hour.

Patients favour it instead of other surgical procedures because of certain advantages of arthroscopy. Knee arthroscopy ensures minor tissue damage, fewer stitches, less pain after surgery, and a minor risk of infection because of small incisions. Overall, it has a shorter healing time. 


If you are preparing for knee arthroscopy, you may need to stop eating twelve hours before the procedure. Your doctor will inform you about the diet you may need to follow. 

  • Your doctor will advise avoiding NSAIDs, OTC painkillers, and anti-inflammatory combination medicines.
  • Knee arthroscopy surgery involves the evaluation of various issues.
  • These include chronic joint pain, stiffness, deteriorated cartilage, floating bones, cartilaginous fragments, etc.
  • The arthroscopic procedure will diagnose and treat knee injuries such as torn anterior or posterior cruciate ligaments, torn meniscus, loose bits of torn cartilage in the joints, fractures in the knee bones, and swollen synovium.


How Do Orthopedists Perform Knee Arthroscopy?

Your orthopedist may administer a local anaesthetic to desensitize only the affected knee. 

  • Your doctor may use regional anaesthesia to numb both affected knees from the waist down.
  • Depending on the knee arthroscopy procedure, the anaesthetic used to numb the pain will vary.
  • Sometimes, doctors will use a general anaesthetic.
  • In such cases, patients will be asleep during the procedure.
  • A patient can view the surgery on a monitor if awake, which is an option.
  • However, some patients may not be comfortable viewing this.
  • The knee arthroscopy starts with a few minor cuts in the knee.
  • Orthopedists use a pump to inject a saline solution into the affected area.


The knee will expand because of this action, making it easier for doctors to see their work. Your orthopedist inserts an arthroscope as the knee enlarges. The attached camera enables the surgeons to inspect the area and identify any problems. They may confirm previous diagnoses and take photographs. 

  • If your doctor can fix the problem with arthroscopy, he will insert small tools through the arthroscope and use them to correct the issue.
  • After viewing the problem, your surgeons will remove the tools, use the pump to drain the saline or fluid from the knee and stitch up the incisions.
  • Usually, the procedure takes less than an hour.


FAQs

How long is the recovery period after arthroscopic knee surgery?

  • Arthroscopic knee surgery takes at least six weeks to heal. If your doctor repairs damaged tissue, recovery takes longer. Restrict your activities until your knee movement is back to normal. However, you can attend a physical rehabilitation program for a speedy recovery. 


What can you do to recover from arthroscopic knee surgery?

  • Adding ice packs to the dressing and surrounding area to relieve swelling and discomfort, keeping the leg elevated for several days after surgery, resting well, adjusting the plastering, and following the advice on applying weight to the knee are helpful recovery tips.


Who can benefit from arthroscopic knee surgery?  

  • Arthroscopy knee surgery may be appropriate for patients with knee discomfort or reduced knee function. A minimally invasive procedure can help most patients with a knee injury or degeneration who have not gotten the relief they need from nonoperative therapy.

Patient's Journey of Recovery After Knee Arthroscopy
Patient's Journey of Recovery After Knee Arthroscopy

What are the recent developments in Knee Arthroscopy?

Knee arthroscopy is a minimally invasive surgical procedure to diagnose and treat various knee conditions. During the surgery, a surgeon makes small incisions in the knee and inserts a tiny camera called an arthroscope, allowing them to visualize the inside of the joint. The surgeon uses tiny instruments to perform repairs or remove damaged tissue.


 Here are a few notable ones up to 2022,

  1. Enhanced imaging technology: The development of high-definition arthroscopes and improved imaging techniques has allowed for better visualization of the knee joint during arthroscopy. This process has increased the accuracy of diagnoses and improved surgical outcomes.
  2. Surgical techniques and instruments: Advancements in surgical techniques and instrumentation have made knee arthroscopy more precise and effective. Surgeons can access specialized devices for specific procedures, such as meniscal repair, ligament reconstruction, and cartilage restoration.
  3. Cartilage repair and regeneration: Techniques for cartilage repair and regeneration have advanced in recent years. These include procedures like microfracture, autologous chondrocyte implantation (ACI), and matrix-induced autologous chondrocyte implantation (MACI). These techniques aim to restore damaged cartilage and improve joint function.
  4. Meniscal surgery: Meniscal tears are a common knee injury that dr addresses through arthroscopy. Recent developments in meniscal surgery focus on techniques that preserve and repair the meniscus whenever possible rather than removing it. This procedure can help maintain knee stability and reduce the risk of long-term complications.
  5. Pain management and rehabilitation: Scientists develop innovative management techniques and rehabilitation protocols to enhance patient outcomes. These may include nerve blocks, targeted pain medications, and accelerated rehabilitation programs to recover and optimize functional outcomes.

It's always best to consult a healthcare professional or specialist for the most recent and accurate information.


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