Knee Arthroscopy For Knee Injuries

What is knee arthroscopy?

Knee arthroscopy is a minimally invasive procedure that allows access and treatment of injuries that affect the various structures of said joint. For this, 2 or 3 small incisions of less than one centimeter are made that allow access to the joint.

Most knee surgeries that do not involve the placement of a prosthesis are performed with a complete or partial approach with knee arthroscopy in Delhi. It is the technique of choice to address many injuries because it allows a better and greater visualization of the joint. In a non-aggressive way, all the points of the knee can be accessed to clean the cartilage, small perforations of the bone that lacks cartilage (microfractures), stabilize the cartilage and apply substances or elements that allow the cartilage to regenerate (plasma rich in platelets or stem cells).

Likewise, knee arthroscopy is also used as support for other open techniques, since it improves the diagnosis and prognosis of the patient’s injury, as it is less aggressive.

The arthroscopy in Delhi can be performed under local, regional or general anesthesia, depending on the injury and the patient. The anaesthesiologist will decide the best method for the patient, as long as he suffers as little as possible.

Why is it done?

Knee arthroscopy is used to solve knee injuries. Thus, meniscus injuries are one of the most common pathologies and, thanks to arthroscopy, it is possible to preserve most of the menisci, since the resection is not complete but partial. Meniscal sutures and the possibility of transplanting the meniscus with knee arthroscopy are common techniques that allow better protection of the cartilage of the joint.

Another of the most dangerous injuries related to sports practice is the rupture of the anterior cruciate ligament. If this is injured, it causes instability in the knee that makes it impossible for the patient to perform practically any sport. If the instability continues, it can damage surrounding structures, such as the menisci and cartilage. Hence, it is necessary to reconstruct the anterior cruciate ligament with grafts, accessing the joint through arthroscopy.

On the other hand, cartilage injuries (chondroplasties, osteoarthritis or osteochondritis) are also very common. Preserving the cartilage will also preserve the joint, avoiding wear and tear on the knee.

What does it consist of?

The orthopaedic in Delhi will make the small incisions in the knee to be able to access it. He will first fill the knee joint with a sterile solution and remove any cloudy fluid. This way he will be able to see the joint clearly and in detail.

The orthopaedic in Dwarka will then insert the arthroscope (a very thin device with a camera on the end) into the knee. This device sends the images to the television monitor, so that the surgeon can see all the structures in detail. Through the other holes, the surgeon will introduce the surgical material that will allow him to address the injury and repair the damaged structures.

It is a procedure that usually does not last more than an hour. After that, the patient will be transferred to a rehabilitation room and will be able to leave the hospital after two hours, more or less.

Preparation for knee arthroscopy

Before surgery, the patient must undergo a complete physical examination so that the specialist can assess their health and any anomaly that may interfere with the arthroscopy. Likewise, the patient must inform the orthopaedic surgeon in Delhi of the medication he takes, so that he can tell him which ones he should stop taking before the intervention. Some complementary preoperative tests will also be carried out, such as magnetic resonance imaging, electrocardiogram or blood tests.

Care after the intervention

Recovery after arthroscopy is faster than conventional open surgery. However, the advice of the specialist must be followed so that the knee recovers correctly.

It is normal for the patient to experience swelling in the days after the intervention, so it is recommended that the leg be elevated during those first days after the surgery. Also, the application of ice will relieve pain and reduce inflammation.

The incisions should also be healed, keeping them clean and dry. The orthopaedic in West Delhi will tell the patient when they can shower or change the bandage.

On the other hand, shortly after the intervention, the patient must begin rehabilitation exercises with a Physiotherapist in Dwarka, who will establish a program appropriate to the patient and the injury. This will help restore motion and strengthen your knee muscles.

Alternatives to this treatment

The alternative to knee arthroscopy in West Delhi will be conventional open surgery, which is currently only used in more serious cases, in which a prosthesis must be placed. Any other technique will suppose a greater invasion in the knee and a worse postoperative period.

All About Knee Arthroscopy

What is knee arthroscopy?

Arthroscopy in Delhi is a surgical technique that allows you to directly see the inside of the knee joint and work inside it, without having to open it. Only two small incisions or cuts are made in the skin, about one centimetre each (which is why it is called a mini-invasive technique).

Arthroscopy in Delhi is considered the best current technique for meniscal injuries, adhesions, plica, loose bodies, cartilage injuries (chondroplasty) and reconstruction of cruciate ligaments, explains the orthopaedic in Delhi.

How is knee arthroscopy done?

The orthopaedic surgeon in Delhi, in order to see the inside of the joint well and avoid tissue injury with his manoeuvres, fills it with sterile pressure serum, which has the effect of inflating a balloon; and at the same time, it allows continuous joint washing, eliminating blood residues, excised tissue fragments, etc.

The patient lies on his back on the operating table. No system is necessary to pull the joint. You only need to lock the position of the thigh and the surgeon or assistant mobilizes the leg, opening the joint space.

Through an incision, a micro camera is introduced that illuminates and amplifies the interior of the joint, viewing the image on a television monitor. On the other hand, work instruments are introduced, such as probes, hand grippers and motorized smoothing devices.

The anaesthesia used is spinal anaesthesia (patient conscious but asleep from the waist down). Some sedation may be associated with this procedure to be calmer during the surgical act. General anaesthesia is reserved for special cases.

A tourniquet is used on the thigh to prevent bleeding from the knee during the operation, thus promoting vision through the camera.

Although it is a surgical act and requires the same aseptic conditions (cleanliness and sterility to avoid infection) as any other operation, the hospital stay is usually very short. In most cases, the patient can be discharged on the same day, when the anaesthetic effect has worn off. These operations can therefore be included in the program of major outpatient surgery, explains the orthopaedic surgeon in Delhi.

What does knee arthroscopy in Delhi show?

• The appearance of synovialfluid (viscous fluid that lubricates the joint), which may be cloudy, contain blood or loose bodies, usually cartilage. Synovial fluid can be analysed to determine its composition in special cases.
  • The synovial membrane(the sac that lines the joint inside and produces synovial fluid). In certain cases, a sample (biopsy) is taken for analysis under a microscope.
  • The cartilage that lines the articular surfaces of the femur, tibia, and patella. It is palpated with a special hook to see the consistency and it is observed if it has injuries: wear (osteoarthritis), fissures, chondromalacia …
  • The menisci (internal and external): observed and palpated with the probe hook. Breaks, tearing, wear are detected …
• The cruciate ligaments(anterior and posterior): they are seen and touched to determine partial or total tears, laxity, function … The collateral ligaments are not seen with this technique.
  • The way the patellamoves when the knee is bent and stretched, as well as the friction surfaces.

In which cases should an arthroscopy in Dwarka be performed?

Less and less to diagnose, as advances in ultrasound, CT (scanner) and nuclear magnetic resonance resolve it more and more frequently, although they are not infallible. 

However, in cases of doubt or when a major intervention on the knee is planned, an arthroscopy can be performed beforehand, which will make it possible to confirm the diagnosis, rule out other injuries and decide the best possible treatment, which is also sometimes arthroscopic. Thus, in the same surgical act it is diagnosed and treated. In addition, there are patients who have contraindicated MRI (due to claustrophobia, or prosthetic heart valves), in those cases, diagnostic and therapeutic arthroscopy would be indicated by the orthopaedic doctor in Delhi.

Another diagnostic utility is to allow a synovial biopsy in certain diseases.

Currently, the main indications for performing a knee arthroscopy in Dwarka are:

• Meniscal injuries: remove broken fragments, suture certain tears, regeneration techniques and meniscal reimplantation
• cruciate ligament reconstruction: avoid opening the knee as before
• cartilage injuries: cleaning, regenerative techniques (platelet growth factors, mosaicplasty)
• removal of intra-articular loose bodies: fragments of detached cartilage or meniscus
• removal of synovial plica or synovitis (synovial membrane hypergrowth)
• cleaning on knees with osteoarthritis (wear) before reaching the total knee replacement

Recommendations at hospital discharge:
They are usually quite simple since it is a mini-invasive technique. 

A compression bandage is placed, which the patient will remove at home after 48 hours. Then the first treatment is carried out, which consists of painting the two small wounds with Betadine and covering them with two adhesive dressings. 

From there, the treatment will be repeated every day until the stitches fall out (about 2 to 4 weeks). It can be made to coincide with the shower as long as two rules are met:

• quick shower: the less time the wounds are wet the better
• WITH the dressings on: so that soap, shampoo, dirty water do not get into the wounds

After showering, the wet dressings are removed, the wounds are thoroughly dried with sterile gauze, painted with Betadine, and new dressings are placed.

From the moment the mobility of the legs recovers after anaesthesia, it is advisable to start walking. At first helped with crutches and following the indications of your orthopaedic surgeon in Dwarka regarding load (partial or complete). Usually, the patient leaves the hospital the same day walking with the help of two crutches.

An anti-inflammatory treatment is usually recommended at discharge for the first days.

It is advisable to apply ice locally for 10-15 minutes about 3-4 times a day to help reduce inflammation.

Depending on the diagnosis and treatment carried out, a specific physiotherapy may or may not be prescribed, with the recovery times greatly varying. The time in which you can return to sports or hard work depends on the injury: from 1 month to several months.

In the event of residual effusion (usually due to the persistence of the arthroscopic lavage fluid and more rarely due to bleeding into the joint, which is the hemarthros), an evacuating puncture may be necessary: ​​the area is punctured, and the excess fluid is extracted with a syringe. This procedure should only be performed by an orthopaedic surgeon in Delhi.

Knee Arthroscopy For Better Mobility of Your Knee

Arthroscopy in Delhi is a surgical intervention allowing the exploration of the joint using a tube a few millimeters in diameter, introduced into the knee through several tiny holes (2 to 4) (about 1 cm). This tube, fitted with optics coupled to a miniaturized video camera, is connected to a color television screen on which the main elements of the knee will be viewed:

• the cartilages of the femur, tibia and patella
• the cruciate ligaments (anterior and posterior),
• menisci (internal and external),
• synovial membranes

ARTHROSCOPY THEREFORE ALLOWS:

• to specify the possible causes of a knee dysfunction: pain, blockage, swelling, instability, in addition to the clinical and radiological examination, then guiding at best the choice of the subsequent treatment which will be proposed.
• to perform a certain number of surgical procedures using fine instruments, “without opening the knee” under the control of the television screen.

THESE INTERVENTIONS CAN BE:

• meniscal lesion removal
• ligament plasty (cruciate ligament operations)
• regularization of cartilage when it is irregular or worn,
• removal of free bone or cartilage fragments in the joint,
• synovial biopsy
• release of adhesions,
• fold section (plica)

IN PRACTICE

Arthroscopy in West Delhi is performed in the operating room, under anesthesia. The terms of this will be decided between you and the anesthesiologist. You will be admitted to the hospital the same morning; you must bring the x-rays as well as the biological examinations in your possession and report the usual treatments in progress.

On the day of the arthroscopic surgery in Delhi you must be on an empty stomach and respect the  instructions of orthopaedic surgeon in Delhi.

As soon as you get back to your room, you can start to gently mobilize your knee, walking being allowed with the help of the nurse or physiotherapist a few hours later.

The exit from the hospital will generally be rapid. During this, you will be given:

• a first consultation appointment,
• a rehabilitation order intended to improve functional recovery,
• a work stoppage suited to the nature of your knee injuries and the type of professional activity you exercise.

During the first week, you will be advised:

• not to bend the knee more than 90 °,
• to walk or climb the stairs moderately,
• avoid prolonged immobile standing, – apply an ice pack (4 times – 10 minutes a day),
• to contract the extended quadriceps leg muscle many times,
• not to resume sport before medical authorization

Arthroscopy is a surgical procedure.

If the hazards inherent in this technique are rare, do not hesitate to report any local incident to orthopaedic in Delhi that would worry you: persistent fever, increasing pain, hematoma or significant swelling of the knee (moderate, painless swelling is however usual with possible sensation of ” splashing “due to temporary persistence of fluid in the knee).

Knee Arthroscopy: General Information

What is knee arthroscopy?

Knee arthroscopy in Delhi is a minimally invasive procedure that allows access and treatment of injuries that affect the various structures of the joint. For this, 2 or 3 small incisions of less than one centimeter are made that allow access to the joint.

Most knee surgeries that do not involve the knee replacement in Delhi are performed with a complete or partial approach with knee arthroscopy. It is the technique of choice to deal with many injuries because it allows a better and greater visualization of the joint. In a non-aggressive way, all the points of the knee can be accessed to make a cartilaginous cleaning, small perforations of the bone that has lack of cartilage (microfractures), stabilize the cartilage and apply substances or elements that regenerate cartilage (plasma rich in platelets or stem cells).

Likewise, knee arthroscopy in Delhi is also used to support other open techniques, since it improves the diagnosis and prognosis of the patient’s injury, as it is less aggressive.

Surgery can be performed under local, regional or general anesthesia, depending on the injury and the patient himself. The anesthesiologist will decide the best method for the patient, provided he suffers as little as possible, explains the best knee surgeon in Delhi.

Why is it done?

Knee arthroscopy in Delhi is used to resolve knee injuries. Thus, meniscus injuries are one of the most common pathologies and, thanks to arthroscopy, it is possible to preserve most of the menisci, since the resection is not complete but partial. Meniscal sutures and the possibility of transplanting the meniscus with knee arthroscopy are common techniques that allow better protection of the cartilage of the joint.

Another of the most dangerous injuries related to sports is the rupture of the anterior cruciate ligament. If this is injured, it causes instability in the knee that makes it impossible for the patient to practice practically any sport. Continued instability can injure surrounding structures, such as menisci and cartilage. Hence, it is necessary to reconstruct the anterior cruciate ligament with grafts, accessing the joint by arthroscopy, explains the sports injury specialist in west Delhi.

On the other hand, cartilage injuries (chondropathies, arthrosis or osteochondritis) are also very frequent. Preserving cartilage will also preserve the joint, avoiding wear and tear on the knee.

What does it consist of?

The orthopaedic surgeon in Delhi will make the small incisions in the knee to be able to access it. Firstly, you will fill the knee joint with a sterile solution and remove any cloudy fluid. This way you can see the joint clearly and in detail.

The specialist will then insert the arthroscope (a very thin device with a camera at its end) into the knee. This device sends the images to the television monitor, so that the surgeon can see all the structures in detail. Through the other holes the orthopaedic surgeon in Delhi will introduce the surgical material that will allow him to tackle the injury and repair the damaged structures.

It is a procedure that usually does not last more than an hour. After that, the patient will be transferred to a rehabilitation room and will be able to leave the hospital after two hours, more or less.

Preparation for knee arthroscopy

Before surgery, the patient must undergo a complete physical examination so that the orthopaedic in Delhi can assess his health and any abnormality that may interfere with the arthroscopy. Likewise, the patient must inform the surgeon of the medication they are taking, so that they can tell them which ones they should stop taking before the intervention. Some additional preoperative tests will also be performed, such as MRI, EKG, or blood tests.

Care after the intervention

Recovery after arthroscopy in Dwarka is faster than conventional open surgery. However, the advice of the orthopaedic doctor in Delhi must be followed so that the knee recovers correctly.

It is normal for the patient to suffer inflammation in the days after the intervention, so it is recommended that the leg be elevated during those first days after surgery. Also, applying ice will relieve pain and reduce inflammation.

Incisions should also be healed, keeping them clean and dry. The orthopaedic in Delhi will indicate to the patient when they can shower or change the bandage.

On the other hand, shortly after the intervention, the patient should begin rehabilitation exercises with a Physiotherapy specialist, who will establish a program appropriate to the patient and the injury. This will help you restore movement and strengthen your knee muscles.

Alternatives to this treatment

The alternative to knee arthroscopy in West Delhi will be conventional open surgery, which is currently only used in more severe cases, in which a prosthesis must be placed. Any other technique will suppose a greater invasion in the knee and worse postoperative, explains the orthopaedic in Delhi.