Knee problems are prevalent among individuals of all ages, and they can significantly affect mobility and quality of life. One of the most common methods of diagnosing and treating various knee conditions is through arthroscopic surgery.
This minimally invasive technique has revolutionized the way orthopedic surgeons address knee issues, allowing for quicker recoveries and less postoperative pain.
In this article, we'll explore the basics of arthroscopic procedures of the knee, including the conditions it treats, the surgical process, recovery, and potential benefits and risks.
Knee arthroscopy is a surgical procedure that orthopedic surgeons use to visualize, diagnose, and treat joint disorders. The term "arthroscopy" comes from the Greek words "arthro," meaning joint, and "skopein," meaning to look.
During this procedure, a small camera, called an arthroscope, is inserted into the knee joint through a small incision. This camera transmits images to a video monitor, allowing the surgeon to see the interior of the knee joint and identify any abnormalities.
The meniscus is a cartilage that acts as a cushion between the thighbone and shinbone. Tears can occur due to injury or degeneration, leading to pain, swelling, and limited motion.
Injuries to the key ligaments in the knee, such as the anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL), can result from sports or other activities. Arthroscopy can repair or reconstruct these ligaments.
Damage to the articular cartilage, which covers the ends of bones, can lead to osteoarthritis. Arthroscopic procedures can help smooth out rough cartilage or replace it.
This condition involves inflammation of the synovial membrane, which can cause joint pain and swelling. Arthroscopy can help clean out inflamed tissue.
Fragments of bone or cartilage can become loose within the knee joint, causing pain and locking. Arthroscopy allows for the removal of these loose bodies.
This condition, characterized by the softening and breakdown of the cartilage on the underside of the kneecap, can also be treated arthroscopically.
Before the procedure, the patient undergoes imaging tests, such as X-rays or MRI, to assess the knee's condition.
Knee arthroscopy can be performed under general anesthesia or regional anesthesia (such as spinal or epidural anesthesia), depending on the patient's needs.
The surgeon makes a small incision and inserts the arthroscope to examine the knee joint.
After the necessary procedures are done, the instruments are removed, and the surgeon closes the incisions with stitches or adhesive strips.
Patients are often discharged on the same day as the surgery. Pain management strategies, including medications and ice packs, help reduce discomfort.
A physical therapy program is often initiated soon after surgery to restore range of motion and strengthen the knee.
Many patients can resume normal activities within a few weeks, though high-impact activities may take longer.
Regular follow-up visits with the orthopedic surgeon will monitor the healing process.