Knee arthroscopy is a surgery where a tiny camera is used to look inside the knee to assess the bone, cartilage and ligaments. Small incisions are made through which the camera and small surgical tools are inserted during the procedure.
- Meniscal tears
- ACL tears
- PCL tears
- Removal of loose bodies
- Synovectomy (removal of diseased synovial tissue) in cases of:
- Rheumatoid arthritis
- Infections (pyogenic arthritis, tuberculous arthritis)
- Pigmented villonodular synovitis
- Synovial chondromatosis (multiple loose bodies)
- Joint debridement & washout for osteoarthritis
- Articular cartilage injuries and defects requiring:
- Abrasion arthroplasty
- Autologous cartilage implantation (ACI)
- Lateral retinacular release for patellar maltracking
- Patellar clunk syndrome following total knee replacement
- Evaluating knee joint prior to doing Unicompartmental knee replacement (UKR) or High tibial osteotomy (HTO)
- Arthroscopic assisted fixation of tibial plateau fractures
- Knee stiffness – Arthrolysis
Being a day care surgery, the pre operative assessment is done prior to admission. Pre operative work up starts with a Consultation with the Orthopaedic Surgeon which lasts for about 30 minutes. It includes a detailed history, general physical examination, knee joint examination, x rays, MRI, blood investigations, ECG, Echo(if required) and patient counseling. You will additionally have to meet the Anaesthetist too. Once you are fit for surgery, you will be admitted for undergoing the procedure.
It is a day care procedure usually done under spinal anaesthesia. The procedure consists of making tiny incisions in the joint. Through this incision, a sterile solution is filled into the joint. This ensures that unwanted materials are washed away from the joint. Also, more clarity is attained for images of the joints. The ligaments and menisci are assessed and corrected if required. The worn out cartilage is removed. Wound is closed with a single stitch.
After the surgery, the wound is covered with a small dressing and crepe bandage. You are usually discharged in the evening once the anesthetic effect wears out. The doctor and the physiotherapist will suggest the necessary exercises. You will be made to walk with support on the day of surgery itself. The complete recovery is depended upon the treated disease condition.