Introduction
Arthroscopy is a surgical procedure used to diagnose and treat joint conditions or injuries. This procedure allows the surgeon to look directly inside the joint through the use of an arthroscope, a small illuminated fiber optic camera. The pictures captured by the camera are magnified and displayed on a television monitor, allowing the surgeon to determine injuries, diagnose disease and even perform repairs. The joints most frequently examined through arthroscopy are the knee, shoulder, hip, ankle, elbow, shoulder and wrist.
How is arthroscopy performed?
Arthroscopy is performed through very small incisions called portals. One incision is made for insertion of the camera and several others may be made for additional instruments or to look at various areas of the joint. The joint is filled with fluid causing it distend giving the surgeon more room to work
Special surgical instruments are commonly used to trim tissue, remove debris or "loose bodies," smooth rough surfaces, and to stitch or staple ligaments or cartilage (shown at right). Because of technological advances, even procedures such as anterior cruciate ligament (ACL) reconstruction can be performed arthroscopically.
Surgery
After a complete orthopaedic examination and possibly diagnostic tests, your physician may recommend arthroscopy as a more precise way to diagnose your condition, or to repair a problem. Your doctor will discuss whether your procedure will be performed on an outpatient basis or if a hospital stay will be required; fully explain the procedure; discuss anesthesia options; and explain the risks and benefits of surgery.
Recovery
After surgery, you will be monitored as your anesthesia wears off. As your recovery progresses, you will be given instructions on care of your incisions, pain medication, exercises, and other instructions to help speed your recovery.
Although arthroscopic surgery is less invasive than other types of "open" procedures, it will take several weeks for the joint to recover. Many patients can resume daily activities and return to work or school within a few days.
|
