Arthroscopy, or arthroscopic surgery, is an orthopaedic procedure that examines & simultaneously treats the joint disorders also known as KEY HOLE SURGERY . It is referred to as a “LASER SURGERY ” in common parlance. Instead of using a large incision to inspect damage to a joint, the procedure uses tiny incisions(5-8 mm in size ) into which a small camera (arthroscope) is inserted. The surgeon can then inspect the joint and take photos or samples of the tissue there to determine the extent or type of damage that is occurring.
This procedure may be used along with additional surgical techniques. For example, if the surgeon performs arthroscopy on a knee joint and determines that the ACL has been torn, a ACL RECONSTRUCTION may be added to the surgery.
One of the benefits of this minimally invasive approach is that this surgery is typically done on an DAYCARE basis, with the patient returning home the same day or next day. Recovery is usually quicker than with comparable procedures performed “open” with a much larger incision.
Why Is Arthroscopy surgery Necessary?
FOR DIAGNOSIS ( DIAGNOSTIC ) – If diagnosis cant be made by conventional methods like history, examination , blood investigations or even imaging including MRI than arthroscopy help to make diagnosis n sometimes simultaneously treat it also. we can take BIOPSY / SYNOVIAL FLUID FOR EXAMINATION / PHOTOGRAPH THE DAMAGE basically actually seeing inside the joint .
FOR TREATMENT ( THERAPEUTIC) – to treat the joint disorders, as arthroscopy is evolving its indication are increasing day by day with multiple benefit over convention surgical methods like
– DAY CARE PROCEDURE – Lesser hospital stay .
– FASTER REHAB – as small incision and lesser tissue damage cuases less pain and early rehabilitation.
– BETTER RESULTS – as anatomy is restored easily n without damaging much results are much better .
– NO/LESS BLOOD LOSS
Types of Arthroscopic Surgery
Arthroscopic surgery could potentially be performed on any synovial joint, and as time passes, more and more different joints are being arthroscopically treated. Common types of arthroscopic surgery include:
- Knee Arthroscopy
- Shoulder Arthroscopy
- Hip Arthroscopy
- Ankle Arthroscopy
- Elbow Arthroscopy
- Wrist Arthroscopy
KNEE & SHOULDER arthroscopy are by far the most common arthroscopic procedures performed. These joints are large enough to manipulate the instruments around, and they are amenable to arthroscopic surgery treatments.
Technically speaking, any synovila joint can be arthroscoped. However, the practicality and the instrumentation size available limit our ability to arthroscope every joint for all types of problems.
knee arthroscopy is being done for following indications
- LIGAMENT INJURIES ( ACL / PCL TEARS )
- MENISCUS INJURIES
- CARTILAGE INJURIES
- PATELLOFEMORAL JOINT MALALIGNMENT
- SYNOVITIS OR EFFUSION
- LOOSE BODY REMOVAL
- ANY KIND OF IMPINGEMENT
- INFECTION / SEPTIC ARTHRITIS
- AS AN AIDE TO ARTICULAR FRACTURE FIXATION
- ROTATOR CUFF TEAR
- RECURRENT DISLOCATION OF SHOULDER
- BURSITIS / SUBACROMIAL IMPINGEMENT
- FROZEN SHOULDER
- ACROMIO CLAVICULAR JOINT DISLOCATION
- SLAP TEARS