- Arthroscopy is a surgical procedure orthopedic surgeons use to visualize, diagnose, and treat problems inside a joint.
- Arthroscopy is most commonly used on the knees, ankles, shoulders, elbows, wrists and hips.
- Arthroscopy allows the surgeon to see inside your joint without making a large incision.
For what Arthroscopy is used?
- Arthroscopy can be helpful in the diagnosis and treatment of many non inflammatory, inflammatory, and infectious types of arthritis as well as various injuries within the joint.
- The technique of arthroscopy involves inserting the arthroscope, a small tube that contains optical fibers and lenses, through tiny incisions in the skin into the joint to be examined.
- An arthroscopy can be used to assess the level of joint damage resulting from an injury, such as a sports injury, or from underlying conditions that can cause joint damage, such as osteoarthritis.
What is the Cost of arthroscopy?
- Arthroscopy will cost Approx 1 lac.
Which doctor to be consult in case of arthroscopy?
1. What is done in preparation for arthroscopy?
- Arthroscopy is essentially a procedure during which no blood loss is expected and generally has few complications. The underlying health of the patient is considered when determining who is a candidate for arthroscopy. Most importantly, the patient should be able tolerate the anesthetic that is used during the procedure. A person's heart, kidney, liver, and lung function should be adequate.
- If there are existing problems such as heart failure or emphysema, these should be optimized as possible prior to Arthroscopy. Patients who are on anticoagulants (blood thinners) should have these medications carefully adjusted prior to surgery. Other medical problems should also be controlled prior to surgery, such as diabetes and high blood pressure.
- Any sign of ongoing infection in the body usually postpones arthroscopy, unless it is being done for possible infection of the joint in question.
2. How is arthroscopy performed?
- Arthroscopy is most often performed as an outpatient procedure. The patient will check into the facility where the procedure is being performed and an intravenous line (IV) established in order to administer fluids and medication for anesthesia. The type of anesthesia used varies depending on the joint being examined and the medical health of the patient.
- Arthroscopy can be performed under a general anesthetic, a spinal or epidural anesthetic, a regional block (where only the extremity being examined is numbed), or even a local anesthetic. If a general anesthetic is not used, the patient is often sedated. After adequate anesthesia is achieved, the procedure can begin. An incision is made on the side of the joint to be examined and the arthroscope is inserted into the incision.
- In Arthroscopy, additional instruments for surgical repairs are inserted into the joint through additional small incisions in the joint. These instruments can be used to cut, remove, and suture (sew) damaged tissues. Once the procedure is completed, the arthroscope in removed and the incisions are sutured closed. A sterile dressing is placed over the incision and a brace or ACE wrap may be placed around the joint.
3. What are the risks associated with Arthroscopy?
- An arthroscopy is generally considered to be a safe procedure, but like all types of surgery it does carry some risks. They include:
- a blood clot that develops in one of the limbs - known as deep vein thrombosis (DVT), it can cause pain and swelling in the affected limb
- infection inside the joint - known as septic arthritis, it can cause fever, pain and swelling in the joint
- bleeding inside the joint - which often causes severe pain and swelling
- accidental damage to the nerves near the joint - which can lead to temporary or permanent numbness and some loss of sensation
4. How long will it take to recover from an arthroscopy?
- It's often possible to return to work and light, physical activities within a few weeks, but more demanding physical activities such as lifting and sport may not be possible for several months.
- Your surgeon or care team will let you know how long it's likely to take to recover and what activities to avoid until you've fully recovered.
5. What are potential complications of arthroscopy?
- Potential complications of arthroscopy are rare and include bleeding into the joint and infection of the joint, as well as side effects from anesthesia.
6. What are the advantages related to arthroscopy?
- Although arthroscopy has received a lot of public attention because it is used to treat well-known athletes, arthroscopy is an extremely valuable tool for all orthopedic patients and is generally easier on the patient than "open" surgery. Most patients have their arthroscopy as outpatients and are home several hours after the arthroscopy.