Arthroscopy

Arthroscopy is a surgical procedure that orthopedic surgeons now use to visualize #9; and treat problems inside joints. Recent advances in the treatment of knee and other joint problems have made Arthroscopy the most commonly performed procedure in orthopedic surgery. The arthroscope allows one to view the entire joint by maneuvering the scope around through a joint that is distended with fluid. It is usually much easier in terms of recovery than other surgery and is done through two or more small button hole-size incisions. Arthroscopy still requires the use of anesthetics and is usually done under a general, spinal, or local anesthetic, depending on the joint and suspected problem. When indicated, an open surgical procedure can be performed in combination with Arthroscopy if standard surgery is needed. Examples of this might include rotator cuff repairs of the shoulder, repair of torn anterior cruciate ligaments or other ligaments of the knee and repair of certain torn menisci in the knee.

After surgery the small incisions will be dressed normally with a soft dressing and the patient moved to a recovery room for a short periods of time. Many patients require little or no pain medication.

Although quite uncommon, complications may occur occasionally during Arthroscopy. Infection, phlebitis (blood clots), excessive swelling or occasional bleeding, damage to adjacent nerves or blood vessels, an instrument breakage are all possible complications. These are very uncommon today and occur in less than 1% of arthroscopic procedures.

Arthroscopy is an extremely valuable tool for surgeons today as well as our patients since it can be done as an outpatient procedure and is generally easier on the patient with a much more rapid return to their pre-surgery status.

Arthroscopy is now being used in various joints besides the knee and shoulder including the ankle, elbow, wrist and hip.  Although the small puncture wounds heal rapidly and pain is minimal, it still takes several weeks sometimes for the joint to maximally recover. A specific activity and rehabilitation program will be suggested for each patient's protection.

Douglas Rouse, M.D.
Southern Sports Medicine