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Minimally Invasive Knee Arthroscopy

Knee arthroscopy is a minimally invasive surgical procedure used for diagnosing and treating a range of knee injuries and conditions. The surgery allows the doctor to examine the inside of the knee with the help of an arthroscope, a tiny camera. This insightful content aims to provide a comprehensive overview of knee arthroscopy, including its procedure, cost, benefits, risks and recovery time. If you are experiencing knee-related difficulties, consult our expert doctors at Pristyn Care or book your appointment for personalised treatment.

Knee arthroscopy is a minimally invasive surgical procedure used for diagnosing and treating ... Read More

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    Dr. Debashish Chanda (ncpD3B72NM)

    Dr. Debashish Chanda

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    Dr. Kamal Bachani

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    Dr. Pradeep Choudhary (iInTxtXANu)

    Dr. Pradeep Choudhary

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What is knee arthroscopy?

Knee arthroscopy is a modern surgical procedure that allows doctors to view the knee joint without making a large incision (cut) through the skin and other soft tissues. It is carried out by an orthopaedic surgeon and can be done as an outpatient procedure, which means there is no need for an overnight hospital stay.

During knee arthroscopy surgery, a small, pen-sized instrument known as an arthroscope is inserted through a tiny incision in your knee. This tool has a camera to send images to a video monitor, which allows your doctor to look inside your knee in great detail and diagnose the problem. The procedure not only aids in diagnosing problems but also allows for treatment of certain conditions. The benefits of knee arthroscopy include lesser pain, low risk of complications, and quicker recovery time.

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What Are The Types Of Knee Arthroscopy?

Knee arthroscopy serves multiple purposes and can be categorised based on the specific condition it addresses. The following are some common types performed:

  • Diagnostic Surgery: Used primarily to diagnose the underlying issue causing knee pain or dysfunction.
  • Meniscal Repair or Removal (Partial Meniscectomy): This involves treating a torn meniscus – the cartilage between your shinbone and thighbone.
  • Ligament Reconstruction: Knee arthroscopy can be used for ligament repair, such as anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL).
  • Removal of Loose Bodies: Sometimes bone or cartilage pieces can break off and float within the joint. These can be removed using arthroscopy.
  • Synovectomy: For conditions where the lining of the joint (synovium) becomes inflamed, this procedure is used to remove part of it.
  • Treatment of Patella Problems: Knee arthroscopy can also address conditions affecting the kneecap, like a dislocated patella.
  • Knee Sepsis Treatment: An infection within the knee joint can also be treated through arthroscopy.

Diagnosis Before Knee Arthroscopy Surgery

Before proceeding with knee arthroscopy, your family doctor or orthopaedist will perform certain tests to diagnose your knee problems. These diagnostic procedures include:

  • Physical Examination: Firstly, your doctor will physically examine your knee for signs of swelling, pain, tenderness, and visible abnormalities. The range of motion and stability of the knee will also be tested.
  • Imaging Tests: X-rays may be used to rule out bone fractures and detect signs of arthritis. An MRI (Magnetic Resonance Imaging) can provide detailed images of the soft tissues within and around your knee joint, which helps in diagnosing ligament tears, meniscus damage and other knee injuries.
  • Blood Tests: If an infection is suspected in the joint, a blood test may be conducted to detect the causative bacteria.

What Is The Procedure For Knee Arthroscopy?

    • Knee arthroscopy procedure involves the following steps:
      • Anaesthesia: The procedure usually begins with the administration of local or general anaesthesia to numb the knee area and ensure you are comfortable during the surgery.
      • Incision: Once the anaesthesia takes effect, the surgeon makes small incisions around your knee.
      • Insertion of Arthroscope: A small camera instrument called an arthroscope is inserted through one of these incisions. The arthroscope sends live images to a monitor, allowing the surgeon to examine the inside of your knee joint.
      • Surgery: If problems are discovered during this examination, the surgeon inserts special surgical instruments through other incisions to repair or remove damaged tissues.
      • Closure: After the surgery, the small incisions are stitched closed and a dressing is applied.

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Who Is The Right Candidate For Knee Arthroscopy?

The decision to carry out knee arthroscopy surgery is taken by your doctor based on several factors. Ideal candidates for this operation are typically those with:

  • Knee Pain or Instability: Individuals experiencing persistent knee pain, swelling or instability despite non-surgical treatments may benefit from knee arthroscopy.
  • Diagnosed Conditions: Conditions such as meniscus tear, ligament tear, loose bodies in the joint, inflammation of the joint lining (synovitis) and certain kneecap (patella) disorders can be effectively treated with knee arthroscopy surgery.
  • Early Stages of Arthritis: Knee arthroscopy may be considered for patients in the early stages of arthritis to remove inflamed synovial tissue, repair torn cartilage or remove loose bodies.

Always remember that individual medical conditions and overall health play a significant role in determining whether knee arthroscopy is the best option for you. It is crucial to have an open discussion with your doctor about your symptoms, expectations, and any potential risks or complications associated with the procedure.

What Are The Benefits Of Knee Arthroscopy?

Knee arthroscopy is a minimally invasive surgical procedure that offers numerous benefits for those suffering from various knee-related issues. This procedure is able to:

  • Make smaller incisions, which results in less inflammation and swelling
  • Promote quicker healing and recovery time compared to traditional open surgery
  • Provide a precise diagnosis and treatment for a range of knee problems
  • Improve quality of life by reducing knee pain and restoring mobility

How To Prepare For Knee Arthroscopy?

Preparing for a knee arthroscopy procedure requires certain steps to ensure the surgery goes smoothly. Here’s what you need to do:

  • Inform your doctor about any medications you are taking, as some, such as blood thinners, may need to be stopped before the procedure.
  • Fast for 6-12 hours before the surgery as directed by your docto.r
  • Your doctor may prescribe pain medication for you to have ready after the surgery.
  • Depending on the complexity of your case, the type of anaesthesia used can vary from local to regional or general.

What Are The Recovery Tips And Precactions To Follow After Knee Arthroscopy?

After undergoing a knee arthroscopy, it is crucial to follow your doctor’s instructions for post-surgical care. Here are some tips for smooth recovery:

  • Use ice packs to reduce swelling
  • Elevate the leg to aid the healing process
  • Change dressings as per the doctor’s instructions
  • Engage in physical therapy and perform recommended exercises to regain strength and range of motion in the knee
  • Adhere strictly to weight-bearing guidelines provided by your doctor

Potential Risks Or Complications Associated With Knee Arthroscopy

While knee arthroscopy is generally safe, there can be potential risks and complications associated with the procedure. Some of these include:

  • Excessive bleeding: This risk is usually minimal, but it is essential to follow all post-operative care instructions to prevent it.
  • Infection: Proper wound care can help prevent this. The doctor will prescribe antibiotics if necessary.
  • Blood clots: These could occur post-surgery. Make sure to report any unusual pain or swelling to the doctor.
  • Stiffness in the knee: Regular physiotherapy sessions can help overcome this issue.
  • Damage to surrounding structures: Although rare, if you experience extreme pain post-surgery, it’s essential to contact your healthcare provider immediately.

Remember, every surgery carries some risks, but having an open conversation with your doctor and following their advice can significantly reduce these potential complications.

What Is The Cost Of Knee Arthroscopy In India?

Knee arthroscopy surgery is a minimally invasive procedure that allows doctors to diagnose and treat a variety of knee conditions. The cost of knee arthroscopy in India can vary widely, depending upon several factors like:4

  • Location: The city where you choose to have the surgery can greatly impact the overall cost. This is primarily due to the varying operational and maintenance costs in different cities.
  • Hospital: Different hospitals have unique pricing structures depending upon their reputation, facilities available and the infrastructure they possess. Renowned hospitals with more advanced facilities may charge a higher rate for knee arthroscopy.
  • Surgeon Fees: Surgeon fees can differ based on their experience and reputation.
  • Type of Surgery: The specific kind of knee arthroscopy conducted, for instance for Meniscus Tear or ACL Repair, also plays a role in determining the cost.

Is Knee Arthroscopy Covered Under Insurance?

Health insurance can significantly reduce the financial burden of medical procedures such as knee arthroscopy. Yes, this procedure is often covered by health insurance plans in India. However, it’s crucial to understand that the degree of coverage provided can widely vary based on your specific insurance plan and its policy details.

Typically, many insurance policies cover the cost of knee arthroscopy including the surgical procedure itself, hospital room charges, surgeon and anaesthesiologist fees, diagnostic tests, and medication consumed during the hospital stay. However, exclusions might be applicable for pre-existing conditions related to the knee or complications that require additional procedures not covered by your policy. Non-medical expenses like premium rooms are often not included in the coverage.

Therefore, it is always advised to thoroughly check your health insurance policy details or talk to your insurance provider to understand the specific coverage and exclusions related to knee arthroscopy surgery.

FAQs

1. How often is knee arthroscopy performed in India?

Knee arthroscopy surgery has seen a surge in popularity in India, thanks to its minimally invasive nature and high success rate. It is commonly used to treat conditions such as meniscus tears, ACL repairs, and removal of loose bodies in the knee joint.

2. How does knee arthroscopy compare to knee replacement?

While both knee arthroscopy and knee replacement surgeries aim to improve knee function and alleviate pain, they are used for different conditions. Knee arthroscopy is less invasive and the recovery time is faster compared to knee replacement, which is a major surgery generally considered for severe cases of arthritis.

3. How long does it take to recover from knee arthroscopy?

The recovery time post-knee arthroscopy varies depending on several factors such as your overall health, the specific condition treated, and your adherence to post-op instructions. Generally, it may take anywhere between 6 weeks to 3 months.

4. How effective is knee arthroscopy for treating meniscus tears?

Knee arthroscopy has shown great success in the treatment of meniscus tears, with a high success rate. It allows doctors to repair the tear or remove the torn portion without making large incisions.

5. What should I expect during the recovery phase of knee arthroscopy?

During your knee arthroscopy recovery phase, it’s normal to feel mild pain and discomfort, which can be managed with medication prescribed by your doctor. Regular physiotherapy exercises are crucial for regaining strength and flexibility in the knee.

6. Are there any potential complications associated with knee arthroscopy surgery?

Like any surgical procedure, knee arthroscopy too carries some risks such as infection, bleeding, blood clots, or nerve injury. However, these complications are rare and the procedure is generally safe with a high success rate.

7. Is the knee arthroscopy procedure painful?

The procedure is performed under anaesthesia, so you won’t feel any pain during the surgery. After the surgery, there can be some discomfort or mild pain which can be well controlled with pain medications.

8. Can any doctor perform a knee arthroscopy?

No, knee arthroscopy should be performed by a specialist in orthopaedics with specific training in arthroscopic procedures. Always ensure that your doctor has the right credentials and experience to perform this surgery.

9. Is knee arthroscopy effective for ACL Repair?

Yes, knee arthroscopy is often used for ACL repair and has shown excellent outcomes with a high rate of success.

10. Is exercise allowed after knee arthroscopy surgery?

Yes, exercise is an essential part of your recovery after knee arthroscopy. However, what type and how much exercise largely depends on your doctor’s instructions and it is always recommended to start slowly and gradually increase the intensity.

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Medically Reviewed By
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Dr. Debashish Chanda
23 Years Experience Overall
Last Updated : November 26, 2024