Knee arthroscopy | arthroscopy

What is an arthroscopy?

Arthroscopy is a joint-preserving operation and is also known as arthroscopy. An arthroscope, usually consisting of an optical system of rod lenses, a light source and an irrigation and suction device, is inserted into the joint space through two small incisions in the skin. This allows the affected joint to be examined directly on an external monitor and, if necessary, treated immediately. arthroscopy is used to find out more about changes of a degenerative (joint wear and tear), inflammatory, traumatic (in the event of an accident) or tumorous nature and thus determine the correct follow-up treatment. On the other hand, arthroscopy can be used as a treatment method if the injuries and damage are relatively minor.

In principle, arthroscopic procedures are possible on all joints. Most frequently on the knee, shoulder and ankle joints, somewhat less frequently on the hip joint, elbow and other joints.

What are the advantages of arthroscopy?

Arthroscopy is part of minimally invasive surgery, which tends to cover minor injuries. Compared to open surgical procedures, arthroscopy has the following advantages:

• Less stress on the body
• Less pain after the procedure
• Shorter regeneration/healing times
• Faster return to everyday activities

When and for which problems is an arthroscopy recommended?

Arthroscopy is necessary if previous conservative measures (medication, physiotherapy, etc.) have not brought satisfactory relief. It may be indicated for the following problems

• Meniscus damage
• cruciate ligament injuries
• Osteoarthritis in the early stages
• Cartilage damage
• Painful plica
• Free, painful joint bodies
• Problems with the kneecap (patellar luxation)
• Inflammation in the knee

Arthroscopy significantly slows down the progression of osteoarthritis, but in most cases only leads to temporary success. This is because the osteoarthritis pain usually returns sooner than you think. In addition, many patients who have waited a long time for fear of surgery already have a significant functional disorder and malalignment of the knee joint (bow leg or knock-knee), meaning that arthroscopy for osteoarthritis is only an option to a limited extent. In many cases, the only way to actually alleviate osteoarthritic symptoms and restore mobility is with an artificial surface replacement.

How does a knee arthroscopy work?

Depending on the problem, an arthroscopy usually takes between 45 and 90 minutes. First, the optical instruments are inserted through small incisions and the surgical site is assessed. Then, for example, the cartilage can be smoothed and torn tissue (e.g. meniscus) removed or sutured.

Depending on what is being operated on, the arthroscopy is performed either on an outpatient or inpatient basis. This will be clarified with the insurance company in advance.

Arthroscopy is a common routine procedure, with incidents or complications occurring very rarely. Nevertheless, it is important to understand that the following disorders or complications cannot be completely ruled out: Infections, thrombosis, joint or nerve injuries.

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