What is Arthroscopy?
Orthopedics and Traumatology

What is Arthroscopy?

    What is Arthroscopy?

    Arthroscopy is a medical procedure used to directly visualize and treat structures within a joint, such as cartilage, bone, tendons, ligaments, etc. During this procedure, joint imaging and treatment are performed using a small camera (arthroscope) and thin instruments.

    Arthroscopy can be used for the diagnosis and treatment of many orthopedic diseases. For example, conditions such as meniscus tears, shoulder dislocation, knee cartilage injuries, joint inflammations can be treated with arthroscopy. Arthroscopic surgery is a less invasive method and carries less risk of complications compared to open surgery. Additionally, the recovery process can be faster and less painful.


    What are the Types of Arthroscopy?

    There are several different types of arthroscopy used in the treatment of various joint problems. Some types of arthroscopy include:

    Knee arthroscopy: Used for the treatment of knee joint problems. It can be performed for conditions such as meniscus tears, knee cartilage injuries, or removal of loose tissue fragments.

    Shoulder arthroscopy: Used for the treatment of shoulder joint problems. It can be performed for conditions such as rotator cuff tears, shoulder capsule compression, arthritis, and removal of loose tissue fragments.

    Wrist arthroscopy: Used for the treatment of wrist joint problems. It can be performed for conditions such as arthritis, tendon injuries, nerve compression, and removal of loose tissue fragments.

    Hip arthroscopy: Used for the treatment of hip joint problems. It can be performed for conditions such as femoroacetabular impingement, labral tears, cartilage damage, and removal of loose tissue fragments.

    Ankle arthroscopy: Used for the treatment of ankle joint problems. It can be performed for conditions such as arthritis, tendon injuries, nerve compression, and removal of loose tissue fragments.

    Elbow arthroscopy: Used for the treatment of elbow joint problems. It can be performed for conditions such as tennis elbow, golfer's elbow, osteoarthritis, and removal of loose tissue fragments.

    Each type of arthroscopy offers a specific treatment method for joint prob.


    How is Arthroscopy Surgery Done?

    Arthroscopy surgery is a surgical procedure that requires the patient to be under general or local anesthesia. During the surgery, the doctor makes a small incision into the joint using a special tool called an arthroscope. The arthroscope is used to view and manipulate the joint with the help of a camera.

    Once the arthroscope is inserted into the joint, the doctor uses a fluid to wash the joint and provide a better view. Then, the doctor can carefully examine the joint, identify the problematic area, and remove or repair the damaged tissues. The removed tissues are typically examined for a tissue sample or biopsy.

    At the end of the surgery, the arthroscope is removed and the incision is closed


    When is Arthroscopy Performed?

    Arthroscopy is typically performed in the following cases:

    Joint pain: Repeated joint pain indicates the need for arthroscopy. Such pain is often caused by damage to the cartilage surface or loose bodies in the joints.

    Joint stiffness: Joint stiffness, especially stiffness felt in the mornings, indicates the need for arthroscopy.

    Joint swelling: Joint swelling and inflammation indicate the need for arthroscopy. Such swelling is often caused by joint damage or infection.

    Joint injuries: Joint injuries, especially sports injuries, indicate the need for arthroscopy. Such injuries often include meniscal tears, anterior cruciate ligament tears, or joint surface fractures.

    Other conditions: Other joint problems also indicate the need for arthroscopy. These conditions may include rheumatoid arthritis or other inflammatory joint diseases.

    However, a doctor must evaluate the patient's condition to decide whether arthroscopy is necessary.


    How Long Does Arthroscopy Take?

    The duration of the surgery depends on the patient and their condition, but generally it takes about an hour or less to complete. Patients are usually discharged on the same day and can return to normal activities within a few days.


    What are the Advantages of Arthroscopy?

    The advantages of arthroscopy are numerous. Some of these include:

    Less invasive: Arthroscopy is a less invasive method compared to traditional surgical methods. It is performed using small incisions, so the recovery time is shorter, and patients can return to their normal activities faster.

    Less pain: Arthroscopy is a less painful method compared to traditional surgical methods. Because the incisions are small, the pain is less, and patients are less likely to require painkillers.

    Less bleeding: Arthroscopy is a less bleeding method compared to traditional surgical methods. Because the incisions are small, bleeding is less, and patients require fewer transfusions.

    Less risk of infection: Arthroscopy carries less risk of infection compared to traditional surgical methods. Because the incisions are small, the risk of infection is lower, and patients require fewer antibiotics.

    Better visualization: Arthroscopy allows for better visualization of the structures inside the joint. This enables doctors to make a more accurate diagnosis and create a more effective treatment plan.

    Less tissue damage: Arthroscopy causes less tissue damage compared to traditional surgical methods. Because the incisions are small, it causes less damage to surrounding tissues, and the recovery process is faster.

    Less scarring: Arthroscopy leaves less scarring compared to traditional surgical methods. Because the incisions are small, the scars are less noticeable, and patients feel better about their appearance.

    For these reasons, arthroscopy is a method used for the diagnosis and treatment of many joint-related problems today. However, since each patient is different, your doctor will decide if this method is appropriate for you.


    Is Arthroscopy Risky?

    Arthroscopy is a less risky procedure compared to other surgical procedures. However, like any surgical procedure, arthroscopy also has certain risks. Some possible risks are:

    Infection: One risk of surgical procedures is the risk of infection, which also applies to arthroscopy. However, this risk is minimal, and measures such as sterilization of surgical equipment and antibiotic prophylaxis are taken to reduce the risk of infection.

    Bleeding: Arthroscopy involves the use of small incisions, which makes the risk of bleeding lower. However, in rare cases, bleeding can occur, and in such cases, the source of bleeding should be identified and controlled.

    Anesthesia complications: Arthroscopy is usually performed under sedation anesthesia. Complications related to anesthesia can vary depending on the patient's general health condition, anesthesia method, and other medical problems.

    Tissue damage: During arthroscopy, not only the structures inside the joint but also the surrounding tissues can be damaged. However, this risk is minimal, and when performed by an experienced surgeon, the risk is further reduced.

    In addition to these risks, treatments such as drainage, medication, and physical therapy may be required after arthroscopy. However, like many advantages of this procedure, its risks are minimal, and therefore, it can be a suitable treatment option for many patients. It is important for patients to understand all the risks and benefits of this procedure and discuss them with their doctors.

    Arthroscopy is a less invasive procedure compared to open surgery, as it involves the use of small incisions. Therefore, the recovery process after arthroscopy is usually faster, and patients experience less pain, swelling, and discomfort. However, the recovery process can vary depending on the joint where the procedure is performed and the patient's general health condition.


    Recovery Time After Arthroscopy

    The recovery process after arthroscopy consists of the following stages:

    Immediate Postoperative Period: After arthroscopy, the patient may be under the effects of anesthesia and will be observed for a few hours after waking up. Patients may need to take medication for pain control after the procedure. Additionally, patients are advised to be careful when getting up and walking before standing up.

    First Week: After arthroscopy, patients typically rest at home for a few days. During this time, patients are advised to take pain relievers and anti-inflammatory medications recommended by their doctor. It is also important for patients to keep their wounds dry and clean and follow their doctor's recommendations for wound care. During the first week, patients are generally advised to limit their physical activities.

    Second Week: In the second week, patients may need to start physical therapy after arthroscopy. Physical therapy is used to strengthen the joint, restore mobility, and help the patient return to normal activities. Physical therapy may include exercises that patients can do at home or at a rehabilitation center, depending on the doctor's recommendations.

    Third Week and Beyond: The recovery process after arthroscopy may vary depending on the patient's age, overall health, the joint that was operated on, and other factors. However, typically after the third week, patients may be able to return to normal activities. Patients are advised to exercise to speed up the recovery process and improve joint function, following their doctor's recommendations.

    In conclusion, the recovery process after arthroscopy may vary depending on the patient's condition.
     

    The content of the page is for informational purposes only, please consult your doctor for diagnosis and treatment.

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    Approved by on 01.04.2023

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