Arthroscopy
ARTHROSCOPY is a surgical procedure doctors use to look at, diagnose, and treat problems inside a joint.
Doctor may recommend it if you have inflammation in a joint, have injured a joint, or have damaged a joint over time. You can have arthroscopy on any joint. Most often, it’s done on the knee, shoulder, elbow, ankle, hip, or wrist.
What Happens During the Procedure?
Doctor will perform arthroscopic surgery in the hospital. The type of anesthesia you’ll receive depends on the joint and what your surgeon suspects is the problem. It may be general anesthesia (you’ll be asleep during surgery), or your doctor will give it to you through your spine. He might also numb the area he’s doing the surgery on.
Your doctor will insert special pencil-thin instruments through a small cut (incision) the size of a buttonhole. He’ll use a tool called an arthroscope that has a camera lens and a light. It allows him to see inside the joint. The camera projects an image of the joint onto a screen. The surgeon will fill the joint with sterile fluid to widen it so it’s easier to see.
He’ll look inside the joint, diagnose the problem, and decide what type of surgery you need, if any. If you do need surgery, your surgeon will insert special tools through other small incisions called portals. He’ll use them to cut, shave, grasp, and anchor stitches into bone. If your surgeon decides you need traditional, “open” surgery to fix the problem, he may do it at the same time as your arthroscopic surgery.
Afterward, he’ll remove the arthroscope and any attachments. He’ll close the wound with special tape or stitches.
What About Recovery?
Arthroscopic surgery usually results in less joint pain and stiffness than open surgery. Recovery also generally takes less time.
You’ll have small puncture wounds where the arthroscopic tools went into your body. The day after surgery, you may be able to remove the surgical bandages and replace them with small strips to cover the incisions. Your doctor will remove non-dissolvable stitches after a week or 2.
While your wounds heal, you’ll have to keep the site as dry as possible. This means covering them with a plastic bag when you shower.
Your doctor will tell you what activities to avoid when you go home. You can often go back to work or school within a few days of surgery. Full joint recovery typically takes several weeks. It may take several months to be back to normal.
