Arthroscopy
Knee arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. During the procedure, your surgeon will make a very small incision and insert a tiny camera called an arthroscope into your knee. This allows them to view the inside of the joint on a screen. The surgeon can then investigate a problem with the knee and, if necessary, correct the issue using small instruments within the arthroscope.
Indications for Knee Arthroscopy
- Meniscus injury
- Repair/Reconstruction of ligaments of knee such as ACL (Anterior Cruciate Ligament)
- Removal of loose bony fragment (loose body) from joint
- Malaligned patella (kneecap)
- Synovial biopsy and synovectomy
There are limited risks to the procedure and the outlook is good for most patients. Your recovery time and prognosis will depend on the severity of the knee problem and the complexity of the required procedure.
ACL Reconstruction
A tear in the anterior cruciate ligament (ACL) is one of the most common knee injuries. An injury to this ligament causes the knee to become unstable and the joint to slide forward too much. ACL tears occur most often in athletes.
ACL reconstruction is usually not performed until several weeks after the injury, when swelling and inflammation have been reduced. The torn ligament is completely removed and replaced with a new ACL. Simply reconnecting the torn ends will not repair the ACL. Part of another ligament, usually in the knee or hamstring is used to create a graft for the new ACL. Choosing the proper type of graft depends on each patient's individual condition.
Meniscus Repair/ Meniscal Transplants
The menisci are C-shaped pieces of tough cartilage that rest on either side of the knee, which help to distribute body weight across the knee. A meniscus tear is common after a traumatic injury, and most frequently occurs when the knee joint is bent and the knee is then twisted.
A torn meniscus causes pain and swelling, and may also be accompanied by a frequently locking joint and the inability to completely straighten the knee. Some people experience a popping or clicking sensation within the knee as well.
Treatment for a meniscus tear often begins with conservative methods such as rest, ice or over-the-counter medication. If these treatments are not effective and symptoms continue, you may benefit from meniscus repair surgery. Meniscus repair is an arthroscopic procedure in which the torn segment of the meniscus is removed and the torn edges are sutured together, which allows them to heal properly.
Dr. Aman Dua
M.S. Orthopedics (AIIMS, New Delhi), D.N.B. Orthopedics, M.N.A.M.S., P.G.D.H.M.
Director - Joint Replacement
Fortis Escorts Hospital, Delhi