What is knee arthroscopy?
Knee arthroscopy is a minimally invasive procedure that
allows access and treatment of injuries that affect the various structures of
said joint. For this, 2 or 3 small incisions of less than one centimeter
are made that allow access to the joint.
Most knee surgeries that do not involve the placement
of a prosthesis are performed with a complete or partial approach with knee
arthroscopy in Delhi. It is the technique of choice to address
many injuries because it allows a better and greater visualization of the
joint. In a non-aggressive way, all the points of the knee can be accessed
to clean the cartilage, small perforations of the bone that lacks cartilage
(microfractures), stabilize the cartilage and apply substances or elements that
allow the cartilage to regenerate (plasma rich in platelets or stem cells).
Likewise, knee arthroscopy is also used as support for other
open techniques, since it improves the diagnosis and prognosis of the patient's
injury, as it is less aggressive.
The arthroscopy
in Delhi can be performed under local, regional or general anesthesia,
depending on the injury and the patient. The anaesthesiologist will decide
the best method for the patient, as long as he suffers as little as possible.
Why is it done?
Knee arthroscopy is used to solve knee injuries. Thus, meniscus
injuries are one of the most common pathologies and, thanks to arthroscopy,
it is possible to preserve most of the menisci, since the resection is not
complete but partial. Meniscal sutures and the possibility of
transplanting the meniscus with knee arthroscopy are common techniques that
allow better protection of the cartilage of the joint.
Another of the most dangerous injuries related to sports
practice is the rupture of the anterior cruciate ligament. If this
is injured, it causes instability in the knee that makes it impossible for the
patient to perform practically any sport. If the instability continues, it
can damage surrounding structures, such as the menisci and
cartilage. Hence, it is necessary to reconstruct the anterior cruciate
ligament with grafts, accessing the joint through arthroscopy.
On the other hand, cartilage injuries (chondroplasties, osteoarthritis
or osteochondritis) are also very common. Preserving the cartilage will
also preserve the joint, avoiding wear and tear on the knee.
What does it consist of?
The orthopaedic
in Delhi will make the small incisions in the knee to be able to access
it. He will first fill the knee joint with a sterile solution and remove
any cloudy fluid. This way he will be able to see the joint clearly and in
detail.
The orthopaedic
in Dwarka will then insert the arthroscope (a very thin device with a
camera on the end) into the knee. This device sends the images to the
television monitor, so that the surgeon can see all the structures in
detail. Through the other holes, the surgeon will introduce the surgical
material that will allow him to address the injury and repair the damaged
structures.
It is a procedure that usually does not last more than an
hour. After that, the patient will be transferred to a rehabilitation room
and will be able to leave the hospital after two hours, more or less.
Preparation for knee arthroscopy
Before surgery, the patient must undergo a complete physical
examination so that the specialist can assess their health and any anomaly that
may interfere with the arthroscopy. Likewise, the patient must inform the orthopaedic surgeon in Delhi
of the medication he takes, so that he can tell him which ones he should stop
taking before the intervention. Some complementary preoperative tests will
also be carried out, such as magnetic resonance imaging, electrocardiogram or
blood tests.
Care after the intervention
Recovery after arthroscopy is faster than conventional open
surgery. However, the advice of the specialist must be followed so that
the knee recovers correctly.
It is normal for the patient to experience swelling in the
days after the intervention, so it is recommended that the leg be elevated
during those first days after the surgery. Also, the application of ice
will relieve pain and reduce inflammation.
The incisions should also be healed, keeping them clean and
dry. The orthopaedic
in West Delhi will tell the patient when they can shower or change the
bandage.
On the other hand, shortly after the intervention, the
patient must begin rehabilitation exercises with a Physiotherapist in Dwarka,
who will establish a program appropriate to the patient and the
injury. This will help restore motion and strengthen your knee muscles.
Alternatives to this treatment
The alternative to knee arthroscopy
in West Delhi will be conventional open surgery, which is currently
only used in more serious cases, in which a prosthesis must be placed. Any
other technique will suppose a greater invasion in the knee and a worse
postoperative period.
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