Arthroscopy Operation in Türkiye: Causes and Treatment

Arthroscopy (Closed Surgery)

Arthroscopy is a minimally invasive surgical technique used for diagnosing and treating joint diseases. During the procedure, a pencil-sized instrument called an "arthroscope," equipped with a lens and lighting system, is inserted into the shoulder, knee, hip, or ankle joint. This optical system allows the surgeon to obtain detailed images from inside the joint, magnified up to 8-10 times, for a comprehensive examination.

Compared to traditional surgical methods, arthroscopy offers several advantages. It can be completed in a shorter time, images and records can be saved, and it provides access to hard-to-reach areas. Moreover, it has become the most commonly applied procedure in orthopedic surgery today.

One of the significant benefits of arthroscopy is the minimal impact on healthy tissues. The procedure involves small incisions, resulting in reduced post-surgical pain, faster recovery, and an earlier return to an active lifestyle. Additionally, arthroscopy is particularly advantageous for athletes and individuals engaged in sports.

What causes Knee Arthroscopy?

Knee arthroscopy is a surgical procedure employed to treat various knee joint injuries and conditions, such as meniscus tears, anterior cruciate ligament (ACL) injuries, joint cartilage issues, inflammatory joint conditions, synovitis, knee joint arthritis, and joint fractures.

Treating Meniscus Tears

Arthroscopic methods are utilized to treat patients with meniscus tears, where pain persists despite medication. Additionally, individuals experiencing recurrent knee locking or unsteady steps can benefit from arthroscopic intervention. Postoperative rehabilitation plays a crucial role in the treatment process.

Recovery after Meniscus Surgery

Patients can return home shortly after meniscus surgery and are able to walk and climb stairs without support approximately two hours post-operation. After seven days of ice treatment and rest at home, they can resume their normal activities. Running is typically possible after three weeks, and sports activities can be resumed at the end of the first month.

Addressing ACL Injuries

For patients with ACL injuries, the objectives of arthroscopic treatment are to alleviate feelings of knee instability, regain balance during movement, and ensure a strong knee capable of supporting physical activities safely. The procedure involves reconstructing the ACL using tissues similar to the original ligament. Post-surgery, patients may be asked to use knee braces for support.

Rehabilitation after ACL Reconstruction

After ACL reconstruction, patients usually stay in the hospital for 1-3 days. They can begin walking with crutches on the same day as the surgery and start knee exercises the following day, aiming to achieve a 90-degree knee bend. Crutches are used for a few days to reduce knee load. The goal is to regain pre-injury movement capabilities within three weeks.

Importance of Physical Treatment and Rehabilitation

Post-surgery, physical treatment and rehabilitation are crucial to increase muscle strength and improve joint function, facilitating a successful recovery and a return to regular activities.

After arthroscopy, physical therapy and rehabilitation can begin earlier since the joint is not fully opened. The exercise program following arthroscopy significantly lowers the risk of decreased joint movement compared to open surgery. Overall, the recovery period for arthroscopy is much shorter and more manageable, making it a preferred choice for joint-related issues.

> Which joints can be examined using arthroscopy?
While the knee is the most commonly examined joint, arthroscopy can also be used for the shoulder, elbow, ankle, hip, and wrist.
> How is arthroscopy different from traditional surgery?
Arthroscopy requires smaller incisions, often leading to faster recovery, less scarring, and reduced risk of infection compared to open surgery.
> What conditions can be treated with arthroscopy?
Common conditions include torn cartilage or ligaments, inflamed joint linings, joint infections, and loose bone or cartilage fragments.
> How long does the arthroscopy procedure take?
The duration varies depending on the joint and the specific issue but typically ranges from 30 minutes to 2 hours.
> What is the recovery time after arthroscopy?
While many patients go home the same day, full recovery can take several weeks to months depending on the joint and the procedure. Physical therapy may be recommended to aid recovery.
> What are the potential risks of arthroscopy?
Though less invasive, arthroscopy still carries risks such as infection, bleeding, blood clots, and damage to blood vessels or nerves.
> How soon can I resume physical activities post-arthroscopy?
It depends on the specific procedure and joint involved. While light activities can be resumed quickly, rigorous exercises or sports might require waiting several weeks to months.
> Are there any alternatives to arthroscopy?
Non-surgical alternatives include physical therapy, medications, and injections. The best option depends on the specific joint condition.
> How do I prepare for an arthroscopy procedure?
Your doctor will provide guidelines, which may include fasting, stopping certain medications, and arranging for post-procedure transportation.

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