KNEE ARTHROSCOPY
Three different types of pain relief (anesthesia) may be used for knee arthroscopy surgery:
- Local anesthesia. Your knee may be numbed with pain medicine. You may also be given medication to relax you. You will stay awake.
- Spinal anesthesia. This is also called regional anesthesia. Pain medicine is injected into a space in your spine. You’ll be awake but won’t be able to feel anything below your waist.
- General anesthesia. You will be asleep and pain free. Peripheral nerve block (femoral or afferent canal block). This is another type of regional anesthesia. Pain medicine is injected around the nerve in your groin. You will be asleep during the operation. This type of anesthesia will block pain so you need less general anesthesia.
A device may be placed around your thigh to help control bleeding during the procedure. The surgeon will make 2 or 3 small incisions around your knee. Fluid (saline) will be pumped into your knee to inflate the knee.
A narrow tube with a tiny camera on the end will be inserted through one of the cuts. The camera is connected to a video monitor that allows the surgeon to see inside the knee. The surgeon can put other small surgical tools into your knee through the other cuts. The surgeon will then correct or remove the problem in your knee.
At the end of your surgery, saline will be drained from your knee. The surgeon will close your incisions with stitches (stitches) and cover them with a bandage. Many surgeons take pictures of the procedure from the video monitor. You may be able to view these images after surgery so you can see what was done.
Why is knee arthroscopy performed?
Arthroscopy may be recommended for these knee problems:
- Torn meniscus. The meniscus is cartilage that covers the space between the bones in the knee. Surgery is done to repair or remove it.
- Torn or damaged anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL).
- Swollen (inflammation) or damaged lining of the joint. This lining is called the synovium.
- Patella (patella) that is out of position (misalignment).
- Small pieces of broken cartilage in the knee joint.
- Baker cyst removal. This is a swelling behind the knee that is filled with fluid. Sometimes the problem occurs when there is swelling and pain (inflammation) from other causes, such as arthritis.
- Cartilage defect repair.
- Some fractures of the knee bones.
What is the success rate of knee arthroscopy?
The success rate of knee arthroscopy has steadily increased over the years, with more recent studies reporting an overall success rate of approximately 85%. However, there are still some factors that can affect the success rate of this procedure and these vary from patient to patient. In general, though, the success rate for knee arthroscopy is very high when performed by experienced surgeons.
Well, in patients over 50, the success rate of knee arthroscopy is about 71%. However, in younger patients under the age of 50, the success rate is about 87%. This is mainly because younger patients tend to have more bone formation in the knee joint. This means that their knee cartilage tends to be more developed and this can make surgery more difficult.
Factors affecting the success rate of knee arthroscopy?
There are many factors that affect the success rate of knee arthroscopy, including the patient’s age, health status, and surgical technique. Arthroscopic techniques have improved dramatically in recent years, so the success rate of this operation has also improved. However, there is still variation among surgeons in how successful they are in achieving these goals.
- Age: As the patient’s age increases, the success rate for knee arthroscopy decreases. This is because elderly patients are more likely to have osteoarthritis or other joint conditions that make arthroscopic surgery difficult.
- Health status: Patients with certain health conditions may be at higher risk for complications during the procedure. For example, patients with heart disease or diabetes are at high risk for an adverse outcome after knee arthroscopy.
- Process technique: The technique that the surgeon uses can affect the success rate of arthroscopic surgery. A small percentage of surgeons perform arthroscopic surgery using an endoscope, while others use cameras and robotic arms to remove debris from the knee joint.
How has the success rate of knee arthroscopy surgery changed over time?
The success rate of knee arthroscopy surgery has steadily increased over the years due to new technology and improved surgical techniques. In 2000, the success rate was only 60%. However, by 2014, the success rate had risen to 86%. This increase is believed to be due to improvements in surgical techniques, more experienced surgeons and better equipment.
Knee arthroscopy with endotherapy
Knee arthroscopy with endotherapy is an advanced medical procedure used to diagnose and treat knee problems. It is one of the most effective means of treating injuries or diseases of the knee, offering at the same time shorter recovery times compared to traditional surgical methods.
Endotherapy, which means treatment inside the joint, may involve removing damaged tissue, repairing cartilage, or using special techniques such as repositioning certain structures. This operation can help relieve pain and improve knee mobility. This procedure is usually performed under local anesthesia, with a small incision in the knee to insert the arthroscope and instruments.
Knee arthroscopy with endotherapy is often an option for athletes or people who wish to quickly return to their daily activities. However, it is important to note that each case is unique and that the decision to implement this procedure should be made after discussion with an orthopedic specialist to ensure the appropriate approach and treatment.
During the process
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