The hinge joint in your knee is where the end of your thigh bone (femur), meets the beginning of the large bone in the lower leg (tibia). Healthy knees have smooth cartilage covering the ends of the fimur and tibia. Smooth cartilage allows the bones' surfaces to glide easily when you bend your knee. The ligaments and muscles around your knee joint support your weight and move the joint smoothly to allow you to walk comfortably.
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Knee Arthroscopy allows Dr. Anil Arora (Professor) to examine your knee with an arthroscope, a narrow scope that includes a lens and a source of light. He can then see the inside of your knee and diagnose and treat any injuries or conditions.
To insert the arthroscope and irrigating tools, small incisions are made around each knee. The images are projected onto a TV screen in the operating area so Dr. Arora can have a better view of the knees and tissues.
Traditional knee surgery required a lengthy hospital stay and an incision. The procedure is usually minimally invasive, and recovery is often quick. Patients can either be admitted for one night or go home that day.
You may be a candidate for the procedure if you experience persistent pain, swelling, catching, giving way, or loss of confidence in your knee. Your Dr. Anil Arora will conduct an evaluation of your condition based on x-rays, MRIs, and a physical exam.
Knee Arthroscopy: Indications
Degenerate or torn meniscus or menisci (semilunar cartilage). This could be caused by a twisting injury, whether it is from an aggressive sport or just squatting. As we age, our cartilages become more fragile and can therefore tear faster.
Articular Cartilage Damage. Sometimes, articular cartilage can be torn, causing it to lose its shock-absorbing ability. The locking of the joint can be caused by large pieces of cartilage floating in the knee.
ACL (Rupture of Anterior cruciate Ligament). This is a common injury that can be caused by trauma or sports. The ACL ruptures and can cause knee instability. ACL reconstruction is necessary in this situation.
Dislocation of the Patella (kneecap), and Mail tracking. The groove where the kneecap rests is at the end of the thighbone. It is held in position by tendons at the top and bottom, and ligaments at the sides. The underside of your kneecap is lined with cartilage. This allows it to glide along the groove of the thighbone. Patellar tracking disorder can be caused by a problem in any of these areas.
Synovitis (inflammation of the joint lining). Your knee joint is home to the synovium membrane. The synovium membrane is a thin membrane that surrounds your inner lining. It may have fringes or folds. Its primary function is to produce synovial fluid which helps nourish and moisturize your joints. If a portion of your synovium becomes irritated, it can cause swelling and tenderness in your entire joint. The inflamed tissue can be removed using knee arthroscopy.
Dr. Arora makes small incisions in the skin to insert the arthroscope. In order to view the inside of the joint, typically 2 to 3 portals are required. To wash the knee joint and make it more open, sterile fluid is injected.
To examine the joints and determine the quality of the tissues, a surgical instrument is used. Surgery is done using specially-designed power-driven or manual instruments, which are inserted through the portals into the joint.
After the arthroscopic surgery has been completed, the portals will be closed using sterile surgical tape. They will then be covered with gauze and a crepe bandage. After the patient has been moved to the recovery area, a nurse will continue monitoring their temperature, heartbeat, and blood pressure.
Your anesthetist, Dr. (Prof.), Anil Arora and one of his physical therapists will see you before you are discharged. Learn how to care for your portals and which activities to avoid. You'll also learn what exercises to do to speed up your recovery.
A follow-up visit will be scheduled between 10 and 14 days following the operation. Dr. Arora will examine the portals and remove the skin. He will also discuss the results and recommendations for rehabilitation.
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