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Arthroscopy Arthroscopy is a surgical procedure used to visualize, diagnose and treat problems inside a joint, such as the knee. Disease and injuries can damage bones, cartilage, ligaments, muscles and tendons. Some of the most frequent conditions found during arthroscopy are torn or abnormal cartilage, torn ligaments, loose fragments of bone or cartilage, damaged joint surfaces, inflammation of the joint lining and misaligned bones. Diagnostic arthroscopy requires the use of hospital operating room or outpatient suite. After you receive an anesthetic, the surgeon makes a small incision in the patient’s skin and then inserts a pencil-shaped arthroscope that magnifies and illuminates the structure inside the joint. By using a miniature television camera and screen the surgeon is able to see the interior of the joint. Once inside, the surgeon can evaluate the condition of the structure inside the joint and determine if repair is needed. In most cases, if repair is necessary, the surgeon will do it immediately. After surgery, you are moved to a recovery room where ice packs may be applied to the puncture sites to reduce swelling. Medication may also be administered to minimize the pain. Before being discharged, you will learn about caring for the incisions, what activities to avoid, and which exercises to do to aid recovery. Usually within a week, you will be scheduled for a recheck appointment with the surgeon where he will inspect the incisions, remove sutures, and discuss rehabilitation progress. If you develop a fever, excessive pain, or drainage from the puncture sites when you return home, you should contact your surgeon immediately. The small wounds, often closed with one of two stitches, heal easily and cause less post-operative pain than a standard operation – this allows for more rapid healing and rehabilitation. It’s not unusual for patients to go back to work or school, or resume daily activities within a few days. Athletes and others who are in good physical condition may return to athletic activities within a few weeks. In most cases, the patients from Iowa Lakes Orthopaedics & Sports Medicine have experienced a successful return to their previous level of participation in competitive sports. Each arthroscopy is unique and the recovery of a patient will reflect that individuality. After being discharged, you will experience discomfort, especially if there is long trip home. It makes sense to do the procedure close to home and avoid any added stress. In addition, if physical therapy is recommended following your procedure, it can usually be arranged locally. Our physicians remain in close contact with local therapists to monitor your progress. Frequently Asked Questions What is an ACL Reconstruction? Anterior Cruciate Ligament (ACL) Reconstruction is a common procedure that is performed through arthroscopy. If you anterior cruciate ligament ruptures or become injured it is necessary to reconstruct it in order for you to return to an active lifestyle placing stress on the knee. Through arthroscopy, the surgeon is able to graft tissue from another part of the knee to use in the reconstruction of the ACL. Usually within a week after an ACL procedure, you are scheduled for a recheck appointment with the surgeon and you will be fitted for a brace. Subsequent appointments will be scheduled depending on your progress. In addition, physical therapy may be recommended to aid in your recovery. Are There Any Complications with Arthroscopy? As with any procedure there is the possibility of complications. Complications with arthroscopy are uncommon but include infection, phlebitis (inflammation of a vein) excessive swelling or bleeding, blood clots and damage to blood vessels or nerves. In addition, as with any procedure, there are always risks associated with anesthesia. Where Should I Have My Arthroscopy Done? The surgeons from Iowa Lakes Orthopaedics & Sports Medicine have many years of experience performing arthroscopy procedures. Our physicians are certified by the American Board of Orthopaedic Surgery. This includes specialized training in sports medicine including arthroscopy and ACL reconstruction. They are trained and equipped with state of the art methods of assessing and repairing knee injuries. Most importantly, they are available for convenient local follow up. There are many facilities capable of performing your surgery, however, the surgeons at Iowa Lakes Orthopaedics & Sports Medicine are committed to each patient having a complete recovery and getting you back to daily activities as soon as possible. If you have any questions or concerns about the procedure or where to have it done, talk to one of our physicians. They are here to help.
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