Conventional surgery would involve cutting, maybe 2 or 3 normal structures in order to access and repair one torn tissue. Whereas, with the arthroscopic technique it is possible to repair the torn tissue without having to cut any normal structure.
Besides the advances in technology (Arthroscopy) has made it possible for the surgeon to restore the joint to the pre-injury level.
Less pain, low morbidity, quick recovery and no ugly scars are some of the benefits of the minimally invasive surgical technique.
Shoulder and knee are the joints most commonly subjected to arthroscopic surgery. Certain conditions of the hip, ankle, and elbow can also be addressed arthroscopically.
Routine pre-operative blood & urine examination is required before undergoing surgery. An MRI may sometimes be useful before undertaking arthroscopic surgery, however, this decision is best taken by the attending surgeon.
Depending on the procedure to be performed, arthroscopic surgery could take from 10 minutes to a couple of hours.
Patients are generally asked to report to the hospital on the morning of the surgery.
Yes. Most arthroscopies are done under a suitable anesthetic so as to make the surgery completely painless.
Patients are requested to avoid eating or drinking anything for 6 to 8 hours prior to the arthroscopy.
The hospital stay can vary from patients being discharged on the same day of surgery for a couple of days in certain complex arthroscopic reconstructions.
The limb may be immobilized in a knee brace/shoulder brace for a few weeks, depending on the type of problem. A disease-specific exercise programme will be followed for a few months.
Most patients resume work after one week, however sports is permitted after 6 months of ligament reconstruction. However return to sports after isolated meniscus surgery is much faster.
Risk of infection is negligible; anesthesia-related complications are possible as in any surgical procedure.
Medications might be needed for about a week postoperatively.
Often slings or braces are recommended following certain reconstructive arthroscopic surgeries. Plaster casts are almost never required.
It is an operation designed to relieve pain from arthritic / worn out joints.
The ends of long bones are normally covered with a very smooth articular surface, which provides painless movement and function in the joint. This surface is replaced with an artificial one in joint replacement surgery.
When pain and disability becomes severe & interferes in activities of daily living. Joint replacement surgery has given a new life to millions across the globe.
Yes, for example in the knee one could do a Uni-compartment knee replacement or a Total knee replacement (all three compartments) depending on the disease and its extent.
Routine pre-operative blood, urine, and cardiac investigations are required before undergoing surgery. A preoperative evaluation by a physician may be advised.
About 7 days of stay following Total knee replacement surgery. However, only 3 days stay is required following Uni-knee replacement and shoulder replacement surgery.
Exercises/ physiotherapy for at least 3 months is desirable for recovery of full function. In event of infection anywhere else in the body, prompt treatment is advisable.
There are a variety of designs available from different manufacturers. However, the basic concept/design are the same. It is wise to let your surgeon select a prosthesis which is best suited for your knee.
Walking will be start within 4-5 days of surgery with the help of walking aid like walker and physiotherapiest.Most patients are able to resume normal activities in 3-4 weeks following surgery. It is possible to swim, cycle and play golf; however these activities may take e few weeks more.
it depends on the level of usage and activities. If used sensibl, kne replacement should last more than 10-15 years. In many patients, it will last their lifetime.
Both knee replacement operations can be done under one anesthesia one after another. The decision whether to do so depends on medical fitness.
Indian customs of cross leg sitting and squatting are avoided. You need to use commode or toilet chair. Activities like swimming, walking are encouraged but running, jumping and other heavy physical activities are discouraged.
Patients with these medical conditions can safely undergo joint replacement under strict medical supervision.
Risk of infection and Deep vein thrombosis are of concern, however when performed in a good set-up the incidence is very low.
Advances in implant design and refinement in surgical technique have made it possible to produce satisfactory & predictable results with consistency. Besides, a desire of the patients to achieve optimum function and to live a full active life has made this surgery more acceptable and routine.