Arthroscopy is a procedure that the orthopedic surgeons use to see inside your joint in order to diagnose and treat problems inside the joint, using a tube-like instrument called an arthroscope. The word arthroscopy comes from two Greek words, “arthro” (joint) and “skopein” (to look). The term literally means “to look within the joint.” It involves making a small incision in the patient’s skin and then inserting pencil-sized instruments that contain a small lens and lighting system to magnify and illuminate the structures inside the joint. Light is transmitted through fiber optics to the end of the arthroscope that is inserted into the joint. By attaching the arthroscope to a miniature television camera, the surgeon is able to see the interior of the joint through this very small incision rather than a large incision needed for surgery. The surgeon can determine the amount or type of injury and then repair or correct the problem if it is necessary.
Although arthroscopic surgery has received a lot of public attention because it is used to treat well-known athletes, it is an extremely valuable tool for all orthopaedic patients and is generally easier on the patient than “open” surgery. Most patients have their arthroscopic surgery as inpatients and are home several hours after the surgery. Since it is done through key holes, the arthroscopic surgery is minially invasive, hence it is less painful then open surgery. The recovery is also faster. Besides, the surgeon gets a magnified view of the problem through the arthroscope (camera), hence he can deal with the problem in a better fashion. Hospital stay is decreased and hence costs can be minimised.
Although uncommon, complications do occur occasionally during or following arthroscopy. Infection, phlebitis (blood clots of a vein), excessive swelling or bleeding, damage to blood vessels or nerves, and instrument breakage are the most common complications, but occur in far less than 1 percent of all arthroscopic procedures.
The cost of the arthroscopy surgery depends upon the exact procedure needed and is variable. But, the cost of arthroscopic surgery in long term comes out to beless than the open surgery.
Usually arthroscopic surgery is done as a daycare procedure. Sometimes overnight stay may be required.
The small puncture wounds take several days to heal. The operative dressing can usually be removed the morning after surgery and adhesive strips can be applied to cover the small healing incisions. Although the puncture wounds are small and pain in the joint that underwent arthroscopy is minimal, it takes several weeks for the joint to maximally recover. A specific activity and rehabilitation program may be suggested to speed your recover and protect future joint function.
It is usual 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 in some cases return to athletic activities within a few weeks. Remember, though, that people who have arthroscopy can have many different diagnoses and preexisting conditions, so each patient’s arthroscopic surgery is unique to that person. Recovery time will reflect that individuality.
The consultants at “The Joint Clinic” are all internationally trained and have extensive experience in Arthroscopic surgery, Sports injuries management and Joint replacements. They have done Fellowships at some of the best centers of the world under some of the most renowned names in the filed of arthroscopy & sports injuries. Also, they are all up-to-date with the latest in the field and are ethical in their approach.
A joint is where two or more bones come together, like the knee, hip, and shoulder. Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic or ceramic device called a prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint. Joint replacement is considered as a treatment when severe joint pain or dysfunction is not alleviated by less-invasive therapies.
If nonsurgical treatments like medications, physical therapy, and changes to your everyday activities do not relieve your pain and disability, your doctor may recommend total joint replacement. Joint Replacement is one of the most common surgery being performed world over and is also one of the most successful one. It gives very good and permanent pain relief from the pain of the arthritis and really helps to improve the quality of life.
Your doctor will explain the potential risks and complications of total joint replacement, including those related to the surgery itself and those that can occur over time after your surgery. Most complications can be treated successfully. Some of the more common complications of joint replacement surgery include infection, blood clots, nerve injury, and prosthesis problems like loosening or dislocation.
The cost of the joint replacement is variable and depends upon several factors including the type of prosthesis being used, the quality/size of the hospital where surgery is performed and other medical problems that the patient may have at the time of the surgery.
Recovery and rehabilitation will be different for each person. In general, your doctor will encourage you to use your “new” joint shortly after your operation. Although it may be challenging at times, following your doctor’s instructions will speed your recovery.
Most patients will experience some temporary pain in the replaced joint because the surrounding muscles are weak from inactivity, the body is adjusting to the new joint, and the tissues are healing. This pain should resolve in a few months.
Exercise is an important part of the recovery process. Your doctor or physical therapist will provide you with specific exercises to help restore movement and strengthen the joint.
If you have any questions about limitations on your activities after total joint replacement, please consult your doctor.