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Saturday, July 4, 2009

Knee Surgery: The Arthroscopic Option

By Dr. Richard Edelson

Most healthy patients can have arthroscopic knee surgery on an outpatient basis. Your surgery center or hospital can go over the details with you. You should get to the hospital an hour or two before your scheduled surgery. Be sure not to drink or eat after midnight prior to your knee surgery.

When you arrive at the hospital, a member of the anesthesiology team will meet with you and perform an evaluation to determine what type of anesthesia will work best for you. There are three types that are typically used with arthroscopic knee surgery. Sometimes local anesthesia is used. This just numbs the knee. On other occasions, regional anesthesia is used. This will numb you from the waist down. There are also times when general anesthesia is used. This will render you unconscious for the duration of the surgery.

If you want to, you can watch your surgery on a monitor if you have regional or local anesthesia.

The first thing your orthopedic surgeon will do is make some small incisions in your knee. Following this, your knee joint will be filled with a sterile solution that will wash away any cloudy fluid that may be present. This is done so that the surgeon will be able to see the interior structure of your knee clearly.

At this point, the surgeon will use an arthroscope to look into your knee and diagnose your problem. The surgeon (and you if you wish) will be able to see an image of the interior of your knee projected on a monitor. This image will enable the surgeon to guide the arthroscope to view the interior of your knee. For surgical treatment, your surgeon will have an assortment of small surgical instruments that can be inserted into your knee through the incisions. Your surgeon may use small clamps, scissors, lasers, and motorized shavers among other sophisticated instruments.

Click here for more on Oregon Knee Arthroscopy Basics.

This part of the procedure will last forty-five minutes to an hour-and-a-half.

With knee arthroscopy, you can expect some of these treatments to occur:

Synovial tissue that has become inflamed will be removed.

Torn cruciate ligament reconstruction.

If you have loose cartilage and bone fragments, they will be removed.

Torn sections of articular cartilage may be trimmed.

Torn meniscal cartilage may be repaired or removed.

After your surgery, your surgeon will use one of two methods to close your incisions. He or she may stitch the incisions or simply tape them up with paper tape. Following this, your incisions will be covered with a bandage.

You will probably be released from the recovery room within an hour or two. Be sure to have a friend or family member waiting to drive you home. - 17268

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