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What is arthroscopy necessary for?
Joint arthroscopy is an effective diagnostic and treatment method. With its help, a patient is given the most accurate diagnosis, which is final. Its difference from the usual MRI is that doctor during arthroscopy not only sees the presence of pathology but can immediately eliminate it. For example, when a ligament is broken, he will be able to quickly stitch it. One of the most popular procedures is knee arthroscopy since this particular part of the body is most susceptible to various kinds of injuries.
There are quite a lot of arthroscopic operations. Here are just a few of the most common ones:
– Reconstruction of posterior and anterior cruciate knee ligaments;
– Removal of fragments of bone and cartilage that lie freely in the joint cavity.
– Elimination of shoulder dislocations;
– Removal of inflamed synovia (joint membrane);
– Stitching of ruptures of the rotator cuff of the shoulder;
– Arthroscopy of the knee joint;
– Diagnosis and treatment of pathologies of the hip and elbow joints.
Regardless of whether it will be arthroscopic surgery on the knee joint or any other joint, traditionally it consists of two integral steps: diagnostic and arthroscopic. It is performed under anesthesia – general or local. Through small punctures, 5-7 mm in size, an arthroscope is inserted into the joint – a device with which the examination and the operation itself are carried out. Its thickness is 5 mm. As a rule, such access is made from the front, but other accesses are also possible – from behind, for example. This is done to insert a thin tactile stick or other instruments. Through an arthroscope, the joint is filled with physiological saline or carbon dioxide. This is all done under certain pressure. Doctor can recognize all necessary and important joint structures exclusively after performing such a procedure. This is especially true about the cartilaginous surface of bone formations, menisci, cruciate ligaments. Also, the doctor can take pieces of tissue from internal structures of the joint to conduct an analysis.
It begins with the fact that a puncture is made in the skin and an arthroscope is inserted through it into the joint. It, in turn, is connected to a special light source, as well as to a video camera. Doctor advances arthroscope in the necessary direction and receives an image on a monitor screen. This way, the doctor can examine in detail and detect almost all pathological changes in intraarticular structures: synovial membrane, ligaments, cartilages, menisci, etc. Then, if necessary, special miniature medical instruments are inserted through the arthroscope. With the help of them, any operations can be carried out: removal of the inflamed synovial membrane, plastic surgery of anterior cruciate ligament, removal of the affected parts of menisci, chondromatosis and etc.
The advantages of arthroscopy over other methods:
– reliability of this method and ease of use;
– high accuracy in diagnosis;
– low morbidity (rehabilitation period after surgery – only a few days);
– relatively low price and availability.
Arthroscopy effect in general
It is worth noting that even the very conduct of such an examination as arthroscopy, without surgery, already has a therapeutic effect. Indeed, during it, it is possible to extract pathological synovial fluid from the joint, which contains articular debris (fragments of cartilage tissue, parts of fibrin, and also mucin, of different sizes). Often after arthroscopy, a fairly steady process of positive changes in the joint begins, the duration of which can vary from several months to several years. So, improvement of the condition of the diseased joint is manifested by the fact that pain is weakened, range of motion increases, functional activity of muscles, as well as limb support resumes.
If you are interested in arthroscopy of the knee, its cost, like any other arthroscopy, is quite loyal, given the significance and effect of this procedure. Therefore, if this examination is prescribed to you, do not hesitate to go to our clinic.
В ходе операции поврежденный мениск, либо его часть отсекается и удаляется из коленного сустава. Техника выполнения резекции мениска позволяет наступать на оперированную ногу через несколько часов. Однако нагружать сустав не рекомендуется до истечения десяти суток после резекции. Функции колена полностью восстановятся, что позволит выполнять физические действия, заниматься спортом.