Knee Arthroscopy
Knee Arthroscopy is performing :
- Diagnostic Arthroscopy
- ACL & PCL reconstruction
- Meniscus repair, menisectomy and balancing surgery
- Synovectomy and biopsy for Rheumatoid synovitis, Tubercular synovitis, Synvial haemngioma, Pigmented villonodular synovitis, Synovial sarcoma.
- Removal loose bodies
- Osteochondritis dissecans(OCD)
- Plica syndrome
- Anterior fat pad syndrome/Hoffa fat pad disease
- Excessive lateral pressure syndrome
- Retinacular release and plication
- Chodromalacia Patella
Knee Arthroplasty
What are the indication of total knee replacement ?
- Osteoarthritis
- Rheumatoid arthritis
- Fracture
- Avascular necrosis
Knee Trauma
Knee injuries involve trauma to one or more tissues that make up the knee joint: ligaments, tendons, cartilage, bones and muscles. These types of injuries may happen due to a fall, forceful twisting of the knee or high impact from a motor vehicle accident or another force.
What are the symptoms of knee damage that may require knee replacement surgery ?
- Knee pain that hinders walking, climbing stairs or getting in and out of a chair
- Knee pain interferes with sleep or does not subside with rest
- Inability to cope with side effects of pain relief medication
- Knee swelling that does not respond to treatment and that limits bending or straightening the knee
- Significant bowing in or out of the knee
Knee Injury Facts
- The knee is one of the most common body parts to be injured.
- Types of common knee injuries include sprains, strains, bursitis, dislocations, fractures, meniscus tears, and overuse injuries.
- Knee injuries are generally caused by twisting or bending force applied to the knee, or a direct blow, such as from sports, falls, or accidents.
- Risk factors for knee injury include overuse, improper training, having osteoporosis, and playing high-impact sports that involve sudden changes in direction.
- The main signs and symptoms of knee injury are knee pain and swelling.
- Knee injuries are diagnosed by a history and physical examination. Sometimes an X-ray or MRI may be done.
- Treatment of knee injuries depends on the type and severity of the injury and can involve RICE therapy (rest, ice, compression, elevation), physical therapy, immobilization, or surgery.
- The prognosis for a knee injury depends on the type and severity of the injury and the need for physical therapy or surgery.9. Excessive lateral pressure syndrome
- Prevention of knee pain and injuries involves proper training, proper equipment, and maintaining a safe playing field or home environment to avoid falls.
Sports Injury
Sports injuries occur during exercise or while participating in a sport. Children are particularly at risk for these types of injuries, but adults can get them, too.
You’re at risk for sports injuries if you:
- Haven’t been regularly active
- Don’t warm up properly before exercise
- Play contact sports
Types of sports injuries
Different sports injuries produce different symptoms and complications. The most common types of sports injuries include:
- Sprains. Overstretching or tearing the ligaments results in a sprain. Ligaments are pieces of tissue that connect two bones to one another in a joint.
- Strains. Overstretching or tearing muscles or tendons results in a sprain. Tendons are thick, fibrous cords of tissue that connect bone to muscle. Strains are commonly mistaken for sprains. Here’s how tell them apart.
- Knee injuries. Any injury that interferes with how the knee joint moves could be a sports injury. It could range from an overstretch to a tear in the muscles or tissues in the knee
- Swollen muscles. Swelling is a natural reaction to an injury. Swollen muscles may also be painful and weak.
- Achilles tendon rupture. The Achilles tendon is a thin, powerful tendon at the back of your ankle. During sports, this tendon can break or rupture. When it does, you may experience sudden, severe pain and difficulty walking.
- Fractures. Bone fractures are also known as broken bones.
- Dislocations. Sports injuries may dislocate a bone in your body. When that happens, a bone is forced out of its socket. This can be painful and lead to swelling and weakness.
- Rotator cuff injury. Four pieces of muscle work together to form the rotator cuff. The rotator cuff keeps your shoulder moving in all directions. A tear in any of these muscles can weaken the rotator cuff.
Dr.Harun Or Rashid Assistant Professor
National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR)
Chamber: CARe Medical College & Hospital, Dhaka
For Serial
Frequently Asked Questions
Your surgeon will start by administering either a local or general anesthetic. During the procedure, a few tiny incisions are made in your knee, and then saline is pumped in to expand it, so that your surgeon can easily see inside your joint. The problem areas are corrected using tiny tools, the saline is drained from the knee, and finally, the incisions are closed.
Arthroscopic knee surgery boasts a number of benefits when compared with open surgery:
- Faster healing time
- Shorter hospital stay
- Less scarring and tissue damage
- Fewer stitches
- Lowered risk of infection
- Less post-surgery pain
Arthroscopic knee surgery recovery time will vary by patient. However, most patients are able to walk with a slight limp one to two weeks following their surgery. Full recovery typically takes place within four to six weeks.
During this procedure, your surgeon will use a thin fiber-optic camera (arthroscope) to look at images of your ankle on a screen. This can be used both to diagnose and treat ankle disorders. In the case of surgery, your doctor will use various handheld tools to make the necessary repairs, and sutures are used to close the small incisions. You will most likely wear a splint or a boot following surgery.
Dr. Harun may recommend ankle surgery if you fit the following criteria:
- Your ankle pain persists even after other treatments
- Your ankle pain gets worse or is recurring
- Your ankle hurts during and after exercise
- You have limited mobility
- Your ankle hurts in rainy weather
- It hurts to climb stairs
- You have had a previous ankle injury
Arthroscopic surgery can be used to both diagnose and treat a variety of knee injuries, including:
- Meniscus tears
- Torn ligaments
- Torn cartilage
- Baker’s cyst
- Knee fractures
- Swollen synovium
- Misaligned patella
For most patients, the recovery time is one to two weeks. If you have a physically demanding job, your recovery time may be longer, anywhere from 6 weeks to 3 months.
An arthroscopic surgery boasts numerous benefits over open surgery, including:
- Smaller incisions
- Less scarring
- Minimal soft tissue trauma
- Less postoperative pain
- Faster recovery
- Reduced risk of infection
