Knee arthroscopy — reviews, pros and cons, price
Arthroscopy of the knee joint: consequences and rehabilitation after the procedure
Knee joint arthroscopy — a minimally invasive surgical invasion of the joint.
Performed to diagnose or treat a number of orthopedic injuries, injuries of the knee joint and has qualitative advantages over open surgery.
What is the procedure
In cases where the patient does not help medication – use surgical.
Knee arthroscopy in medicine today and is the least traumatic operative treatment of joints.
In modern medicine, diagnosis of diseases of the knee joints in most cases are carried out using MRI (magnetic resonance imaging), but not always, this method gives an absolute guarantee of the correctness of the diagnosis.
In cases where an exact diagnosis is difficult by various reasons, to visualize the intra-articular deformities, the treatment of already existing problems – comes to the aid of arthroscopy.
In the video, the process of diagnosis of the knee joint using this technique.
The operation is performed with the help of specialized equipment arthroscope (type of endoscope – the instrument used to penetrate, internal inspection bodies) and high-precision optics combined with high-resolution video camera.
All procedures carried out at surgery, with the joint visible in the monitor with multiple magnification.
In contrast to surgery of the open type with AKS injuries tissue, cartilage and ligamentous tissue is so minimal that the recovery process is reduced significantly, increasing the chance of successful recovery of the patient.
Indications and contraindications to the procedure
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Prolonged or ongoing pain and swelling in the knee joint, difficulty with turns, movement or flexion-extension, the injury is under load — all of this suggests the need to visit a doctor of podiatrist.
Indications for knee arthroscopy are:
- tear, damaged ligaments or meniscus (one or two);
- the uncertainty of the clinical manifestations of illness or injury.
- destruction of cartilage, disease of Koenig;
- chronic synovitis;
- avascular necrosis of bone, COP, etc.
Surgical intervention in the functioning of the organism is always fraught with consequences and the doctor is obliged to provide or to reduce the risk of occurrences. To do this, you must be familiar not only with the indications for AKS, but also contraindications.
These may include:
- splicing of bone, cartilage or other tissue to complete immobility of the joint;
- chronic systemic diseases (severe stage of diabetes, cardiovascular system, etc.);
- wounds in the area of the COP, complicated infections or purulent-inflammatory lesions;
- severe injuries with large hemorrhages in the joint cavity.
What is the procedure
This surgery involves anesthesia.
It is selected depending on the tolerability of the patient or other types of drugs, the time of the transaction or preference which is operated (local, spinal, General anesthesia).
In the area of the knee joint, make three incisions (4 to 7 mm). One introduce the arthroscope that transmits a clear, enlarged image repeatedly (60 times) on the monitor.
The second and third input tools.
Through the second (inlet and otlichnuyu tube) is fed a special liquid (saline) to increase the cavity and visibility, as well as the liquid is removed, together with fragments of tissues. Through the third relevant instrument is the very surgical action (that which is shown in this type of illness or injury).
After the surgery the wound sutured closed with a bandage of gauze fabric. Usually the dressings are removed on the third day and the wound covered with a bandage.
Consequences of the procedure
Statistical data about operations performed on the knee joint show that the effects after arthroscopy, if it is conducted by the professional minimum (about-half).
But they can occur:
- fever, chills, or fever;
- periodic, constant or increasing pain in the joint, redness or increase in temperature around the COP;
- pain that radiates to the hip joint or the calf muscles;
- progressive swelling.
The reason for this state can be complications both during surgery and after it.
The procedure can be:
- hurt large blood vessels (artery or vein);
- during the operation can break off small pieces of the Toolkit and to remain in the cavity of the COP;
- manipulation of the tool conducted with the application of force can lead to the sprain (lateral internal).
After the surgery:
- the emergence of infectious diseases (arthritis, bursitis);
- filling the joint cavity with blood (hemarthrosis);
- inflammation of scars;
- the disruption of nerve endings in the area of surgical intervention leads to tissue damage and pain syndrome (algodystrophy);
- the problem of thromboembolic nature.
With timely treatment to the doctor all the cases treated. In extreme cases there is a need for a new surgery – lavage of the joint and medical treatment.
Rehabilitation and recovery
After conducting arthroscopy commence rehabilitation procedure, which can last from 2 days to two weeks.
Dressings, analgesic and anti-inflammatory drug therapy, if necessary – medical or cool compresses, massage, electrophysiology.
Also appointed as special appointed complex therapy.
In the first week not to forget:
- alternation of load and rest needs to be carried out strictly as directed by your physician;
- several times a day – a cold compress;
- wearing retainer brace or bandage of elastic bandage;
- in the horizontal position, the COP needs to be above the level of the chest.
Reviews of doctors and patients
Check out reviews of doctors and patients to know what really is a knee arthroscopy.
A knee injury sustained while skiing. Was tormented by severe pain, referred to the podiatrist. After diagnosis (torn meniscus and anterior cruciate ligament) is sent to the surgery.
I bow to the doctors (done on the basis of the 59 GSC) and all staff, competent and very helpful people. 6 days after surgery she went, rehab went well and no problems or complications! I will continue to follow the tips of a physician for the injury were only memories))).
Helen K., 32, 14.03.14
Before deciding on the surgery – read the reviews about the clinic! Was injured, ruptured cruciate ligament, originally went to the doctors, who only worsened my provisions prolonged treatment.
After arthroscopy – foot like new))). You need to make an effort to be disciplined in the rehabilitation period, to listen to the doctor and everything will be fine!
Nicholas M., age 26, 17.05.14
Have had knee surgery before this pain had plagued me for about 3 years. A big thank you to the surgeons and rehabilitation specialists. Only a week has passed after surgery and the pain no longer plagued by, the recovery is in full swing.
Anesthesia were selected and conducted well, almost no negative effects not felt. One word – satisfied! Health to you and a nod from me.
Hope L., 42, 03.06.14
AKS is a full-fledged operation, but without requiring complete opening of the joint, which means significantly less recovery period and risks of complications are minimal. But still I want to warn – first to establish the correct diagnosis, and then surgery. And do not neglect the x-rays, it is often better reproduces the problem.
Kostin A. P., 41, is a podiatrist
Disease of the knee joint is one of the most common health problems. It is impossible to self-medicate. The current level of science and technology is that arthroscopy is not very difficult and traumatic operation. However, as a professional can advise – consult 2-3 doctors will help in establishing a correct diagnosis.
Gordin S. M, 46, traumatologist-orthopedist, candidate of
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What is the procedure and where you can make
The cost of surgery on the knee joint depends on the complexity of the operation and the clinic in which it is produced.
To date, this surgery can cost between 15,000 to 105000 rubles. Prices for arthroscopy of the knee for diagnosis– from 5-6 thousand to 11 thousand.
This operation requires high-precision medical equipment, so it is mainly in the major cities of our country, but throughout Russia.
Treatment is offered in such clinics:
- FGU «cyto them. N. N. Priorova»;
- clinic for vascular and joint surgery;
- Moscow scientific and sports medicine;
- clinic at the city clinical hospital № 59;
- Russian NIITO them. R. R. Vreden (St. Petersburg);
- TSNMT (Novosibirsk);
- MC Mirt;
- Sportklinik (Saint-Petersburg);
- GKB № 6 (Tomsk), etc.