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Friday, July 3, 2009

Knee Surgery and Arthroscopy

By Dr. Richard Edelson

The day of arthroscopic knee surgery, a healthy patient can typically plan to go home. Your hospital or surgical center can give you complete details on this. Preparations for this surgery are the same as for any surgery. Be sure you do not eat or drink after midnight on the night preceding the surgery. Arrive early at the hospital. An hour or two before your surgery is scheduled would be best. This will give you plenty of time to prepare.

Upon arrival at the hospital, you will meet with an anesthesiologist who will evaluate you to determine what kind of anesthesia will be best for your procedure. With knee arthroscopy, there are three options. The anesthesiologist may decide that local anesthesia, that puts you to sleep, will be best for you. Alternately, he or she may decide that you will do fine with regional anesthesia, that numbs you from the waist down, or local anesthesia, that just numbs your knee.

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.

When you have knee arthroscopy, some of these treatments may be performed:

Inflamed synovial tissue may be removed.

A torn cruciate ligament may be reconstructed.

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

Torn sections of articular cartilage may be trimmed.

Meniscal cartilage that has torn will be removed or, if possible, repaired.

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.

At this point, you will be taken to the recovery room. In an hour or two you will be ready to go home. Of course, you must have someone waiting to drive you.

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