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Arthroscopic Surgery

 

 

Arthroscopy is a surgical procedure orthopaedic surgeons use to visualize, diagnose, and treat problems inside a joint. Arthroscopic surgery usually results in less joint pain and stiffness than open surgery. Recovery also generally takes less time.

The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). The term literally means "to look within the joint.

Types of Arthroscopy Surgery

  • Hip
  • Shoulder
  • Wrist
  • Spine
  • Temporomandibular joint

Why is arthroscopy necessary?

Diagnosing joint injuries and disease begins with a thorough medical history, physical examination, and usually X-rays. Additional tests such as magnetic resonance imaging (MRI) or computed tomography (CT) also scan may be needed.

Through the arthroscope, a final diagnosis is made, which may be more accurate than through "open" surgery or from X-ray studies.

Disease and injuries can damage bones, cartilage, ligaments, muscles, and tendons. Some of the most frequent conditions found during arthroscopic examinations of joints are:

Inflammation

For example, synovitis is an inflammation of the lining in the knee, shoulder, elbow, wrist, or ankle.

Acute or Chronic Injury

  • Shoulder: Rotator cuff tendon tears, impingement syndrome, and recurrent dislocations
  • Knee: Meniscal (cartilage) tears, chondromalacia (wearing or injury of cartilage cushion), and anterior cruciate ligament tears with instability
  • Wrist: Carpal tunnel syndrome
  • Loose bodies of bone and/or cartilage: for example, knee, shoulder, elbow, ankle, or wrist

Some problems associated with arthritis also can be treated. Several procedures may combine arthroscopic and standard surgery.

  • Rotator cuff surgery
  • Repair or resection of torn cartilage (meniscus) from knee or shoulder
  • Reconstruction of anterior cruciate ligament in knee
  • Removal of inflamed lining (synovium) in knee, shoulder, elbow, wrist, ankle
  • Release of carpal tunnel
  • Repair of torn ligaments
  • Removal of loose bone or cartilage in knee, shoulder, elbow, ankle, wrist

Although the inside of nearly all joints can be viewed with an arthroscope, six joints are most frequently examined with this instrument. These include the knee, shoulder, elbow, ankle, hip, and wrist. As advances are made in fiberoptic technology and new techniques are developed by orthopaedic surgeons, other joints may be treated more frequently in the future.

Is arthroscopic surgery a major surgery?

Arthroscopic surgery has gone from being an advantage of less invasive surgery to the standard of care for many types of joint surgery. Most commonly performed on the knee and the shoulder, arthroscopic surgery can also be performed on just about any other joint in the body

agent

Dr. Abhishek Bansal

D.N.B, MS, M.B.B.S, MAMC

Dr. Abhishek Bansal is one of the best Orthopedic Surgeon in Delhi / NCR. He is a certified Orthopedic Surgeon with specialization in joint replacement, arthroscopy and sports injuries.

Accomplished medical professional adept at performing surgeries, completing evaluations and developing successful treatment plans. Driven to communicate well and establish strong rapport with all patients. He has been the Faculty for Advanced Trauma and Life Support (ATLS) program being conducted by American College of Surgeons (ACS) at AIIMS & Dr. RML Hospital, Delhi.

  • D.N.B. Orthopedic Surgery, National Board of Education, Delhi, 2009
  • MS. Orthopedic Surgery, VMMC 8. Safdarjung Hospital, Delhi, 2008
  • M.B.B.S, MAMC & Lok Nayak Hospital, Delhi, 2005
  • Joint Replacement
  • Arthroscopy 8. Sports Injuries
  • Trauma
  • Pediatric Orthopedics
  • Musculoskeletal imaging aided minimally invasive procedures
  • Spine surgeries
  • Knee

Sr. Orthopaedic Surgeon at

  • Institute of Brain & Spine, Lajpat Nagar, Delhi
  • Max Super-specialty Hospital, Vaishali, Ghaziabad, UP
  • Shanti Mukand Hospital, Vikas Marg, Delhi
  • Adiva Super-specialty Hospital, Green Park, Delhi
  • National Heart Institute, East of Kailash, Delhi
  • Sr. Orthopedic Surgeon, Fortis Jessa Ram Hospital, Karol Bagh, Delhi
  • Assistant Professor of Orthopedic Surgery, Sports Injury Centre, Safdarjung Hospital, Delhi
  • Senior Clinical Fellow of Orthopedics, Epsom & St. Helier's NHS University Hospital, UK - 2010
  • M.R.C.S, The Royal College of Physicians & Surgeons of Glasgow, UK - 2009

Patient Stories

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FAQ

Frequtly Asked Questions.

Anything from improper lifting to ageing may cause back pain. Some of the common causes include:

  • Stretched or strained muscles
  • Injuries that damage the muscles, bones or tissue in the back
  • Herniated (slipped) disks
  • Osteoporosis
  • Obesity or excess weight
  • Poor posture
  • Pregnancy

Back pain is common among adults, but if your pain is severe or becomes more frequent, you should talk to your doctor. If you’re having even mild back pain, you should consult a doctor if you experience:

  • Numbness or tingling
  • Severe pain that does not improve with rest
  • Pain after a fall or an injury
  • Pain plus any of these problems:
  • Trouble urinating
  • Weakness
  • Numbness in the legs
  • Fever
  • Weight loss when not on a diet

A number of factors can increase the risk of back pain including:

  • Age
  • Fitness
  • Diet
  • Heredity
  • Race
  • Other diseases
  • Occupational risk factors
  • Cigarette smoking

You will probably use a walker for 1 to 3 weeks and then use crutches. When you are ready, you can use a cane. You will probably be able to walk on your own in 4 to 8 weeks. You will need to do months of physical rehabilitation (rehab) after a knee replacement.

You may feel uncomfortable at first, but these exercises will help speed your recovery and actually diminish your postoperative pain.

  • Quadriceps Sets. Tighten your thigh muscle
  • Straight Leg Raises
  • Ankle Pumps
  • Knee Straightening Exercises
  • Bed-Supported Knee Bends
  • Sitting Supported Knee Bends
  • Mild soreness to severe pain
  • Fever, chills, and muscle ache, indicating the presence of infection
  • Mobility issues, including reduced range of motion and knee stiffness
  • Swelling resulting from the inflammation of the lining of the knee
  • Effusion, or excess fluid in the knee

The most common reason that people have hip replacement surgery is the wearing down of the hip joint that results from osteoarthritis. Other conditions, such as rheumatoid arthritis (a chronic inflammatory disease that causes joint pain, stiffness, and swelling), avascular necrosis (loss of bone caused by insufficient blood supply), injury, and bone tumors also may lead to the breakdown of the hip joint and the need for hip replacement surgery.

Total hip replacement surgery involves replacing the hip joint with an artificial joint made of metal, plastic or ceramic materials. The doctor makes a six- to ten-inch incision on the side or back of your hip. Materials used in making your artificial joints are strong and designed to last a long time inside your body. Additional information about hip replacement surgery.

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