Arthroscopy of the knee joint: consequences and rehabilitation after the procedure

Arthroscopy of the knee joint - is a minimally invasive surgical intrusion of the into the joint.

It is carried out for diagnosing or treating a number of orthopedic injuries, knee joint injuries and has qualitative advantages over open surgery.

What is the procedure of

In those cases when the patientdoes not help drug treatment - use surgical.

Arthroscopy of the knee joint in today's medicine and is the least traumatic surgical treatment of joints.

In modern medicine, diagnosis of diseases of the knee joints in most cases is carried out with the help of MRI( magnetic resonance imaging), however, this method does not always give 100% guarantee of the correctness of the diagnosis.

The video process of diagnosing the knee joint using this technique.

The operation is carried out with the help of specialized equipment of an arthroscope( a kind of endoscope - a device designed for penetration, internal inspection of organs) and high-precision optics connected to a high-resolution video camera.

All manipulations performed during surgery with joints are visible on the monitor with multiple magnifications.

In contrast to open surgery with AKD , the traumatism of tissue, cartilaginous and ligamentous tissues is so minimal that the reduction process is reduced many times, increasing the chance for successful recovery of the patient.

Indications and contraindications to procedure

Prolonged or non-stopping pains and swelling in the knee joint, difficulty in turning, moving or flexing-extension, injury during exercise - all this indicates the need to visit the orthopedic doctor.

Indications for arthroscopy of the knee joint are:

• rupture, ligament injury or meniscus( one or two);
• unclear clinical manifestations of the disease or trauma;
• lesions of cartilage tissue, Koening's disease;
• chronic synovitis;
• avascular necrosis of bone tissue COP, etc.

These can become:

• fusion of bone, cartilage or other joint tissues to complete immobility of the joint;
• systemic chronic diseases( severe stages of diabetes mellitus, cardiovascular system, etc.);
• wounds in the CS area, complicated by infections or purulent-inflammatory foci;
• severe injuries with large hemorrhages in the joint cavity.

How is the operation

This surgical operation involves anesthesia.

It is selected depending on the patient's tolerability of one or another type of medication, the time of the operation or simply the preference of the operated( local, spinal, general anesthesia).

Three incisions are made in the region of the knee joint( from 4 to 7 mm). An arthroscope is introduced into one , which transmits a clear, magnified picture( up to 60 times) to the monitor.

The second and third for inputting the toolkit.

A special liquid( saline solution) is supplied through the second( inflow and outflow tube) to increase the cavity and improve visibility, as well as the liquid is removed, together with fragments of the tissue material. Through the third appropriate instrument, the surgical operation itself is performed( the one that is shown in this type of disease or injury).

After surgery, sutures are applied to the wound, which are closed with a bandage made of gauze. Usually the bandages are removed on the third day and the wounds are covered with a band-aid.

Consequences of procedure

Statistical data on performed operations on the knee joint show that the consequences after arthroscopy, if performed by a professional, are minimal( up to half a percent).

But still they can occur:

• fever, chills or fever;
• periodic, constant or increasing pain in the joint, redness of the skin or increase in its temperature around the CS;
• pain giving to the hip joint or calf muscles;
• progressive edema.

The cause of this condition can be complications that occur both during the operation and after it.

During the procedure may be:

• large blood vessels( artery or vein) are affected;
• during the operation may break off the small parts of the instrument and stay in the cavity of the COP;
• manipulation of the instrument, conducted with the application of force, can lead to sprains( lateral inner).

After operation:

• occurrence of infectious diseases( arthritis, bursitis);
• filling the joint cavity with blood( hemarthrosis);
• inflammation of postoperative scars;
• dysfunction of nerve endings in the area of ​​surgery leads to tissue damage and pain syndrome( algodostrophic);
• is a thromboembolic problem.

With the timely access to the doctor , all cases are curable .In extreme cases, there is a need for a new surgical intervention - joint flushing and medical treatment.

Rehabilitation and rehabilitation

After the arthroscopy, rehabilitation procedures begin, which can last from 2 days to 2 weeks.

Dressings, analgesic and anti-inflammatory drug therapy, if necessary - therapeutic or cooling compresses, massage, electrophysiologic procedures.

Also assigned a special assigned complex exercise therapy.

Do not forget the first week:

• , alternations of load and rest must be performed strictly as directed by the doctor;
• several times a day - cold compress;
• wearing a fixing bandage or bandage from an elastic bandage;
• in the horizontal position of the CS should be above the level of the chest.

Reviews of Doctors and Patients

Let's study the responses of doctors and patients to know what knee arthroscopy really is.

How much does the procedure cost and where can I do

The cost of an operation on the knee joint depends on the complexity of the operation and the clinic in which it is produced.

To date, such an operation can cost from 15,000 to 105,000 rubles .Prices for arthroscopy of the knee joint for diagnostic purposes, from 5-6 thousand rubles to 11 thousand.

This operation requires high-precision medical equipment, therefore it is carried out, mainly in large cities of our country, but throughout the territory of the Russian Federation.

Treatment can be obtained from such clinics:

• FSI "CITO im. N.N.Priory ";
• Clinic of Vascular and Joint Surgery;
• Moscow SPC of sports medicine;
• clinic on the basis of GKB No. 59;
• Russian NIITO to them. R.R.Harmful( St. Petersburg);
• ЦНМТ( Novosibirsk);
• MC Myrt;
• SportsClub( St. Petersburg);
• City Clinical Hospital No. 6( Penza City), etc.