What you need to know about:

Arthroscopy

Fast Fact

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Average Cost:

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Recovery Period:

6 weeks or more

Permanence:

Depends on patient condition

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Doctors

Time it takes:

30 minutes to 2 hours

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Anesthetize:

General Anesthesia

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Overview of

Arthroscopy

in Thailand

A procedure to look inside a joint by using an arthroscope. An arthroscope is like a thin telescope with a light source used to magnify the structures inside a joint allowing evaluation and treatment of problems. In arthroscopic surgery, a doctor can use fine instruments which are passed into the joint through a small incision in the skin. These instruments are used to cut, trim, biopsy, grab etc, inside the joint.

Goals of

Arthroscopy

Arthroscopy may be done to investigate symptoms such as pain, swelling, or instability of a joint. An arthroscopy may show damage to cartilage or ligaments within a joint, fragments of bone or cartilage which have broken off, or signs of arthritis. Arthroscopic surgery can often treat and repair joints without the need for more traditional ‘open’ surgery of a joint which involves a large cut. Generally there is less pain following the procedure, less risk of complications, a shorter hospital stay and a quicker recovery.

Price of

Arthroscopy

Average Cost

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Price Range

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Pros and cons of

Arthroscopy

Pros

- Minimally invasive, visual, surgical procedure to assess shoulder pathology

- Can visualize and assess most shoulder pathology

- May afford the patient and physician a chance to diagnose and treat the pathology with one procedure

Cons

- May miss capsular-sided, partial-thickness tears

How it works:

Arthroscopy

Arthroscopy and arthroscopic surgery generally lasts about one hour and may be done under local or general anesthesia depending on the joint being examined and various other considerations. During the procedure the surgeon will pass an arthroscope through a small cut in the skin and into a joint.

Preparation before

Arthroscopy

Pre - treatment

Exact preparations depend on which of your joints the surgeon is examining or repairing. In general, you should: Avoid certain medications. Your doctor may want you to avoid taking medications or dietary supplements that can increase your risk of bleeding. Fast beforehand. Depending on the type of anesthesia you'll have, your doctor may want you to avoid eating solid foods eight hours before your procedure. Arrange for a ride. You won't be allowed to drive yourself home after the procedure, so make sure someone will be available to pick you up. If you live alone, ask someone to check on you that evening or, ideally, stay with you the rest of the day. Choose loose clothing. Wear loose, comfortable clothing — baggy gym shorts, for example, if you're having knee arthroscopy — so you can dress easily after the procedure.

Recovery after

Arthroscopy

Post - treatment

Arthroscopic surgery usually doesn't take long. For example, arthroscopy of the knee takes about an hour. After that, you'll be taken to a separate room to recover for a few hours before going home. Your aftercare may include: -Medications. Your doctor may prescribe medication to relieve pain and inflammation. -R.I.C.E. At home, may find it helpful to rest, ice, compress and elevate the joint for several days to reduce swelling and pain. -Protection. You might need to use temporary splints — slings or crutches for comfort and protection. -Exercises. Your doctor might prescribe physical therapy and rehabilitation to help strengthen your muscles and improve the function of your joint.

Risks & side effects

Although rare, complications do occur during or following arthroscopy. They include: Accidental damage to structures inside or near the joint- Excessive bleeding inside the joint, which can cause swelling and pain Infection within the joint Risks and complications associated with anesthesia, including respiratory and cardiac malfunction Patients undergoing arthroscopy can have varying diagnoses and pre-existing conditions. Surgeries vary widely and are patient specific. Risks can be reduced by following the surgeon's instructions before and after surgery.

FAQs:

Arthroscopy

Who is suitable for arthroscopy?

The best candidates for Arthroscopy are healthy adults with no previous surgeries or scarring in the area being treated. The surgeon will make the final determination of each patient’s eligibility for the procedure after an examination and consultation with the patient.

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When is arthroscopy indicated?

Arthroscopy is prescribed whenever there is a requirement to confirm any kind of medical doubts generated during previous diagnostic tests like MRI scans, CT scans, X-ray scans and physical examinations, which have indicated towards a certain problem in a particular joint area. Usually, undertaken as the final diagnostic step, arthroscopy is known to be more accurate than open surgery or X-rays as the process allows surgeons to visualize internal details of the joint on a magnified screen. Bones, cartilages, muscles, tendons and ligaments experience injury and damage during various diseases and also during accidents.

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Will my pain go away after the procedure?

The process of arthroscopy does not cause any new pain at the site of puncture or treatment. Instead, in most cases it reduces the pain that has been caused by defect in the joint area. The corrective surgeries help reduce the pain that the patient chronically suffers from. Once the joint completely heals, the pain is expected to subside entirely.

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