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Thursday, July 9, 2009

Knee Surgery and Arthroscopy

By Dr. Richard Edelson

Typically a healthy patient can go home the same day after having arthroscopic knee surgery. Be sure to talk over the details with your hospital or surgical center. When you are preparing for this surgery, you should adhere to normal precautions. For example, you should not eat or drink after midnight on the night preceding your surgery. Be sure to arrive at the hospital an hour or two before your surgery is scheduled so you will have plenty of time for preparation.

When you get to the hospital a member of the anesthesia team will evaluate you to determine which kind of anesthesia will work best for you. There are three anesthesia options with knee arthroscopy. You may have general, regional or local anesthesia. If you have general anesthesia, you will go to sleep. If you have regional anesthesia, you will be anesthetized below the waist. Local anesthesia will just number your knee.

If one of the latter two options is chosen, you will remain conscious during your surgery. In this case, you can choose to watch your surgery on a monitor if you like.

The first thing the orthopedic surgeon will do is make some small incisions into your knee. Then your knee joint will be filled with a sterile solution. This will wash away any cloudy fluid so that the surgeon will be able to see everything clearly.

An arthroscope will be used to diagnose your knee problem. An image of the interior of your knee will be projected on a monitor. The surgeon will use this image to guide the arthroscope. If you need surgical treatment, your surgeon will have a number of small surgical instruments at his disposal. Tiny lasers, motorized shavers, clamps, scissors, and more can be inserted and used via a small incision.

Click here for more on Portland Orthopedics Surgery.

This portion of the procedure usually lasts 45 - 90 minutes.

With knee arthroscopy, you can expect some of these treatments to occur:

Inflamed synovial tissue removal.

A torn cruciate ligament may be reconstructed.

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

Torn articular cartilage trimming.

Torn meniscal cartilage repair or removal.

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. - 17273

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