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Wednesday, September 9, 2009

Basics of Knee Arthroscopy

By Dr. Richard Edelson

Arthroscopy: Latin: arthro - joint, scopy - view. To use arthroscopy is literally, to view the interior of a joint. Using this technique, an orthopedic surgeon can get a clear view of the interior of a damaged or diseased joint and determine what needs to be done and how to do it. This tool greatly simplifies and improves the options for treatment of damaged and diseased knees.

Using high resolution cameras and state of the art arthroscopes, this technique is extremely effective in diagnosing and treating knee disorders.

The Parts of the Knee

The knee is made up of three bones: The patella, the tibia, and the femur. The juncture of these bones is cushioned by articular cartilage, which allows them to move easily.

Synovial membrane coats the remaining surfaces of the knee. This thin, smooth tissue liner produces a unique lubricating fluid that prevents friction and allows the healthy knee to function smoothly.

The three bones that make up the largest joint in the body are the shin bone (tibia), thigh bone (femur) and knee cap (patella). The entire structure is held together by ligaments that run between the tibia and femur. The patella moves along a groove in the end of the femur. The strong muscle of the thigh provides support and stability.

Click here for more on knee surgery .

Problems With the Knees

When everything is functioning properly, the parts of the knee work together smoothly. However, the knee gets a lot of use, and everyday wear and tear can cause problems. Sports, work, injury, weakened tissues, arthritis, and aging all take a toll on the knee. Over the course of time, these things can cause a lot of pain and reduce the ability of the knee to do its job.

With arthroscopy, a number of conditions can be diagnosed and treated:

Chondromalacia: Softened articular cartilage and/or damaged joint surfaces.

When rheumatoid or gouty arthritis is present and the synovial membrane becomes inflamed, it is called crystalline arthropathy.

Patellar misalignment and/or instability.

Problems with the knee joint can be seen using arthroscopy.

Damaged meniscal cartilage.

Bone and cartilage can become fragmented and loose.

Damaged cruciate ligaments (both posterior and anterior).

Using arthroscopy, these problems can be located and assessed. This tool is extremely helpful to orthopedic surgeons. Using arthroscopy, diagnosis becomes more accurate and easier. This, in turn, makes treatment more effective and efficient. - 17273

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