Arthroscopic Surgery

Arthroscopic Surgery

Arthroscopic Surgery is a minimally invasive surgical procedure performed by orthopaedic surgeons for diagnosing and treating joint problems. The procedure is performed by making a buttonhole sized incision in the skin. An arthroscope, a small narrow tube is inserted through the incision into the joint. A fibre optic camera and lighting source are attached to the arthroscope that magnify and illuminate the joint structure. The image from the camera is displayed on a monitor that enables the surgeon to see the interior of the joint in detail. This helps them decide the extent of damage to the joint and the required treatment.

Arthroscopic Surgery was initially used only as a diagnostic procedure followed by open surgery for treatment of joint problems. With the advent of new technology and devices, it is now used for management of a majority of joint problems except joint replacement and major fractures.

Arthroscopic Surgery has several advantages over traditional open surgery for joint related issues. Many of these surgeries are performed in an out-patient setting, which avoids the need for hospitalization. Some of the other advantages of arthroscopic surgery include:

  • Accurate diagnosis
  • Smaller incisions with less soft tissue damage
  • Shorter surgery time
  • Less post-operative pain
  • Quicker recovery
  • Less risk of infections/complications after surgery
  • Fewer scars

The Centre for Bone & Joint at Kokilaben Dhirubhai Ambani Hospital, Indore offers arthroscopic surgery services for problems involving all big joints like the hip, knee, ankle, shoulder, elbow and wrist. Most of these conditions are caused due to acute or chronic injuries and inflammation of the tissues surrounding the joints.

The following arthroscopic procedures are performed at the Centre for Bone & Joint:

Knee Arthroscopy

The knee is the biggest joint of the body and also the most complex. It is made up of three bones that are covered with cartilage and surrounded by synovium. The bones are connected to other bones by meniscus and ligaments. A knee arthroscopy is recommended for any painful condition of the knee that does not respond to nonsurgical treatment. Common knee arthroscopic procedures include:

  • Meniscus surgeries
    like partial removal of a meniscus and repair of torn meniscus.
  • Ligament reconstructive surgeries
    like reconstruction of a torn ligament including cruciate ligaments and postero-lateral complex.
  • Articular Cartilage Repair
    including osteochondral autograft transfer, autologous chondrocyte transplantation, laser chondroplasty and synthetic osteochondral implants.
  • Arthroscopic surgeries for patellofemoral instability, synovial pathology and corrective osteotomy.

Shoulder Arthroscopy

The shoulder is a complex joint that can perform maximum motion than any other joint in the body. It is a ball and socket joint that is made up of three bones that are covered by cartilages and held together by ligaments that form a shoulder capsule. Four thick tendons called the rotator cuff attach the humerus bone to the shoulder blade with a bursa in between. Overuse, injury and age-related wear and tear are the common causes of shoulder related problems.

Some of the common arthroscopic shoulder surgeries include:

  • Rotator cuff repair
  • Repair of ligaments
  • Removal of inflamed tissue or cartilage
  • Bankart repair for recurrent shoulder dislocations
  • Shoulder reconstruction for fractures
  • Shoulder replacement
  • Management of frozen shoulder

Some of the arthroscopic surgeries performed in athletes include arthroscopic SLAP repair, biceps tenodesis, acromioclavicular joint problems and impingement syndromes.

Advanced arthroscopic reconstructive surgeries done at the Centre for Bone & Joint include:

  • Hip Arthroscopy
    for labral tears and femoroacetabular impingement, loose body removal and synovectomy.
  • Ankle Arthroscopy
    for sports injuries, ligament tears, bony and soft tissue impingement, cartilage defects and osteochondritis dissecans, fusion for arthritis and arthrolysis for stiff ankles.
  • Elbow Arthroscopy
    for sports injuries and ligament tears, stiff elbow release, loose bodies and capitellar osteochondritis, synovectomy and tennis elbow release.
  • Wrist Arthroscopy
    for Triangular Fibrocartilage Complex (TFCC) tears.
  • Muscle and tendon endoscopic surgery
    for Achilles tendon problems, heel problems and plantar fasciitis release.
  • Bone endoscopic surgery.