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Dr. Swapnil Sharma
Arthr oscopy

It is the microsurgery of joints where a fine telescope (thinner than a pencil) is put inside the joint; the inside of the joint is seen and operation done through it.

This can be done on almost all joints, especially the knee or shoulder.

What can be done?

Most operations can be done. For example, in the knee, a piece of torn cartilage (following sports injury) can be removed, an arthritic joint can be cleansed and washed, a loose piece of bone inside joint (loose body) can be removed or recurrent instability of the patella (knee-cap) can be fixed.
In shoulder too, most operations can be done by arthroscopy today. For example, recurrent dislocations of the shoulder can be fixed, a tear of the rotator cuff tendon can be repaired or the stiff frozen shoulder can be released by arthroscopy.

Why is it better?

There is no cut, only punctures. So:

  • minimum pain and quicker healing.
  • no ugly scar, no trouble of wound healing.
  • early return to function, can walk on the same day.
  • minimal hospital stay (only one day), so cheaper.
What actually happens?
  1. Arthroscopy is done under general or regional anesthesia.
  2. Firstly, puncture holes are made into the joint. Then, the fine telescope & instruments are introduced. And finally, the problem inside the joint is seen and managed appropriately.
  3. Movements and exercises are started quickly and can go home soon.
When can I return to work?

It depends on:

  • your job.
  • the damage inside the joint.
  • the procedure is done.

Usually, if you are in sedentary occupation (e.g. a teacher or clerk in an office) you can be back to work by 3-4 weeks (provided you have a safe and comfortable transport,).

Preparation before the operation

Report to the hospital the night before or the same morning. Please bring ALL your MRIs, X-rays and other reports.

If you are taking any medications regularly – you must bring them with you

Bring a walking stick; you may need this for the first few days.

After Operation

Exercise

A qualified physiotherapist will take you through a detailed exercise schedule. Just follow it.

Walking

You can stand up on the same afternoon after operation and start walking. You may need the help of a walking-stick for the first few days.

Ice-compress

Use an ice-bag or a commercially available ice-pack (Commercial ice packs are reusable – only needs to be kept in freeze for few hours before use). Cover it with a dry towel and place it on the knee for 15–30 minutes. Do it at least four times daily. This minimizes the pain and the swelling.

Dressing

Dressing will be changed in the hospital the day after the operation. No further dressing is usually necessary. Keep it dry until stitches are removed.

Stitch Removal

Stitches (if any) are removed 12-14 days after operation.But more often, there are no stitches on the skin to remove.

Shower

Allowed only after 2 weeks , when stitches are removed.

Toilet

You can walk to the toilet the day after the operation and sit on a commode. You should not squat or sit on floor.

Activities

It depends on the degree of injury, the muscle-strength, and how well the exercises have been done.

Generally, if there is good muscle strength then -

  • After 2-3 weeks one can join light office duties.
  • After 3-4 weeks one can join swimming, ride a bicycle or take a walk.
  • After a month or so light jogging, skipping, gym etc. are allowed.
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