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The Journal of Knee Arthroscopic Surgery

With technology spreading its wings over the field of medical sciences, many advancements have taken the flight of which the computer-assisted surgeries and the robotic surgeries are prominent in the orthopedic domain. Another such surgery that falls under the same cluster is the Arthroscopic surgery which has been gaining significance over the past decade.

Arthroscopic or a Keyhole surgery

Arthroscopy which is also called as arthroscopic or a keyhole surgery is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope, an endoscope that is inserted into the joint through a small incision.

The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). The term  arthroscopy literally means "to look within the joint." In other words, arthroscopy is a surgical procedure that orthopedic surgeons use to visualize, diagnose, and treat problems inside a joint.

Knee Arthroscopy

Knee arthroscopy is that surgical procedure which allows the doctors to view the knee joint making a small incision (cut) through the skin and other soft tissues. The procedure is used to diagnose and treat a wide range of knee problems.

How it works

In Knee arthroscopy, an orthopedic surgeon makes a small incision in the patient's skin and then inserts the pencil-sized instrument called arthroscope that contains a small lens and a lighting system to magnify and illuminate the structures inside the joint. Light is transmitted through fiber optics to the end of the arthroscope that is inserted into the joint.

The arthroscope is attached to a miniature television camera using which the surgeon is able to see the interior of the joint through this very small incision, which is needed for a surgery. The doctors view the joint through a small incision rather than a large incision.

The television camera attached to the arthroscope displays the image of the joint on a television screen or a video monitor, allowing the surgeon to look throughout the knee in great detail. The surgeon uses these images to see the cartilage, ligaments, meniscus, and under the kneecap, determine the amount or type of injury and then finally repair the injured knee, if required.

When is a Knee Arthroscopy recommended

Let us say, you have a painful condition in your knee that is weighing you down completely and is not responding to non-surgical treatment including rest, medications, physical therapy, injections, etc that reduce the inflammation. It is then the doctors recommend a knee arthroscopy.

Below are the common arthroscopic procedures for the knee:

Repair or removal of torn meniscus

Removal of inflamed synovial tissue

Removal of loose fragments of bone or     cartilage

Reconstruction of a torn anterior     cruciate ligament

Trimming of a damaged articular cartilage

Treatment of patella (kneecap) problems

Treatment of knee sepsis (infection)

Advantages of Knee Arthroscopy

Very small incisions needed for open     surgery

Less pain for patients

Less joint stiffness

Relieves painful symptoms of many     problems that damage the cartilage surfaces and other soft tissues     surrounding the joint

Shortens the time it takes to recover and     return to favorite activities

Navigation Joint Surgeon:

Navigation Joint Surgeon uses special instruments which are attached to the patients. Using the surgical navigation system (camera), the location and the movement of the patient’s knee/hip is tracked and navigated throughout the surgery. The system provides a feedback of the instrument location which is particularly useful in situations especially in minimally invasive surgeries where the surgeon cannot see the tip of the instrument.

About Dr. Kirthi Paladugu:

Dr. Kirthi Paladugu is a Orthopedist, Joint Replacement Surgeon and Sports Medicine Surgeon in Miyapur, Hyderabad and has a very good experience in these fields. Dr. Kirthi Paladugu practices at Srikara Hospitals in Miyapur, Hyderabad. He completed MBBS from Jagadguru Jayadeva Murugarajendra Medical College (JJMMC) in 2009,MS – Orthopaedics from Raichur Institute of Medical Sciences in 2013 and Fellowship in Joint Replacement from Germany in 2014.

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Contact us:

Dr. KIRTHI PALADUGU

Consultant Orthopedic Surgeon,

Srikara Hospitals,#222 & 223,

Mythri Nagar, Phase-II,