With the help of arthroscopy in Delhi or joint mirroring, especially larger joints can be examined and damage to the joint structures can be treated.
For this purpose, a special optical probe (arthroscope) is inserted into the joint via a small skin incision. Read all about arthroscopy, how it is done and what the risks are.
What is arthroscopy?
An arthroscopy is a form of examination of a joint. For this purpose, a so-called arthroscope is introduced via a small skin incision. This is a thin tube with a video camera at the end.
So that the doctor can view the joint structures without restrictions, a light source and a rinsing and suction device are additionally attached. In addition, special instruments can be used arthroscopically, so that damage and injuries can be treated right after their diagnosis.
Arthroscopy Of The Shoulder
The shoulder is a particularly complex and delicate joint that is frequently examined arthroscopically. Read more in the article Arthroscopy — Shoulder.
Arthroscopy Of The Knee Joint
Injuries to the knee joint are particularly common. Often, they can be diagnosed and treated with arthroscopy. Read more in the article Knee mirror.
Arthroscopy Of The Hip
Hip arthroscopy or joint radiography of the hip joint is a procedure in which both the joint space between the femoral head and acetabulum as well as the remaining joint space can be examined. For this purpose, special instruments are used to perform the operation with the necessary security. The patient receives a general anesthetic (general anesthesia) for the mirroring.
When do you do an arthroscopy?
Above all, arthroscopy is used to clarify joint complaints and to investigate joint injuries. The most common reasons are:
Injuries or changes caused by an accident (traumatic)
degenerative changes (joint wear) such as osteoarthritis
inflammatory changes
As part of arthroscopy, the doctor can often perform necessary surgeries with the help of additional instruments, which are usually introduced into the joint via additional skin incisions. This procedure is also referred to as Minimally Invasive Surgery (MIC) or Bowl Hole Surgery.
It has the advantage over the open surgical procedure that healthy joint structures are spared and the organism is less stressed, the pain after the operation is lower and in most cases, the healing time is shortened. The most common indications for arthroscopy include:
Cartilage and bone damage
Tears of ligaments, tendons, and muscles
Bursitis
free joint body
For These Diseases, The Examination Is Important
Read here for which diseases the examination can be useful:
arthrosis
chondropathy
Impingement syndrome
dislocation
What do you do with arthroscopy?
Before the actual arthroscopy, the patient’s history is requested (history taking) and the patient is informed about the benefits and risks of the examination. In addition, a blood test is performed to detect, for example, a reduced coagulability of the blood.
Arthroscopy is performed either under general anesthesia or in regional anesthesia, for which only the operating area or a limb is anesthetized. To prevent blood clots from forming during and after the examination, the patient is given an anticoagulant drug.
The skin of the operation area is depilated and carefully disinfected. Now, the surgeon opens the joint over a small incision through which a guide tube (trocar) is inserted. Sometimes it is necessary to fill up and extend the joint cavity with a sterile fluid or carbon monoxide so that the doctor in the joint space can better orient themselves and keep the joint structures well apart.
Finally, the doctor introduces the arthroscope via the trocar. He tracks the camera’s images in real-time on a screen so that he can examine the joint in motion. If he discovers joint damage that can be treated arthroscopically, he introduces additional instruments into the joint cavity via additional skin incisions. With the help of milling, for example, bone and cartilage can be smoothed, needle and thread allow the seam of torn tapes.
Finally, the arthroscope and all other instruments are removed and the incisions are carefully sutured. If there is a risk of rebleeding, drainage tubes may be temporarily inserted into the joint. Even a slightly compressing bandage prevents bruising and protects the wounds from infection.
What are the risks of arthroscopy?
Arthroscopy is a relatively low-complication examination. However, in rare cases, the instruments used and the arthroscope can cause joint injuries and joint structures such as cartilage and ligaments. As with any invasive procedure, structures such as blood vessels and nerves can be damaged. In addition, bruising (hematomas) and rebleeding may occur.
Also, an infection of the wounds or the joint cavity can occur. However, this complication is much less common in arthroscopy than in open surgical procedures. Despite anticoagulant drugs, there is a risk of blood clots in the veins ( thrombosis), after any surgery.
What should I pay attention to after arthroscopy?
Both after outpatient and after-surgery arthroscopy, the affected joint should be kept as quiet as possible for a certain period of time. Painkillers and anti-inflammatory drugs, cooling, and decongestant measures such as elevation are also used to guarantee a quick and optimal cure.
After this phase of immobilization, arthroscopy is followed by physiotherapy, which restores the function of the joint.
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