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Knee arthroscopy is ‘key hole’ surgery that performed through very small incisions, for a multitude of knee pathology. Dr Agolley is a knee surgeon on the Gold Coast who performs Knee Arthroscopy.
The most common knee problems arthroscopy addresses include:
- Meniscal tears
- Loose bodies
- Treatment of damaged articular cartilage
- Cartilage restoration
- Assist with anterior cruciate ligament reconstruction
What are the symptoms?
Depending on the pathology, the history will be varied. Often there is a traumatic injury associated with knee symptoms. Their may be locking and catching in the knee associated with pain.
Dr Agolley will perform a thorough history and examination to help come to a diagnosis of your knee problem.
What investigations will be required?
Plain x-rays are essential to assess the presence of any bone injury. MRI may be required if there is suspicion of a soft tissue injury including tears of the meniscus and ligaments.
When should I have surgery?
After non-surgical treatments are exhausted, the decision to proceed with knee arthroscopy will be discussed. Surgery is recommended when there is ongoing pain, mechanical symptoms or instability, which prohibits you from having a good quality active life.
The procedure is often done as a ‘day only’ procedure, where you walk in and walk out on the same day.
The procedure and post-operative recovery
The specific type of procedures required during your knee arthroscopy will be discussed with you prior to the procedure. In general for most patients:
- Your anaesthetist will perform general anaesthetic
- 2 small keyhole incisions are made over your knee
- The knee joint is examined and the specific procedures required are undertaken
- The knee is irrigated and local anaesthetic is infiltrated around the knee
- The surgical site is thoroughly cleaned and closed
The post-operative recovery consists of:
- The majority of patients that have an arthroscopy are discharged on the same operative day
- Most patients are able to take full weight without crutches
- Full range of motion is permitted of the knee
- Return to sedentary work, school by 2-3 days
- Heavy labour and running sports by 4 weeks
You may require an altered rehabilitation protocol, where your weight bearing and range of motion regimen are different to the standard arthroscopy protocol.
There may be numbness around the keyhole scars. This usually resolves quickly, but may persist for a few weeks. Major nerve or blood vessel injury is extremely uncommon. Blood clots in the legs and lungs are also extremely uncommon and usually do not require prophylactic medical therapy. Infection is very uncommon.
For more information, see the American Academy or Orthopaedic Surgeon website.