Knee arthroscopy: is it right for me?

Knee arthroscopy is a minimally invasive surgical procedure aimed at diagnosing and treating a variety of knee problems. If you've been experiencing persistent knee pain or limited mobility, you may be considering this option. Leading consultant orthopaedic surgeon Mr Tarique Parwez discusses what knee arthroscopy entails, who might benefit from it, what to expect during the procedure, and its potential risks and benefits.

Understanding knee arthroscopy

Knee arthroscopy is a surgical procedure where a small camera, known as an arthroscope, is inserted into the knee joint through small incisions. This allows the surgeon to examine the inside of the knee and address any issues without the need for large incisions.

Who may benefit from a knee arthroscopy?

Patients who experience persistent knee pain, swelling, stiffness, or instability despite non-surgical treatments such as rest, physical therapy, or medication may be candidates for knee arthroscopy. Common conditions that can be diagnosed and treated with arthroscopy include torn meniscus, damaged cartilage, ligament injuries (such as ACL tears), and loose fragments of bone or cartilage.

What happens during the procedure?

Knee arthroscopy is typically performed under general anaesthesia, although sometimes spinal or regional anaesthesia may be used. Once you are sedated, small incisions, usually no more than a few millimetres long, are made around the knee joint. The arthroscope and surgical instruments are then inserted through these incisions.

The surgeon carefully examines the inside of the knee joint using the images transmitted by the arthroscope. If any abnormalities are detected, they can be addressed during the same procedure. This may involve repairing or removing damaged tissue, trimming torn cartilage, or stabilising loose structures.

Recovery and rehabilitation

After knee arthroscopy, most patients can return home on the same day. You may experience some discomfort, swelling, or stiffness in the days following the procedure, but this can usually be managed with pain medication and rest.

Physical therapy is an essential part of the recovery process. Your healthcare provider will prescribe a rehabilitation programme tailored to your specific needs and goals. This may include exercises to improve strength, flexibility, and range of motion in the knee.

What are the potential risks and benefits of knee arthroscopy?

Like any surgical procedure, knee arthroscopy carries certain risks, including infection, blood clots, and damage to surrounding tissues. However, these complications are relatively rare.

The benefits of knee arthroscopy include reduced pain, improved function, and a faster recovery compared to traditional open surgery. Many patients can return to their normal activities within a few weeks of the procedure.

In conclusion, knee arthroscopy is a valuable tool for diagnosing and treating a variety of knee problems. If you're considering this option, it's important to discuss your concerns and expectations with your surgeon to determine if it's the right choice for you.

If you are considering knee arthroscopy and would like to book a consultation with Mr Parwez, do not hesitate to do so by visiting his Top Doctors profile today.