Arthroscopic Surgery

ADVANTAGES of arthroscopy

  • Reduced post–op morbidity
  • Small incision
  • Less intense inflammatory response
  • Improved thoroughness of diagnosis
  • Absence of secondary effects- neuroma, painful scar, imbalance of quads
  • Reduced complication rate
  • Improved follow up evaluation- relook or second look procedures
  • Possibility of performing ssurgical procedure that are difficult or impossible through open surgery- partial menisectomy, posterior horn, minimum repair,loose body

DISADVANTAGES-

  • Expertise required

Portals- Knee arthroscopy

Standard Portals-anterolateral, anteromedial, posteromedial, and superolateral

INSTRUMENTS AND EQUIPMENT

Arthroscope, Fiberoptic Light Sources, Television Cameras and Accessory Instruments- probe; scissors; basket forceps; grasping forceps; arthroscopic knives; motorized meniscus cutter and shaver; electrosurgical, laser, and radiofrequency instruments; and miscellaneous equipment

Joints and their pathologies amenable to arthroscopy –

SHOULDER –

ELBOW –

WRIST –

  • Diagnosis
  • Wrist arthritis
  • Stiffness
  • TFCC repair

KNEE –

ANKLE