What is the Best Way to Recover from Knee Arthroscopy and Microfracture?

Surgical Treatment is considered as the best way to recover soon from Knee arthroscopy.

Rebuilding the ligament
Most ACL tears cannot be sutured (stitched) back together. To surgically repair the ACL and restore knee stability, the ligament must be reconstructed. Your doctor will replace your torn ligament with a tissue graft. This graft acts as a scaffolding for a new ligament to grow on.

Grafts can be obtained from several sources. Often they are taken from the patellar tendon, which runs between the kneecap and the shinbone. Hamstring tendons at the back of the thigh are a common source of grafts. Sometimes a quadriceps tendon, which runs from the kneecap into the thigh, is used. Finally, cadaver graft (allograft) can be used.

There are advantages and disadvantages to all graft sources. You should discuss graft choices with your own orthopaedic surgeon to help determine which is best for you.

Because the regrowth takes time, it may be six months or more before an athlete can return to sports after surgery.

Procedure
Surgery to rebuild an anterior cruciate ligament is done with an arthroscope using small incisions. Arthroscopic surgery is less invasive. The benefits of less invasive techniques include less pain from surgery, less time spent in the hospital, and quicker recovery times.

Unless ACL reconstruction is treatment for a combined ligament injury, it is usually not done right away. This delay gives the inflammation a chance to resolve, and allows a return of motion before surgery. Performing an ACL reconstruction too early greatly increases the risk of arthrofibrosis, or scar forming in the joint, which would risk a loss of knee motion.

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Advances in Arthroscopy Surgery

Advances in arthroscopy result in minimally invasive surgery. It used to be that when an orthopaedic surgeon “scoped a joint” all he or she could do was look inside the joint. But the development of tiny video cameras and instruments allow surgeons to do more than simply take a look. Now they can perform actual surgical procedures through the arthroscope.

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Advances in Arthroscopy Benefits Patients

Maximizing the use of the arthroscope in surgical procedures results in minimizing the size of the incision needed to perform the procedure. This minimally invasive arthroscopic surgery provides several benefits to the patient. It allows the joint to remain closed and reduces the risk of infection and drying out of the articular cartilage. Because of this, the healing time for most arthroscopic procedures is greatly reduced. Rehabilitation is faster, and unnecessary damage to normal structures is avoided.

Advances in Arthroscopy Allow for Complex Knee Surgeries

advances in arthroscopy Just about every joint in the body has been scoped, but a majority of surgical procedures done with the arthroscope are done on the knee. The knee was the primary site of arthroscopic procedures in the early days of arthroscopy. It continues to be a common target of the scope.

Probably the most common use of the arthroscope initially was to remove loose bodies from the knee joint. A loose body is a fragment of bone or cartilage that moves around inside the joint. The fragment can get caught between the two bones of the joint and cause pain. Now, very complex surgical procedures are done inside the knee with the aid of the arthroscope.

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Some of the Conditions Knee Arthroscopy is Used to Treat and Diagnose

Arthrscopy of the knee is a common operation and there are more than 100,0000 Knee Arthroscopies performed every year in Australia. The procedure is generally a Day-Day hospital visit, performed often, though not always, under a general anaesthetic.

- Torn cartilage or meniscus: treated by trimming back the torn cartilage
- Loose, floating bodies: removal of loose cartilage or bone
- Knee-cap, (patello-femoral), disorders
- Washing infected knee joint
- General diagnostic purposes

Knee arthroscopy is most commonly recommended after you begin to consistently avoid regular lifestyle activities because of knee pain. Though, there are some medical conditions which can interfere with your doctor's decision to go ahead with arthroscopy.

Arthroscopy Knee

Patients with certain types of meniscal tears and cartilage damage are prime candidates for the minimally invasive surgical intervention called Arthroscopy Knee diseased by osteoarthritis, rheumatoid or psoriatic arthritis can also be treated using arthroscopy.

The following covers the different types of treatments for meniscal tears and cartilage damage with a partial focus on arthroscopy assisted procedures.

Meniscal Tears

The most common non-surgical treatments of meniscal tears are:

• Rest, Ice, Compression, Elevation, (RICE)
• Non-Steroidal anti-inflammatory medicines

The outer third of the meniscus has a healthy supply of blood so can heal successfully without the trimming of smaller tears using arthroscopy. Though the inner two thirds of meniscus plates have a much reduced blood supply meaning tears in the region are more likely to require arthroscopic intervention.

For surgical treatment of meniscal tears there is:

• Arthroscopy: a miniature camera is inserted through a small incision to provide a view of the inside of the knee. Miniature surgical instruments are then inserted in separate incisions to trim or repair the tear.

Cartilage damage

As cartilage does not heal easily of its own accord, surgical techniques have been developed to assist cartilage regrowth. Cartilage restoration can relieve pain and delay the onset of arthritis. Arthroscopy has many different applications in treating cartilage damage, such as:

• Microfracture: A small pointed tool called an awl is used to create small holes in the subchondral bone. This stimulates new blood supply and cell growth in the cartilage.

• Drilling: stimulates the production of healthy cartilage. Multiple holes are made in the subchondral bone using drills or wires to initiate a healing response. Though the tools used are less precise than microfracture. Arthroscopy.

• Abrasion Arthroplasty: instead of using drills or wires, high-speed burrs remove the damaged cartilage and reach the subchondral bone. Arthroscopy.

• Autologous Chondrocyte Implantation: using arthroscopy of the knee this procedure extracts healthy cartilage tissue, then grows the cells in a laboratory over 4-5 weeks. Using open knee surgery, the cells are the re-implanted in the site of the damaged cartilage. Arthroscopy and arthrotomy, (open surgery).

• Osteochondral Autograft Transplantation: healthy cartilage is lifted using a cylindrical plug from a non-weight-bearing area of the knee joint, then transferred to the defective area and pressed into place. A single plug or multiple plugs can be used. Arthroscopy and open surgery.

• Osteochondral Allograft Transplantation: when the defect is larger, instead of autografts, allografts use tissue grafts taken from cadaver donors. Allografts usually use open knee surgery.