Visual examination of a joint with an arthroscope, which is a fiberoptic instrument with a lighted tip. Arthroscopy is also used to perform some corrective surgeries.
MRI Scan
—a test that uses a strong magnetic field to make pictures of the inside of a joint
In the days leading up to your procedure:
Arrange for a ride to and from the procedure
The night before, do not eat or drink anything after midnight
You may be asked to use pre-surgical scrubs to the affected joint
During Procedure
IV fluids, anesthesia, possibly a sedative
Anesthesia
General, local, or spinal anesthetic, depending on the joint.
Description of the Procedure
The surgeon makes tiny skin incision(s) along the joint and inserts pencil-sized instruments that contain a small lens and lighting system to magnify and illuminate the structures inside the joint. By attaching the arthroscope to a miniature television camera, the surgeon is able to see the inside of the joint.
After the arthroscope is removed, the incisions will be covered with a dressing, and the skin may be closed with stitches or clips. These are usually removed 7 to 10 days after the procedure.
After Procedure
Laboratory examination of the removed fluid or tissue.
How Long Will It Take?
Usually less than one hour
Will It Hurt?
Most patients report no pain during the procedure.
The operative dressing can usually be removed the morning after surgery and replaced with small adhesive strips
Apply ice for the first 24 to 48 hours after surgery
Move and elevate legs while resting in bed
Keep the incision area dry; shower with a plastic bag securely taped above and below the area
You may be instructed to use crutches or a cane for the first few days
Take only non-aspirin containing medications for minor pain
Outcome
It takes 4 to 6 weeks for the affected joint to recover, but you can probably go back to work or resume daily activities within a few days. A specific activity and rehabilitation program may be suggested by your surgeon or physiatrist, in order to speed your recovery and protect future joint function.
Athletes and others in good physical condition prior to arthroscopy often return to athletic competition within a few weeks. NOTE: Repair of the anterior cruciate ligament (ACL) by arthroscope may require a recovery time of 4 to 6 months, and a more specialized rehabilitation program.
Call Your Doctor If Any of the Following Occurs
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision sites
Nausea or vomiting
Swelling, tingling, pain, or numbness in your toes that is not relieved by elevating your knee above heart level for one hour
Drainage
RESOURCES:
American Academy of Orthopedic Surgeons http://www.aaos.org
Arthritis Foundation http://www.arthritis.org
CANADIAN RESOURCES:
Canadian Orthopaedic Association http://www.coa-aco.org/
The Arthritis Society http://www.arthritis.ca
References:
American Academy of Orthopaedic Surgeons website. Available at:
http://www.aaos.org
. Accessed October 14, 2005.
Arthroscopy Association of North America website. Available at:
http://www.aana.org/
. Accessed October 14, 2005.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
