Arthroscopy (Fiberoptic Joint Examination)

Arrange for a ride to and from the procedureThe night before, do not eat or drink anything after midnightYou may be asked to use pre-surgical scrubs to the affected joint During ProcedureIV fluids, anesthesia, possibly a sedative AnesthesiaGeneral, local, or spinal anesthetic, depending on the joint. Description of the ProcedureThe 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. In some cases, surgical repair can also be done via arthroscopy. For example, many meniscal (cartilage) tears of the knee can be treated with arthroscopic surgery, as can carpal tunnel syndrome in a procedure called carpal tunnel release . 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 ProcedureLaboratory 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. Possible ComplicationsInfection Blood clots in a vein ( phlebitis ) Excessive swelling or bleedingDamage to blood vessels or nerves Average Hospital StayNone Postoperative CareThe operative dressing can usually be removed the morning after surgery and replaced with small adhesive stripsApply ice for the first 24 to 48 hours after surgeryMove and elevate legs while resting in bedKeep the incision area dry; shower with a plastic bag securely taped above and below the areaYou may be instructed to use crutches or a cane for the first few daysTake only non-aspirin containing medications for minor pain OutcomeIt 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 OccursSigns of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or discharge from the incision sitesNausea or vomitingSwelling, tingling, pain, or numbness in your toes that is not relieved by elevating your knee above heart level for one hourDrainage RESOURCES: American Academy of Orthopedic Surgeonshttp://www.aaos.org Arthritis Foundationhttp://www.arthritis.org CANADIAN RESOURCES: Canadian Orthopaedic Associationhttp://www.coa-aco.org/ The Arthritis Societyhttp://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. Last reviewed December 2007 by John C. Keel, MDPlease 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.