Arthroscopic Debridement Of Septic Arthritis In India At Affordable Low Cost

Overview

Arthroscopic debridement of Septic arthritis Causes

Aspiration of knee under non aseptic conditions, infected total knee replacements

 ACL reconstruction Treatment

When septic arthritis is detected earlier in a patient and debridement is indicated then it can be done arthroscopically. The scope is inserted through the antero- lateral or anteromedial portals and a shaver is introduced into the suprapatellar pouch to break down soft adhesions. Multiple drains are left in situ and the patient is started on CPM(continuous passive mobilization).

In Chennai, aspiration of the knee in ill equipped theatres by poorly trained surgeons/ gp's may lead to septic arthritis. Antibiotics are administered for prolonged period.....

How Is The ACL Repaired?

Today ACL reconstruction is essentially an arthroscopic procedure, though many surgeons throughout the world still prefer to open the knee. If this route is chosen, depending on how the ACL is repaired, then the incisions may not be very different from those done arthroscopically.

An arthroscope is a pen-shaped instrument to which a tiny video camera is attached. It contains optical fibers, a light source, and lenses that can magnify images 25 to 30 times. The camera attached to the end of the arthroscope sends images to a video screen. The surgeon looks at the screen and is able to get an exceptionally clear view of the inside of the joint. Because the procedure can be done using an arthroscope, and using small specialized instruments without big incisions and excessive trauma to the tissues, it is really well suited to be an outpatient procedure (one that does not require an overnight stay at the hospital). Most ACL reconstructions are commonly performed as outpatient procedures. However, many doctors prefer to keep patients overnight in the hospital following surgery.

Before actually reconstructing the torn ligament, the surgeon uses the arthroscope to carefully survey the whole joint, looking at and evaluating each key structure. During this portion of the procedure, any additional damage to any of the other knee structures can be identified, and where appropriate, is corrected surgically.

There are a number of choices available to the orthopedic surgeon in determining how best to reconstruct the torn ACL. They all involve a "graft" using something to substitute for the torn ACL.

Each of the available ACL graft tissue choices requires a unique harvesting technique. Furthermore, there are usually different methods used for fixing the grafts in the bone tunnels, depending on the characteristics and properties of the tissue selected. Because of these differences in graft techniques, the type of surgery chosen is frequently made by the surgeon based on his or her experience and comfort level with the chosen technique.

Typically, an ACL reconstruction takes two to two and a half hours. The anesthesia may be general anesthesia or a spinal anesthesia. General anesthesia allows the individual to be asleep through the entire procedure. Spinal anesthesia involves an injection in the back that numbs only the lower body. A medication is also administered with a spinal anesthesia to keep the individual sedated throughout the procedure.....

There are several available operative procedures : -

With us each patient is individually evaluated by Specialised Orthopaedic Surgeons working at the We Care India partner hospitals and managed in the context of the underlying background health status and activity level.....

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