Arthroscopic Menisectomy Treatment In India At Affordable Low Cost

Arthroscopic Meniscectomy

Arthroscopic meniscectomy is an outpatient minimally invasive surgical procedure used to treat a torn meniscus cartilage in the knee. The meniscus is often torn as a result of sport-related injury in athletic individuals. Only the torn segment of the meniscus is removed. Some patients require assistance from physical therapists postoperatively. The average time of return to all activities is 4-6 weeks after the surgery....

Review of the condition 

Characteristics of torn meniscus cartilage in the knee : -

A torn meniscus usually produces swelling and well-localized pain in the knee. The pain is made worse by twisting or squatting motions. Sometimes a fragment of torn meniscus can displace inside the knee in such a way as to "lock" the knee, allowing only a toggle of motion....

Types : -

A tear can occur in one or more directions in the meniscus. Traumatic tears are usually vertical whereas degenerative tears are usually horizontal. The shape that the meniscus and its torn portion assume has led to names like "bucket handle tear," "parrot beak tear," and others. Sometimes the meniscus deteriorates to the point where the tear is no longer a "clean" tear, but rather the meniscus is shredded and resembles crab meat....

Diagnosis : -

A torn meniscus is diagnosed on the basis of the patient's history and a thorough physical exam. An MRI is often used to confirm the diagnosis....

Medications : -

Medications can relieve pain and swelling temporarily, but will not actually produce healing of the torn meniscus....

Exercises : -

Quadriceps strengthening exercises can help prevent the muscle atrophy that is associated with a painful, swollen knee...

Possible benefits of arthroscopic meniscectomy-minimally invasive arthroscopic surgery : -

When the torn part of the meniscus is removed, any catching or locking should be gone immediately. Pain is usually minimal by 1 week after surgery. Full motion of the knee returns as the swelling disappears, usually within 4-6 weeks after the surgery....

Types of surgery recommended

The surgical treatment for a torn meniscus is either to remove or repair the torn segment of the meniscus using an arthroscope and specially designed instruments. Because only the outer 1/4 of the meniscus has blood supply, repairs are successful when the tear occurs in this vascular region of the meniscus....

Who should consider arthroscopic meniscectomy-minimally invasive arthroscopic surgery?

Occasionally the symptoms from a degenerative tear will quiet down without surgery. Surgery for a torn meniscus should be considered when the knee is "locked", the knee is persistently swollen, the patient can not participate in normal activities, the patient understands and accepts the risks, and the surgeon is fellowship trained and experienced in arthroscopic meniscectomy..

Preparing for surgery

Preparation : - Prior to surgery, the patient should have no ongoing infections, and the knee should have no sores or scratches. The patient should NOT shave the knee the day before surgery. The patient should have someone to help at home for 24-36 hours after the surgery. Because airplane flight is also associated with blood clots in the leg, we recommend that patients not travel by plane in the first 5 days after surgery...

About the procedure

Technical details : -

Once the patient is asleep or the knee is anesthetized, three small holes (portals) are made in the knee. The arthroscope is inserted into one of the portals. Another portal is used for a cannula to keep a saline solution flowing through the knee to improve visibility and maneuverability of the instruments....

Anesthetic : -

Arthroscopic meniscectomy can be performed with the patient under a general anesthetic or with a spinal block. Before surgery, patients can discuss their preferences and the risks and benefits of various types of anesthesia with the anesthesiologist...

Rehabilitation

Physical therapy : -

The keys to full functional recovery are regaining knee range of motion and Quadriceps muscle strength. Both are limited as long as the knee is swollen. Many patients are able to regain their motion and strength with exercises at home...

Usual response : -

Most patients respond well to rehabilitation after arthroscopic meniscectomy. Usually as the swelling resolves, motion increases and it is easier to work on muscle strengthening exercises. If the exercises are difficult or painful, the patient should contact the therapist or surgeon....

Risks : -

Rehabilitation after arthroscopic meniscectomy carries little or no risk....

Duration of rehabilitation : -

Rehabilitation is continued until the knee has regained full range of motion and strength ...

Returning to ordinary daily activities : -

Usually patients return to activities of daily living in 48 hours postoperatively. Depending on the amount of swelling, driving may be difficult for an additional 2-3 days. Returning to sports is usually discouraged until the patient has recovered full range of motion and strength. On average this takes 4-6 weeks....

Long-term patient limitations : -

Usually there are no limitations on the patients after full recovery and rehabilitation. However, if at the time of surgery the surgeon noted significant arthritic changes in the knee, running sports may be discouraged to slow down the progression of the arthritis....

Conclusion

Summary of arthroscopic meniscectomy-minimally invasive arthroscopic surgery for torn meniscus cartilage in the knee In the hands of an experienced fellowship trained orthopedic surgeon, Arthroscopic Meniscectomy ( removal of the torn part of the meniscus) can be a most effective method for restoring comfort and function to a knee with a torn meniscus.

Full recovery requires elimination of swelling, and regaining full range of motion and strength. Physical therapy is sometimes needed. Complete recovery and return to sporting activities takes an average of 4-6 weeks....

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