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Knee Arthroscopy: Symptoms, Classification, Diagnosis & Recovery

Arthroscopy is a minimally invasive procedure used for the diagnosis and treatment of conditions related to the joints. It is performed with the help of a special instrument called an arthroscope. It comes with an attached video camera and a light. What is observed by the camera is recorded and can be viewed by the surgeon on a television monitor.

Arthroscopic knee surgery is an alternative to total knee replacement and other forms of knee replacement surgery. During the knee arthroscopic surgery, small incisions are made to insert an arthroscope and other surgical tools to correct a defect in or around the knee joint. Total knee replacement, on the other hand, refers to complete removal and replacement of the diseased joint with a prosthetic implant.

When is knee arthroscopy required?

Knee arthroscopy is conducted for the diagnosis and treatment of the following conditions:

  • Inflammation of the knee
  • Injuries such as :

    • Fractures
    • Ligament tear
    • Tendon damage
    • Torn meniscus
    • Misalignment of kneecap
    • Bakers cyst
    • Meniscus tear
    • Loose fragments of bone or cartilage

  • Arthroscopic procedures are done on the outpatient basis.
  • The patient should have a complete idea about the procedure and should ask the surgeon to clarify the doubts associated with the surgery.
  • Medical evaluation will be done well before the surgery. It typically includes physical examination, diagnostic tests, and clinical parameters.
  • The past medical and medication history should be discussed with the surgeon before the procedure.
  • The patient should not have food or water at least eight hours before the surgery.
  • A sedative may be administered to reduce anxiety and help the patient relax before the surgery.

First, the surgeon administers anaesthesia. The anaesthesia could be general, local, or spinal, depending on the purpose of the surgery. General anaesthesia causes unconsciousness, local anaesthetic makes area around the knee numb and spinal anaesthetic results in numbness in the lower part of the body.

An incision is made on the knee and then sterile or saline water is injected through the incision to cause expansion. During the surgery, pulse rate, blood pressure, and oxygen levels are continuously monitored.

The surgical site is cleaned with an antiseptic and an incision is made in the area. The arthroscope is then inserted through the incision into the joint, and the images of the joint are produced on the monitor allowing the surgeon to see the internal structure of the knee.

Other incisions are made to insert the surgical tools and the arthroscopic knee surgery is performed. The saline and water are drained from the knee after the procedure. The incision is closed with sutures.

The patient is discharged from the hospital as soon as he or she is comfortable walking with the help of crutches. In many cases, the patient is discharged on the same or the next day of the surgery.

Knee arthroscopy recovery time is minimal and the patient is able to recover within a few days. An Ace bandage is applied to the surgical site after the surgery to reduce swelling and pain in the leg. The wound should be kept clean and dry and the surgeon should be notified if continuous drainage is seen or if body temperature is elevated.

Recovery Duration post-Knee-Arthroscopic Surgery

Based on the type of surgery and procedure, specific instructions regarding physical exercises are given to the client. Medication regimen should be followed strictly to ensure minimal knee arthroscopy recovery time and the physician should be notified if you take any new medication.

Swelling and pain can be relieved by application of the ice and elevating the lower extremity. Physical exercises should be performed as recommended by the physiotherapist as it helps increase the range of motion.

Knee Arthroscopy Risks

  • Excessive bleeding
  • Breathing problems associated with anaesthesia
  • Allergic reactions
  • Infection at the site of surgery 

Cost of Knee Arthroscopy in India

The cost of arthroscopic knee surgery in India is one of the lowest in the world. This is the reason why so many patients from abroad prefer to come to India for knee arthroscopy.

The difference in the cost of arthroscopic knee surgery in India and the Western countries is quite huge. It is estimated that a patient from abroad saves more than half of their money by choosing India over any other country for knee arthroscopic surgery.

The cost of arthroscopic surgery, however, depends on several factors. Some of these factors that dictate arthroscopic knee surgery cost in India and abroad include the following:

  • The choice of hospital
  • The level of machinery used
  • Cost of medicine and other consumables
  • Cost of crutches, if provided by the hospital
  • Cost of treatment of complications, if any
  • Hospital charges
  • Anesthesia cost

Treatment cost in India: 1700
Treatment cost in Turkey: 3120
Treatment cost in United Arab Emirates: 6040
Treatment cost in Spain: 4240
Treatment cost in Thailand: 10050
Treatment cost in United Kingdom: 4140
Treatment cost in Israel: 5500
Treatment cost in Singapore: 13300
Treatment cost in South Africa: n/a
Treatment cost in Greece: 4140
Treatment cost in Saudi Arabia: 5500
Treatment cost in Tunisia: 4500
Treatment cost in Czechia: 4140
Treatment cost in Hungary: 2500
Treatment cost in Lithuania: 2160
Treatment cost in Morocco: 2200
Treatment cost in Poland: 1560
Treatment cost in Malaysia: 5000
Treatment cost in South Korea: 7000
Treatment cost in Switzerland: n/a
Treatment cost in United States: 10000

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Frequently Asked Questions

Q. What is the time duration of knee arthroscopic surgery?

 A. The surgery lasts anywhere from 30 minutes to 1 hour.

 Q. How can the patient find out what was done during the surgery?

 A. The surgical procedure is conducted with the help of an arthroscope, which reflects the video of the procedure on to the monitor. The procedure is recorded and can be visualized.

 Q. When can I return to work after knee arthroscopic surgery?

  A. A healthy diet and proper post-surgical care help with fast recovery. But the recovery mostly depends on the type of surgery performed and the condition of the patient.

 Q. How can the pain after knee arthroscopic surgery be controlled?

 A. At the time of discharge, the physician prescribes pain medications to control the pain.

 Q. How much time does it take to recover from arthroscopic knee surgery?

 A. Recovery depends on the severity of the condition.

 Q. Will the knee become stiff after arthroscopy?

 A. The stiffness of the knee is a complication associated with knee arthroscopy. It can be prevented with the help of exercises. Exercises strengthen the muscles surrounding the joint and prevent stiffness.