Post-Operative Instructions: Ankle Arthroscopy

Medications: (Prescription given to patient)

• Oxycodone/acetaminophen –10 mg/325 (Percocet^®)
  Take as directed for pain (with food)
• Hydrocodone/acetaminophen – 5 mg/325 (Norco^®)
  Take as directed for pain (with food)
• Oxycodone Hydrochloride –10 mg (OxyContin^®)
  Take as directed for pain (with food)
• Oxycodone – 5mg
  Take as directed for pain (with food)
• Promethazine (Phenergan^®)
  Take as directed for nausea
• Zolpidem (Ambien^®)
  Take as directed for sleep
• Ondansetron (Zofran^®)
  Take as directed for nausea

_______________________________________________________________________

Diet: Advance diet as tolerated.

Constipated is common with the use of pain medication. You can ward off constipation by increasing both dietary fiber and water intake. One tablespoon of milk of magnesia is effective and can be taken once or twice daily.

Activity: Rest with ankle elevated above the heart.

Use crutches – weight bearing as tolerated when ambulating.

Dressings: Keep dressing clean and dry for 3 days after surgery. You may then remove the dressing, apply waterproof bandages, and shower. After showering, replace the waterproof bandages with dry ones. No soaking or scrubbing, no bath, no swimming, no hot tubs, etc.

Ice:

Apply an ice pack to the ankle to minimize pain and swelling.

Use Cryo/Cuff^® as directed (see attached instruction sheet).

Office Appointment: If you do not already have a post-op appointment with your doctor, please call our office to make one.

Call your surgeon if

You develop a fever above 101 degrees.

The pain is severe and unrelieved with medication.

You have any questions or problems.

Anesthesia:

The subtle effects of general anesthesia or sedation with regional/local anesthesia can last more than 24 hours. Rest on the day of surgery. Although you may feel normal, your reflexes and mental ability may be impaired. You may feel dizzy, lightheaded, or sleepy for 24 hours or longer. Do not consume alcohol, drive, operate machinery, or make important personal or business decisions for 24 hours. After a general anesthetic, it is normal to feel generalized aching and sore muscles for 24 hours. A sore throat may occur.

Ankle Arthroscopy Post-Surgery FAQ

Weight Bearing

How much weight should I put on my leg?

All of it. One of the greatest advantages of ankle arthroscopy is that you may start walking on the operated ankle right away.

Do I need to use crutches? For how long?

Many surgeons give their patients crutches after surgery while many do not. It is hard to predict who may or may not need them. Use the crutches as needed. Some patients need crutches for a few days after surgery to help support them while walking while others never use them at all.

If you need then, use them.

Ice

How much ice and for how long?

There is no right or wrong answer to this question.

Ice simply helps with the swelling and can help to decrease pain after surgery. For the first few days after the surgery, our advice is “the more, the better.” We recommend icing for approximately 30 minutes 3–5 times per day. The first night and first day following surgery, use ice as much as possible.

Will the ice penetrate through the dressing?

Yes, it will. It might not feel like it, but it does.

Will the moisture from the ice get my incision wet?

No. There are many layers under the tape.

Dressing/Bandage

My dressing fell off; what should I do?

Don’t worry; due to the shape of our legs, this does happen. You may want to try to pull it back into place. You may want to unwrap the ace wrap bandage and reapply it. You may want to remove the dressing, place large band-aids over the incisions, and reapply the ace wraps. Prior to this, please wash your hands, and don’t mess with the incisions.

My appointment is not for a week; do I need to keep the dressing on?

We would like the operative dressing to be left in place for the first 3 days. After that, you may follow the above instructions. We recommend removing the dressing, placing large band-aids over the incisions, and then reapplying the ace wrap.

When can I shower?

You will need to cover the dressing and brace to keep it dry while in the shower. There are a variety of ways to do this. We suggest wrapping the leg with plastic wrap (e.g., – Handi-Wrap, etc.) above and below the dressing. You may also use a plastic bag with tape or a rubber band.

Can I bend my ankle?

Yes. This will cause no harm to your ankle.

The pain medicine doesn’t last long enough, but the bottle says “take every 3–4 hours”. Can I take it more often?

People vary in how much and how often they need to take pain medicine. Pain pills take a good 30–45 minutes to be absorbed and start giving relief. Try to anticipate and stay ahead of the pain the first several days after surgery.

Don’t be a clock-watcher. If the pain medicine only lasts 2.5 hours instead of 3–4 hours like the bottle says, simply take it a little more often. If you are in pain, take medicine. Don’t suffer. Some people never take a pain pill after surgery and other patients take them for a week or so. We are all different. If you have a history of drug or alcohol use, you will probably find that you will require more medications.

Can I take Tylenol^® or ibuprofen (Advil^®/Motrin^®)?

The pain medicine is mixed with Tylenol^® so do not take any additional Tylenol^®. You may take ibuprofen along with your prescribed pain medications.

When do I need to see my doctor in the office?

Your doctor usually makes your first one or two appointments in advance. Simply call the office to make or find out. The appointment might not be for a week or so. We have an open-door policy; that is, if you have any concerns or problems before your first appointment, just call the office, and your doctor will see you.

When can I start physical therapy?

You may start the following week. If you have already seen a therapist before surgery or know where we plan to start therapy after surgery, we suggest setting up your appointments in advance. Most of the therapy places are very busy, so setting up your appointments in advance will allow you more choice of time to attend.

Can I drive? When?

While you are on pain medication, do not drive. We believe that you may drive when you feel it’s safe. Consider this analogy: if you were driving and got into a car accident with yourself and saw yourself get out of the other car (follow that?) . . . How would you react if you were that other driver, and to whom would your first phone call be? If that first call is to a lawyer, then don’t drive!

When can I return to work?

It depends on the type of job you have. If you do mainly desk work or sedentary work, you may return when you feel up to it. Most people return within 3–5 days. If you have a physical/labor-intensive job, then expect to take at least a couple of weeks off. We will discuss it as you progress postoperatively. Most people return to regular activities/sports anywhere between 4–8 weeks after surgery. This usually sport-dependent and depends on your level of activity (e.g., high school, recreational, college, professional).

Remember that you will have little aches and pains in different parts of your body after surgery.

If you have questions or concerns, please call our office. If it is after hours or on the weekend, follow the instructions on your doctor’s answering service to leave a message. He or she will call you back as soon as possible.

If you have a history of serious medical problems and start having difficulty breathing, chest pain, etc., please call your doctor here and/or your primary care doctor, present to a local emergency room, or call 9-1-1.

Fortius Clinic – Ankle Arthroscopy

To carry out an ankle arthroscopy, the surgeon makes two tiny incisions (cuts), one for the arthroscope and a second for the surgical instrument itself.

Arthroscopy is usually performed as a day case procedure under a general anaesthetic, along with an injection in the ankle which numbs it to reduce pain after surgery.

Recovery

Immediately after surgery:

• Your foot will be bandaged and will be numb but pain free
• You will be referred to a physiotherapist who will be able to advise you on weight-bearing exercise, depending on the exact procedure the surgeon preformed
• You will be sent home only when you are comfortable, when you will be given a follow-up appointment and painkillers if required

During the first few weeks:

• Elevate your foot (raise it above the level of your heart) as much as possible to reduce swelling
• Move around only when you need to, for example to wash or use the toilet. Don’t put weight on the operated leg
• Some blood ooze can be expected. However, if you are worried, contact the Fortius Clinic for advice
• Your doctor may suggest that you take anti-inflammatory medication for six weeks after surgery

Follow-up appointments

Everyone is different, so healing and post-operative programmes vary from person to person. However, the schedule of follow-up appointments below is typical:

• Two weeks – your wound will be checked and any stitches removed
• 6 weeks – routine follow-up appointment
• 12 weeks – final appointment and discharge

When can I start to walk?

This will depend on the type of procedure you’ve had. Below is a guide to weight-bearing after surgery, but everyone is different and you should always contact the Fortius Clinic if you are worried.

• Impingement operation: weight bear if you can using crutches immediately after surgery
• Ankle osteochondral defects of joint surface (OCDs): non weight bearing for two weeks, then 50% weight-bearing using crutches for the next two weeks; then fully weight-bearing
• Ankle arthritis tidying (debridement): weight bear if you can using crutches immediately after surgery
• Loose material/bone removal: weight bear if you can using crutches immediately after surgery
• Ankle fusion surgery: don’t bear your full weight for at least six to 12 weeks

How do I wash and shower?

In the first two weeks it’s important to keep the bandaging/foot totally dry although you will be able to shower with a waterproof cover over the leg. After two weeks you can shower as normal if the wounds have healed, but gently dab them dry.

How can I look after the wound?

Remove the bandage after five days and replace it with an elastic compression bandage (tubigrip) but keep the small sticky dressings on the wound. Once the bandage is removed, don’t pull at scabs but let them fall away naturally. If your wound becomes red, swollen or sore you should contact the Fortius Clinic and arrange to see your consultant to check you don’t have an infection.

Getting back to normal

Your specialist will refer you to a physiotherapist who can guide you through the stages of rehabilitation including gait re-education (walking correctly again), ankle mobilisation exercises, and reducing swelling and muscle tightness.

When can I start to drive again?

The DVLA states that it’s the responsibility of the driver to ensure they are always in control of the vehicle. A good guide is if you can stamp down hard with the foot to stop the car during an emergency stop. It may take at least two weeks to be able to do this, and if you have had an osteochondral defect or joint surface debridement, it can take at least six weeks or longer.

Although your specialist will advise you about when it’s safe to start driving again, it remains your responsibility to drive safely and you should also check with your vehicle insurer to confirm you are covered.

When can I return to work?

This depends on the type of work you do and how quickly you recover. As a general guide, if your job involves sitting down for most of the time, you should be able to return to work after two weeks; if it involves manual work, you may need to have up to six weeks off.

What long-term outcome can I expect after surgery?

The outcome will depend on the type of condition and the exact procedure you have had. Most people are able to return to full activity and sports within three to six months, although your ankle may remain swollen for at least six months.

What are the risks?

Below is a guide to the risks of this type of surgery. However, your surgeon will discuss these with you before your procedure, and answer any questions you may have:

• Infection
• The chance of infection is less than 1% and can usually be treated with antibiotics. Significant consequences from infection are very rare (less than 0.5%)
• Nerve damage
• Small nerves that supply feeling to the skin near the operation site can be damaged, although the risk of this is small (less than 2%). If your toe stays numb after surgery, this may be because the nerve is bruised but this will usually recover
• Deep Vein Thrombosis (DVT)
• You may be given blood-thinning medication after the surgery if you are at a higher risk of DVT (where a blood clot forms in a deep vein in the leg). However, the risk of this is less than 1% and may be reduced if you keep your ankle moving and carry out the recommended physiotherapy exercises

Important: This information is only a guideline to help you understand your treatment and what to expect. Everyone is different and your rehabilitation may be quicker or slower than other people’s. Please contact us for advice if you’re worried about any aspect of your health or recovery

The Ins and Outs of Ankle Arthroscopy

Everyone, especially athletes, wants to avoid surgery at all costs. However, if you have a severe ankle sprain, repeated injuries, or debris in the ankle from torn cartilage, the doctor may recommend ankle arthroscopy.

It is important to understand the risks and benefits of any surgery before signing the consent. Understanding if ankle arthroscopy is the best option for your injury will help you have an informed discussion with your surgeon.

What Happens During Ankle Arthroscopy?

The doctor inserts a small fiber-optic camera through an incision, which projects the view onto a monitor. The surgeon then uses small tools to repair tissue damage while using the monitor as guidance. The method offers an accurate technique, with small incisions and minimal risk to patients.

Because it is less invasive than open surgery, recovery time is significantly less. There is also less scarring and fewer complications with ankle arthroscopy.

Surgeons can perform the surgery under local or general anesthesia, depending on what they are trying to accomplish. General anesthesia is where IV medications are given, so the patient goes into a deep sleep to perform the repair. With local anesthesia, the patient is given a nerve block and light sedation to remain relaxed and comfortable.

Does Ankle Arthroscopy Work?

Ankle arthroscopy does work to correct four major causes of ankle pain and inflammation:

Ankle arthroscopy restores normal cartilage surface to the joint. The procedure aims to repair damaged cartilage or stimulate new cartilage growth.

• Removing bone spurs in the ankle

Arthroscopy can be used to shave down bone spurs, allowing for better movement of the ankle joint

Usually, pain in the ankle is best repaired when it is posterior. Arthroscopic surgery can help forms of tendonitis or spurs that occur in the back of the ankle

• Removing debris and repairing scar tissue

Through the surgery, doctors remove debris or scar tissue that inhibits motion. The repair helps with a long term reduction in swelling and pain in the joint

What Happens After Ankle Arthroscopy

Once the surgery is complete, the patients go to a recovery room where vital signs are monitored. Once stable, patients can go home to rest.

In order to protect the ankle, it is often braced or put in a splint. Plus, to maintain a good range of motion, physical therapy is usually recommended. Pain meds may also be prescribed.

Just as with an ankle injury, ice and elevation are necessary to heal best. Recovery time varies based on the procedure performed and the patient’s prior health history. Often people can return to most activities of daily living within a few days.

Within a few weeks, patients notice a remarkable improvement in healing and mobility in their ankles. Usually, the symptoms that prompted surgery are eliminated so patients can live a fully functional life.

If you have debilitating ankle pain, you may benefit from an ankle arthroscopy. Through consultation at one of our clinics, you can get the right diagnosis and treatment plan.

We have providers at the following locations:

With our latest technology and skilled doctors, you are in good hands.

For inquiries, contact us or call us at 770-427-5717.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Ankle Arthroscopy Recovery Time | Dr. Black

Ankle Arthroscopy is a minimally invasive surgical technique which employs small incisions and a high resolution camera to achieve visualization. Very small instruments are used to carry out the procedure and repair damaged tissue.

The Arthroscopic Ankle Patient

At The Florida Center for Foot and Ankle Reconstruction, many of our arthroscopic ankle patients are “Weekend Warrior” athletes who’ve suffered prior ankle sprains and often complain of continued pain, tightness, or the feeling of something catching, clicking or popping within the ankle joint.

Often these patients have never fully recovered from previous ankle sprains and ankle arthroscopy can be employed to remove scar tissue, adhesions, bone spurs or to repair small fractures or damaged cartilage within the ankle joint – and with minimal down time.

Arthroscopic Ankle Surgery Recovery Time

Our Weekend Warrior patients are often pleased to hear that arthroscopic ankle surgery recovery time is minimal because it gets them back in the game quicker! Arthroscopic ankle surgery allows for early range of motion (often the same day. )

During the ankle arthroscopy recovery time, patients are kept nonweightbearing for 1-2 weeks to allow the small incisions to fully heal. Following this, the patient is often allowed to begin weightbearing, depending on the particular procedure performed.

Arthroscopic ankle surgery limits the damage caused to the tissues by traditional open ankle surgery because the surgeon does not rely on large incisions to achieve visualization to perform the surgery. Less damage to tissues means less pain, earlier motion, less scar tissue and faster healing.

The Florida Center for Foot and Ankle Reconstruction

It’s our goal to get you back in the game as quickly as possible – whether that game be golf, soccer, or shopping! Arthroscopic ankle surgery, as well as, traditional open surgical techniques are available through Dr. Michael R. Black at the Florida Center for Foot and Ankle Reconstruction at Orthopedic Associates of Cape Coral.

We invite you to inquire about how Ankle Arthroscopy
can get you back in the game at your best!

Make your Appointment with Dr.

Black today!

 

Ankle Arthroscopic Surgery Video | YPO Education

Ankle arthroscopy is a minimally invasive surgical procedure in which an arthroscope, a small, soft, flexible tube with a light and video camera at the end, is inserted into the ankle joint to evaluate and treat a variety of conditions.

The camera projects an image of the inside of the joint onto a large screen monitor allowing the surgeon to look for any damage, assess the type of injury, and repair the problem.

Indications.

Ankle Arthroscopy, also referred to as keyhole surgery or minimally invasive surgery, has proved to be highly effective in managing various ankle disorders including ankle arthritis, unstable ankle, ankle fracture, osteochondral defects of the talus, infection, and undiagnosed ankle pain.

The benefits of arthroscopy compared to the alternative, open ankle surgery, include:

Smaller incisions

Minimal soft tissue trauma

Less pain

Faster healing time

Lower infection rate

Less scarring

Earlier mobilization

Shorter hospital stay

Procedure.

Your surgeon will make 2 or 3 small incisions around the ankle joint. Through one of the incisions an arthroscope is inserted. Along with it, a sterile solution is pumped into the joint to expand the joint area and create room for the surgeon to work.

The larger image on the television monitor allows the surgeon to visualize the joint directly to determine the extent of damage so that it can be surgically treated. Surgical instruments will be inserted through the other tiny incisions to assess and treat the problem.

After the surgery, the instruments are removed, and the incisions are closed and covered with a bandage.

Post surgical care

After the procedure, you will be taken to a recovery room. The ankle joint will be immobilized with a splint or cast. The nature and duration of immobilization will depend on the type of repair performed and the preference of the surgeon. The surgical site should be kept clean and dry during the healing process. Patients may be prescribed pain medication for the management of pain. Elevation of the ankle and ice application helps to reduce pain and swelling. Follow your post operative instructions for the best outcome.

Risks and complications.

Ankle arthroscopy is a safe procedure and the incidence of complications is low. However, as with any surgery, risks and complications can occur. Some associated risks with ankle surgery can include infection, damage to blood vessels or nerves, bleeding, and compartment syndrome.

Ankle arthroscopy is a less invasive surgical procedure than traditional open surgery for the management of various ankle disorders. Benefits of arthroscopy include faster healing, less pain, and fewer complications.

Arthroscopic Ankle Surgery | EVFAS

Our team of Iowa ankle surgeons at EVFAS in Des Moines, Mason City, and Pella utilize the latest technologies and procedures to serve the foot and ankle needs of Iowans. This includes arthroscopic ankle surgery. Arthroscopic surgery has a wide range of benefits compared to traditional surgery. Due to it being minimally invasive, patients can experience a significantly faster recovery along with less pain and inflammation. To help you find out if you qualify as a candidate, our foot and ankle specialists reveal everything you need to know about ankle arthroscopy.  

What is ankle arthroscopic surgery?

Arthroscopic ankle surgery is a procedure that uses a fiber-optic viewing camera called an arthroscope and small surgical tools to operate in and around the ankle joint through small incisions. Ankle arthroscopy is performed for the surgical evaluation and treatment of a variety of ankle conditions and can have a quicker recovery time than traditional open surgery.

Because ankle arthroscopy is minimally invasive, it can often lead to a speedier recovery, significantly less scarring and fewer complications than open surgery. However, depending on the severity of your condition, the procedure may not be best for you. The leading Iowa ankle surgeons at EVFAS will meet with you to determine the best ankle procedure for you.  

Conditions Arthroscopic Ankle Surgery Can Treat

Arthroscopic ankle surgery is used to treat a wide range of conditions. Although, not all ankle conditions can be effectively treated using this minimally invasive procedure. If you suffer from any of the following, you may be a suitable candidate for ankle arthroscopy:

• Ankle Cartilage Damage: Damage to the bone by direct impact typically caused by ankle sprains. Many procedures to repair articular cartilage are done using an arthroscope. 

• Ankle Arthritis: Ankle arthroscopy is an effective ankle arthritis treatment option that provides a minimally invasive way to clean/remove the arthritis out of the ankle joint. If you suffer from mild to moderate arthritis, this procedure could be highly beneficial. 

• Bone Spurs in the Ankle Joint: Bone spurs are tiny outgrowths of bone, typically due to inflammation. Treatment for bone spurs becomes necessary when they start to cause pain and difficulty walking.

• Loose Debris or Scar Tissue in the Ankle Joint: Articular cartilage and scar tissue can break free in the ankle joint following an injury. The floating debris is referred to as loose bodies which can cause pain and loss of motion. Ankle arthroscopy can be used to remove the loose bodies. 

• Ankle Instability: Arthroscopic repair of ankle instability is becoming more and more common. It aims to restore normal ankle function, and allows the surgeon to reach surgical objectives with minimal soft tissue injury. 

Diagnosing Your Ankle Condition with Ankle Arthroscopy

A diagnostic ankle arthroscopy procedure can also be used to diagnose a wide range of potential problems in the ankle joint. Identifying the cause of your ankle pain can be difficult as the ankle joint is very complex. The arthroscopic camera enables our foot and ankle surgeons to explore those complex structures of the ankle without the need for a large incision. The diagnostic procedure is typically utilized to assess bone fractures, torn ligaments, and changes to cartilage caused by ankle arthritis.

What are the advantages of an ankle arthroscopy?

Popular among high-level athletes, arthroscopic ankle surgery has numerous advantages. Capable of treating a variety of conditions and diagnosing others that may not have been easily noticeable, ankle arthroscopy enables our surgeons to explore the complexity of the ankle joint with only tiny incisions. The list of benefits to this procedure includes:

• Smaller incisions and little scarring

• Minimal risk of infection as compared to open-surgery

• It is an outpatient procedure

• Patients can begin rehabilitation soon after

• Less pain

• Fast recovery period

Ankle Arthroscopy Recovery

One of the most beneficial outcomes of ankle arthroscopy is the speedy recovery process. Depending on the condition being treated, some patients are able to walk with crutches for stability days after the surgery while others may be immobilized for up to six weeks. Generally, you will be free to go home one to two hours after ankle arthroscopy is performed and be placed in a splint or post-surgical boot. Following your procedure, weekly evaluation by your surgeon will ensure your recovery is on track and next steps will be discussed. Depending on the severity of your diagnosis prior to surgery and the amount of surgical work was performed, you may be weight bearing, partial weight bearing, or non weight bearing. Those scenarios are all discussed in depth with you and your surgeon prior to the procedure.

As with all surgical procedures, there are some potential complications you can face during ankle arthroscopy recovery. If you experience any of the following symptoms, our Iowa ankle surgeons at EVFAS strongly encourage you to contact your surgeon: 

After your ankle arthroscopy procedure, your Iowa ankle surgeon will recommend physical therapy exercises you can perform throughout the stages of recovery. These may include riding a stationary bike, aquatic programs, towel stretches, toe raises and much more. Your ankle specialist will recommend an ankle rehabilitation program based on your condition. 

Can you walk after ankle arthroscopy surgery?

The majority of patients are able to walk on their own after the first two weeks of the ankle arthroscopy recovery process. Depending on your condition and the preference of your ankle specialist, the four to six weeks following those first two of immobilization, you will be able to walk with the support of a boot or cast. 

Choose Iowa’s Leading Ankle Surgeons at EVFAS

Our Iowa ankle surgeons at EVFAS are proud to use industry-leading technology and procedures to treat your condition, ensuring you experience the best outcome possible. Find out if you qualify for arthroscopic ankle surgery. The leading podiatrists at EVFAS are here to treat your foot and ankle needs. Schedule an appointment today, or call our Iowa ankle surgeons with any questions related to ankle arthroscopy.

Ankle Arthroscopy | OrthoVirginia

The surgeon makes several small incisions around the ankle joint and inserts a narrow fiber optic scope (called an arthroscope) to examine the condition of the joint. Tiny instruments are used to clean the joint area of foreign or inflamed tissue and bone spurs. This minimally invasive approach offers numerous benefits to patients including less muscle and tissue trauma, less bleeding, less pain and a much faster recovery. In most cases, it is performed as an outpatient procedure and patients go home the same day.

Anatomy

The ankle joint enables you to move your foot up and down. It is formed by the connection of three bones. The top of the talus (the bone that connects the ankle and the foot) fits inside a socket at the lower end of the tibia (shinbone) and the fibula (the small bone of the lower leg). The bottom of the talus sits on the heel bone. 

When is surgery recommended?

If you have foot or ankle pain that limits your everyday activities and all non-surgical methods of treatment have failed, including weight loss, anti-inflammatory medications, cortisone injections, physical therapy, and custom orthotics and braces, then you should consider ankle arthroscopy.

The procedure may be helpful in the early stages of arthritis. Patients with more advanced or end-stage arthritis may require fusion surgery (arthrodesis) or even total ankle replacement. It’s important that you are carefully screened by an orthopedic foot and ankle specialist to determine the most appropriate treatment.

Ankle arthroscopy is also the simplest surgical treatment for osteochondral lesions of the talus (the bottom bone of the ankle joint). These injuries range from mild bruising to more severe damage such as blistering of the cartilage layers, cyst-like lesions within the bone, or fracture of the cartilage and bone layers.

What is the recovery time?

Ankle arthroscopy is a minimally invasive procedure with numerous benefits, including a faster recovery time. The typical recovery period is now weeks rather than months. If rehabilitation is necessary, it usually begins immediately after surgery and includes special exercises to restore range of motion, strength and flexibility in the ankle. As with all surgical procedures, specific recovery time varies by patient and demand. 

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Diagnostic arthroscopy of the ankle | ortoped-klinik.com

Fact Sheet: Ankle Arthroscopic Surgery

• Length of hospital stay: 2 days
• Outpatient rehabilitation: stitch removal only
• Earliest flight home: 3 days after surgery
• Recommended departure time home:
• Showering possible: 7 days after surgery
• Duration of inoperability 2 weeks
• Removal of stitches: 7 days
• Driving possible: 7 days

Dr. med.Thomas Schneider, Orthopedic Surgeon, Ankle Specialist

Diagnostic Ankle Arthroscopy is used to assess the condition of the joint and make an accurate diagnosis. Ankle arthroscopy can help the orthopedic surgeon check the condition of the ligaments, cartilage, synovial fluid, and ankle bones. In the case of ankle osteoarthritis, arthroscopy can be used to assess the condition of the cartilage tissue, as well as the condition of the synovial fluid, inflammation and infection, osteophytes on the ankles, and bone damage.At the same time, it is possible to extract free-lying bodies and bone fragments from the ankle joint.

The orthopedic specialist can see all the details of the ankle with minimally invasive instruments with a diameter of less than a millimeter. Through small incisions, fiber optic instruments are inserted into the ankle. Fluid is then injected to expand the joint. The surgeon gets space to work inside the joint. Obvious problems such as osteophytes (benign bone growth) or loose bodies are removed during surgery.

After ankle arthroscopy, the incisions are cooled and sutured. Patients can walk as early as 24 hours after arthroscopy, but the effects of the operation are felt within a week after the procedure. Walking with crutches is recommended. No special rehabilitation is required after ankle arthroscopy.

Ankle arthroscopy

organization of arrival

90,000 Arthroscopy at the TERVE clinic in Krasnoyarsk

What are the strengths of this technique?

Numerous patient reviews indicate that arthroscopy of the knee joint and its recovery after surgery has the following advantages:

High level of accuracy and reliability of the data obtained. In most cases, this figure reaches one hundred percent. One of the diagnostic methods that also allows you to assess the condition of the joints is an open method. It allows you to explore only a portion of the sectional projection. In turn, arthroscopy provides an opportunity to see almost all parts and departments of the examined joint. What is important, during this procedure, its integrity is preserved.

The minimum level of invasiveness, which allows you to see and assess the condition without performing additional procedures (for example, incisions).
The duration of the patient’s stay under the supervision of medical personnel (after the procedure) is minimized. Discharge occurs approximately on the third day.
Short rehabilitation period. According to this method, rehabilitation after arthroscopy of the knee joint takes from several days to several weeks, depending on the severity of the injury.

List of operations using arthroscopy:

Knee arthroscopy:

• Diagnostic debridement arthroscopy
• Operations for habitual dislocation
• Meniscus resection
• Meniscus seam
• Resection of meniscus cyst
• Autochondroplasty
• Operations for Koenig’s disease
• Treatment of Shelf Syndrome (mediopatellar fold syndrome)

Shoulder arthroscopy:

• Subacromial decompression
• Rotator cuff plastic
• Bankart operation
• Shoulder dislocation
• Injection Syndrome
• Ruptured biceps

Ankle arthroscopy:

• Anterior and posterior impingement syndrome
• Removal of free chondromic bodies
• Chondral fractures
• Instability
• Aseptic necrosis
• Osteochondropathy

Our clinic brings together all the best: experienced specialists in the field of traumatology and orthopedics with at least 15 years of experience and modern equipment, for example, the latest generation arthroscopy stand from Smith & Nephew (USA).

We invite you to see how ARTHROSCOPY OF THE KNEE JOINT is performed in the TERVE clinic at Partizan Zheleznyak, 21A. (VIDEO)

90,000 treatment, surgery, recovery from rupture, injury. Service price – Central Design Bureau of the Russian Academy of Sciences, Moscow

Situations when a person’s ankle ligaments are torn can occur in everyday life, in sports, as a result of an occupational injury or accident. This pathology accounts for 15% of all cases of ankle injury.If the ligaments are torn, the first thing that is prescribed to the patient is restorative physiotherapy. However, this only helps if the ligament tear is fresh. The essence of recovery is to force other areas of the musculature to take over the functions of the ligament damaged by the tear.

You can evaluate the effectiveness of the treatment after 2-3 months. If the instability of the joint has not passed, but has become chronic, it is worth considering an operation. Ankle ligament plastic surgery, aimed at replacing the ligament, will be an effective surgical method in this case.For this, the patient’s own tissues are used, so the operation is safe and affordable.

Causes of ankle ligament rupture

Taking into account the peculiarities of the functions of the ankle, damage to the ligaments can occur in various situations. As a rule, it is caused by a fall, twisting of the foot, and a sharp turn. At this point, the joint is stretched and the ligament tissue is torn. Common causes of joint sprains and ligament tears:

• Sports activities.
• Rolling of the foot, for example on steps or slippery roads;
• Ankle kick.

The feet are subject to stress every day, but the ligaments are not torn every day. It is worth highlighting a number of provoking factors in which the risk of trouble increases significantly:

• For women – high heels, on the steps, on slippery paving slabs – the chances of dislocating a leg and fans of stiletto heels are quite high.
• Obesity – Being overweight is not a cause for falling or injury, but twisting a leg, an obese person is much more likely to develop a rupture of ligaments, due to the significant load.
• Endocrine disorders that reduce the elasticity of the ligaments.
• Congenital pathologies of the foot and ankle structure.
• Presence of old injuries and diseases of the joint.
• Sports – long jump, high jump, parachuting.

Symptoms of ankle ligament rupture

Realizing that the ligaments are torn, you need to get to the hospital as soon as possible, while minimizing the load on the injured leg.How to understand that you did not just fall unsuccessfully, but broke your ligaments? First of all, you need to understand that you can break the ligaments in different ways. Depending on how serious the problem with the ligaments is, orthopedists distinguish the following degrees of rupture of the ankle ligaments:

• I degree – the ligaments are torn from some places, the bulk of the fibers are intact. Diagnosis of such a pathology is based on visual examination and palpation. There may be slight swelling of the ankle.The patient complains of moderate pain, which increases with movement or palpation of the foot. Physical activity persists, but is accompanied by discomfort.
• II degree – the ligament is partially torn, but this does not affect the functionality of the ankle joint. Palpation is very painful. The swelling spreads from the ankle to the foot and gets worse. Physical activity is accompanied by pain and lameness of the patient.
• III degree – the part of the leg in the ankle joint area swells strongly, there is severe pain, the leg becomes covered with a continuous hematoma at the bend.Bruising may be visible. The body temperature rises. It is impossible to get on your feet and take a step. Motor activity is blocked.

Diagnosis of ankle ligament rupture

In order to prescribe the correct treatment or decide on the need for ankle ligament plastic surgery, the doctor must make sure that it is a tissue rupture that is involved. First of all, the patient is examined. The orthopedist takes the shin of the injured leg with one hand, and with the other tries to move the foot to the side.If the lateral ligaments are torn, excessive movement of the foot will be evident.

Next, the patient is sent for an X-ray examination. The picture must be taken in two projections. It is possible to diagnose a rupture of ligaments on an x-ray only if we are talking about the third degree of pathology. If the picture is unclear, the podiatrist may order an exercise X-ray or arthrography to understand the condition of the joint capsule.

Features of ankle plastics

The purpose of the operation is to provide stability to the joint.After all, stretched ligaments are not only discomfort, but also a constant risk of serious injury to an unstable ankle joint.

Ankle ligament surgery involves replacing the external ligaments with tissues taken from other sites. The operation takes place under general anesthesia. Depending on the severity, the break can last 1-3 hours.

The ligament is restored surgically using the tissues of the damaged ligament, the periosteum, the tissues of the articular capsule, and the tissues of the adjacent intact tendons.Some tissues can be repositioned to give the joint maximum stability.

Rehabilitation period

Rehabilitation after surgery will take some time. For the first three weeks, physical activity is possible only with crutches, the load on the operated leg is excluded. Then the patient walks on his own for another three weeks, but his ankle is fixed in a special hard boot. Checking the condition of the operated ligaments, the doctor determines the time when the rigid fixation can be removed, leave an elastic brace and allow the patient to flex and extend the leg in the foot.

Another rehabilitation option is faster and more technological. It does not involve the use of crutches. In this case, the operating technique involves the installation of special microfixers of the braces subcutaneously.

During the rehabilitation period, correct rehabilitation therapy, physiotherapy exercises, physiotherapy procedures are extremely important.

Where to get ankle ligament surgery done in Moscow?

The main hospital in Moscow, the Central Clinical Hospital of the Russian Academy of Sciences, invites patients who have injured ankle and need immediate help and accurate diagnosis of the condition.We also work with chronic injuries, when physiotherapy treatment did not help, and joint instability is observed – come to the consultation of an orthopedist to learn more about surgical methods for solving the problem. Ligament surgery will protect the joint, provide it with stability, and restore full normal motor activity – without pain and restrictions!

90,000 Arthroscopy of the knee joint arthroscopy of the shoulder joint: prices, rehabilitation in St. Petersburg

Arthroscopy is a minimally invasive method of visual examination of the structures and contents of the joint cavity, as well as the therapeutic effect on them using thin optical and mechanical devices introduced into the joint cavity through skin punctures. It is performed using an arthroscope (a type of endoscope), which is inserted into the joint through a micro-incision.

A bit of history

Arthroscopy began to develop in the 20-30s of the last century as a diagnostic procedure.

Endoscopic research of intra-articular pathology was initiated by the Japanese researcher K. Takagi in 1918. In 1921, Eugen Bircher presented the first report in the world literature on the results of arthroscopic examination of the knee joint in patients, indicating the high diagnostic value of the new method.After diagnostics of torn tissues using arthroscopy, O. Bircher performed open operations to remove or treat damaged tissues.

Since the 60s of the last century, technical progress in the field of optical systems (new optical lens systems, fiberglass light conductors), as well as the accumulation of clinical experience, have contributed to the transformation of arthroscopy into an intensively developing, highly effective diagnostic method and new minimally invasive reconstructive surgery.

Arthroscopy does not perform arthrotomy, which means that the joint does not open completely. Instead, for example, in arthroscopy of the knee joint, only two or three small incisions about 0.5 cm long are made – one for inserting the arthroscope, the other for using various surgical instruments, with which a huge number of different manipulations can be performed depending on the damage to those or other structures in the joint. Such manipulations significantly reduce the postoperative recovery process and increase the success rate of the operation, since the degree of damage to soft tissues and intra-articular structures is much lower than in the case of open surgery.This is especially true for professional athletes, who often injure joints, especially knee and shoulder joints, and at the same time, recovery time is especially important for them. In addition, postoperative scars remain less noticeable after arthroscopic intervention due to the very small size of the incisions.

With the passage of time, it has become absolutely clear that minimally invasive operations (arthroscopy) used in traumatology and orthopedics are far superior to the technique of traditional open arthrotomy.Possibility, during minimally invasive (arthroscopic) surgery, to perform a diagnostic study of all parts of the knee and shoulder joint without disturbing the relationship of its structures, the highest diagnostic and therapeutic efficiency and a fairly low trauma of the manipulations, minimal access to perform interventions in the joint cavity, high-precision methods of arthroscopic diagnostic, therapeutic and reconstructive surgeries, the shortest possible postoperative rehabilitation and recovery period – this is a far from complete list of the advantages of arthroscopic surgeries over traditional open joint surgery.

Surgical instruments used for arthroscopic operations are smaller than traditional instruments. Doctors, performing an operation, observing the manipulations on a video monitor, can diagnose and operate on tears of articular and connective tissues, such as ligaments, menisci or cartilage.

It is technically possible to perform arthroscopic surgery on almost any joint in the human body.

In the Department of Traumatology No. 2 of the Clinic of High Medical Technologies named afterN.I. Pirogov, arthroscopic correction of the pathology of the musculoskeletal system is performed:

Shoulder arthroscopy at:

• humeroscapular periarthrosis,
• shoulder instability,
• rotator cuff rupture,
• biceps tendon tear,
• chondroid intra-articular bodies (chondromatosis),
• deforming arthrosis (1-2 tbsp.).

Arthroscopy of the knee joint at:

• “blockade” of the knee joint, irreparable by conservative methods of treatment,
• meniscus tear,
• habitual dislocation of the patella,
• chronic synovitis,
• chondroid intra-articular bodies (chondromatosis),
• anterior cruciate ligament rupture,
• posterior cruciate ligament rupture,
• deforming arthrosis (1-2 tbsp. ).

Ankle arthroscopy at:

• chondroid intra-articular bodies (chondromatosis.).
• impeachment syndrome,
• chronic synovitis,
• deforming arthrosis (1-2 tbsp.).

Today, arthroscopy is an integral part of the modern system of diagnostics and treatment of all forms of intra-articular pathology, which allows the patient to return to the usual active lifestyle in the shortest possible time.

How is knee arthroscopy performed?

Arthroscopy is performed after patient preparation and local anesthesia. High-quality anesthesia of the patient makes the conditions for performing the manipulation more favorable. The doctor has the opportunity to examine the joint cavity in detail and carry out the necessary procedure.

A tourniquet is placed over the thigh to limit blood flow to the joint. In the area of ​​the knee joint, several incisions of 5-6 mm are made.Through the holes obtained, it is possible to insert the endoscope. It is a flexible device with a diameter of 3-4 mm. It has a lighting device and a camera that displays the image on the screen. The resulting image can be enlarged 40-60 times.

To reduce the risk of bleeding, a special solution is also injected through an additional incision. Medical manipulation is performed through another incision. When the treatment and diagnostic stage is over, the injected fluid is removed from the joint cavity and the endoscope is removed.To prevent the development of infectious inflammation, antiseptic treatment of incisions, antibiotic therapy and a sterile bandage are applied.

How is shoulder arthroscopy performed?

Before the operation, it is necessary to determine the method of anesthesia. The choice depends on the decision of the attending physician and anesthesiologist. Potential risks are assessed and the most optimal option is selected. This can be local anesthesia or anesthesia. The position of the patient is of great importance. A posture is chosen in which the joint will be positioned so that the cavity is subject to maximum view.

An antiseptic treatment of the operating field is carried out and punctures are performed. Additional fluid is injected into the joint cavity. Several incisions are made to insert the instruments. The doctor has the opportunity to examine the joint cavity and carry out the necessary medical procedures.

The tool is then removed from the joint. The surface of the joint is treated with an antiseptic.A sterile bandage is applied.

How is ankle arthroscopy performed?

Joint surgery usually takes place under local or (less often) under general anesthesia. The patient is placed in a horizontal position on his back or on his side to provide the best access to the affected joint. The arthroscope is inserted into the joint cavity through 2-3 punctures. With the help of special instruments, soft tissues and bone structures that are pathologically altered are removed. The recovery period lasts for 5 weeks, after which the patient can lead a normal life. The risk of complications after surgery is minimal and rarely leads to damage to anatomical structures, nerves and blood vessels.

Rehabilitation after arthroscopy of the shoulder, ankle and knee joints

Rehabilitation after arthroscopy usually lasts about a week. On the first day (2-3 days) after surgery, it is necessary to exclude any serious stress on the joint.After 7 days, you can start working, but full recovery takes about a month.

After arthroscopy of the joints, patients are not recommended to exercise for about 2 months.

If necessary, the doctor prescribes outpatient procedures, which include the following manipulations:

• dressings under medical supervision;
• anti-inflammatory therapy to eliminate edema and infiltration;
• lymphatic drainage procedures;
• gradual stress on the joint.

Over time, it is possible to use physiotherapy exercises and physiotherapy. This is the initial stage of rehabilitation. Further, the patient can perform the exercises himself, which will be prescribed by the attending physician. They include special gymnastics and self-massage of the operated area. It is recommended to perform these rehabilitation measures for about 6 months.

Ankle arthroscopy. Postoperative recovery

Today, knee arthroscopy helps specialists not only diagnose possible problems that negatively affect the functioning of the lower extremities, but also perform endoscopic procedures that do not require large incisions during surgery.

However, despite the fact that this procedure can be called gentle, it has some features that are worth knowing. Also, patients should take into account that even with an ankle arthroscopy performed, recovery after surgery plays an important role. Therefore, you need to adhere to all the recommendations of the doctor. Also, the patient will need to perform a set of measures at home.

Ankle arthroscopy: what is this procedure

This procedure is a modern minimally invasive method for diagnosing and treating joints of the extremities. During the operation, the surgeon uses a special device called an arthroscope. It is inserted into the joint cavity through a tiny incision. Thanks to this, during the procedure, it is possible to avoid damage to the tissues of the joints. In addition, after the operation, the patient does not have any stitches, except for barely noticeable marks.

Ankle arthroscopy is a relatively new method of surgical intervention, which is only 20 years old. But it is noteworthy that this procedure was developed back in 1919.

Today, procedures of this type are considered one of the most gentle methods. According to reviews, ankle arthroscopy is performed in the least traumatic way. After that, patients recover rather quickly and return to their normal life.

It is also worth noting that a large number of people suffer from ankle injuries today. According to statistics, 21% of injuries affecting the musculoskeletal system usually affect this particular area of ​​the human body. When using non-invasive diagnostic methods, it is much more difficult to identify the problem area. Even X-ray examinations do not provide doctors with an accurate picture. For example, such methods are almost impossible to diagnose damage to ligaments, cartilage, etc. Therefore, ankle arthroscopy is an excellent alternative.

Indications

This type of procedure is recommended if the patient has suffered from:

• Meniscus trauma.
• Joint destabilization.
• Cruciate ligament tears.
• Ruptures of the cartilaginous articular tissue.

Also, ankle arthroscopy is one of the types of examinations that are required before performing an arthrotomy. In addition, a similar procedure is carried out if the specialist cannot make a diagnosis or the patient suffers from recurrent pathology.

Contraindications

Having considered what it is – ankle arthroscopy, many may think that this procedure is completely harmless. But it should be borne in mind that such operational measures are not always recommended. For example, arthroscopy is contraindicated if there is a risk that the patient may develop complications after using anesthesia. In such situations, the doctor selects a different method of anesthesia or refuses to perform this type of surgery altogether.

It is also not worth performing such procedures if the patient is in an unstable condition. Previously, doctors must make sure that he returns to normal, only after that any surgical intervention is allowed, even if it is the most gentle procedure.

Arthroscopy is not performed if the patient suffers from chronic pathologies, ankylosis. It is also forbidden to perform a similar procedure if pus is found in the affected joint.

Complications

It should be said right away that a possible worsening of the condition is diagnosed only in 1% of cases. This is possible only if the patient did not notice intra-articular infections on time or in a situation where the doctor accidentally damaged the intra-articular cavity.

Very rarely, blood can accumulate inside the joint. Fistulas, scars, and phlebothrombosis are sometimes diagnosed.

Inpatient rehabilitation

As a rule, the duration of a patient’s stay within the walls of a medical institution may differ depending on how the procedure went and how he feels. However, as a rule, after the operation, patients do not stay in the hospital for more than a day. An exception is when patients undergo cruciate ligament arthroplasty.In this case, the hospitalization period is increased to 72 hours.

Features of recovery

Having defined how arthroscopy of the joints is done, it becomes obvious that it will not take a long time for the patient to start moving normally again. Recovery begins from the first days after the procedure. As a rule, while the patient is still in the hospital, he is prescribed a course of antibiotics. Usually, the doctor prescribes broad-spectrum drugs to rule out possible complications.

Patients also have rather severe pain syndromes. To stop them, analgesics are used. To get rid of edema after surgery, the patient is recommended to undergo manual or hardware massage of the lymphatic drainage type.

The first days

When the patient is already slightly away from the surgery, recovery after ankle arthroscopy surgery involves the use of a special elastic bandage. It needs to be worn for about 3-5 days.Additionally, the doctor may prescribe anticoagulants.

To get rid of pain, in addition to medication, cold is allowed in the first 72 hours. Ice should be applied to the affected joint at least 30 minutes apart.

Already on the first day after surgery, the patient can begin to perform therapeutic exercises. As a rule, they consist in very careful movements of the ankle joint.

Recovery at home

After an ankle arthroscopy has been performed, postoperative recovery and rehabilitation is possible outside the hospital, but only if the patient spent the first days under the supervision of doctors. In this case, patients should adhere to the recommendations of specialists. For example, for the first few days, doctors advise keeping your legs mostly elevated. Such manipulations help to avoid severe swelling.

Even though only subtle incisions are made during surgery, it is important to keep the wounds clean and dry during recovery. Change of dressings should be carried out exclusively under the supervision of a physician. During this period, the patient should be extremely careful when performing water procedures.Do not forget about the timely intake of anti-inflammatory drugs.

Approximately one week after the operation, the patient is allowed to begin the therapeutic massage. However, their own implementation is undesirable. This is allowed only if the patient consulted with a specialist and watched the training video.

During the rehabilitation period, it is important to visit the doctor periodically to make sure that the wound healing is proceeding normally.

If during the operation the removal of the meniscus was performed, then moderate loads are recommended on the same day. For the first week, patients use crutches. However, if a ligature is applied to the meniscus, then you need to be very careful not to load the leg for 30 days or more.

If a standard operation was performed, then the first days should be taken care of the limb. However, in the absence of overt pain, some exercises are allowed.

Therapeutic gymnastics

It should be noted right away that doctors recommend exercise therapy for almost all patients who have undergone arthroscopy.However, this does not mean that you can start exercises without first consulting a specialist. He must develop an individual program based on the performance of a particular patient.

As a rule, the first stage of exercise therapy includes exercises that involve minimal loads. The patient can start performing the first manipulations the next day after surgery. During gymnastics, the patient’s affected knee is fixed, after which he must perform extension movements.At the next stage, the loads increase. In this case, a person can perform some exercises on their own at home, but in the presence of a specialist. As a rule, a set of exercises is aimed at restoring mobility to the joint.

Next, the patient will have the third stage of exercises, which lasts about 3 weeks. During this period, the patient should significantly increase the load on the limb. Often a special weight is used during exercise.

The fourth stage of recovery lasts 6 weeks.During this period, the patient increases the load even more in order to maximize the mobility of the affected limb.

Ankle arthroscopy: recovery after surgery, patient reviews

The vast majority of people who underwent this procedure were satisfied with the result. However, everyone notes how important it is to adhere to the doctor’s recommendations during the recovery period. Also, everyone notes how important exercise therapy is for full recovery. It is best to perform all manipulations under the supervision of a specialist.Also, many note that in no case should you start remedial gymnastics. Only in this case can you count on the restoration of functions.

Some patients do not have the funds to teach outside the home. In this case, they study visual aids and special video courses that demonstrate procedures that can be performed at home.

In conclusion

With the right approach, after the operation, a person can fully recover.This means that people successfully continued to exercise after arthroscopy, cycled and walked without any difficulty. However, this is possible only if the patient follows all the doctor’s recommendations and does not allow the development of complications after the procedure.

Arthroscopy of the joints – registration for the procedure in MEDSI

Table of Contents

Arthroscopy is the generic name for a range of diagnostic and treatment procedures that provide penetration into the joint. For the procedure, a small incision (5-6 mm) is sufficient, through which a special endoscopic device is inserted under the skin. With its help, all further diagnostic or surgical therapeutic actions are provided.

Joint Arthroscopy: Features

The procedure is performed for pathologies such as arthrosis of various localizations, as well as arthritis and bursitis, damage to ligaments, menisci, synovial membranes. Also, manipulations are relevant for intra-articular fractures, tumor processes, suspicions of the presence of a foreign body inside the joint.

Minimally invasive intervention allows you to perform restoration or resection of the meniscus, reconstruction of ligaments, etc.

The main advantages of the method include :

• Minimum invasiveness
• Low likelihood of developing complications
• Possibilities to quickly identify all existing pathologies
• No cosmetic defects
• Rapid patient recovery with early activation

Arthroscopy of the ankle, shoulder and other joints can be :

• Diagnostic . In this case, it is performed in order to obtain an accurate image of the joint in high resolution and to determine the existing pathologies. Diagnostics allows you to obtain objective and reliable information about the condition of the patient’s joint. The technique detects blood in the joint, crystalline deposits in it, scars, adhesions and other defects, as well as signs of chronic and acute inflammation
• Healing . This manipulation is carried out through small punctures. Instruments and optics are introduced into the formed cavity.This allows the surgeon to clearly control all the actions performed

Intervention is not carried out at :

• General serious condition of the patient
• Fibrous and bone ankylosis
• Presence of inflammatory processes in the joints
• Purulent wounds in the affected area
• Individual intolerance to drugs used in the course of treatment

The operation can be refused in case of blood clotting disorders, hypertension, diabetes mellitus, local inflammation on the skin and severe pathologies of the cardiovascular and bronchopulmonary systems, as well as internal organs.

In some cases, the operation is postponed. Relative contraindications include extensive hemorrhages in the joint cavity and violations of its tightness.

Postoperative period: recovery in the first 2-3 days after surgery

After such an operation as arthroscopy of the knee, hip or other joint, a whole range of rehabilitation measures is carried out. It is aimed at reducing pain, relieving inflammation and immobilization.

On the first day, it is necessary to ensure complete rest of the joint, fixing it with an orthosis in a straight position. The bandage applied in the operating room is changed first every other day, and then changes occur every 2-3 days. For 1-3 days, it is recommended to apply dry cold compresses to the affected area.

Particular attention is paid to the prevention of thromboembolism during rehabilitation after arthroscopy of the knee and other joints. For this, the patient wears compression stockings and other special products. If necessary, use elastic bandages. To relieve swelling, massages and other physiotherapy sessions can be performed.

A special gymnastics complex is also assigned. Physiotherapy involves the simplest exercises aimed at developing the joint. Already on the second day after the intervention, passive movements can be performed.

Possible complications after discharge

Arthroscopy of the joint is a relatively simple operation, however, complications are not excluded after it.They often occur when the patient neglects the recommendations of the attending physician. Also, complications can be triggered by mistakes made by surgeons due to insufficient experience or other reasons. That is why the operation to replace the knee joint and for other purposes should be carried out exclusively by experienced specialists in the conditions of modern medical centers.

The main complications during interventions include :

• Damage to arteries or veins
• Hemarthrosis (accumulation of blood in the articular cavity)
• Arthritis or synovitis
• Weakening or stretching of tendons and ligaments
• Loss of sensitivity
• Large vessel thrombosis

The most common complications are hemarthrosis and synovitis. They become the result of an incorrectly performed operation. Eliminate them with special drugs or by repeated manipulations. Blood and fluid from the articular cavity can be removed by puncture. After that, drugs are necessarily introduced that relieve inflammation and prevent infection from entering.

Important! For any discomfort after treatment, you should consult a doctor. Only he can correctly determine how to eliminate the unpleasant consequences of previously performed manipulations.

Complications caused by the use of drugs for anesthesia deserve special attention. These include temporary paresis, blurred consciousness, speech disorders, nausea and vomiting. The discomfort usually goes away without additional medication. If it persists, this should also be reported to the attending physician.

Important! The patient is not discharged from the clinic in the presence of the above phenomena. Even minor pain, fever, or severe swelling may become grounds for postponing discharge.

Contraindications to arthroscopy

Absolute contraindications for intervention are :

• Bone or fibrous ankylosis. In such conditions, the joint space is overgrown with dense connective or bone tissue, which significantly limits the patient’s movements
• Infected open wounds in the area of ​​manipulation
• Purulent inflammation in tissues
• General serious condition of the patient

Relative contraindications are extensive injuries, in which the ligaments and joint capsules are torn, as well as massive hemorrhages.

Important! The final decision on performing knee meniscus surgeries and other interventions is made solely by the physician. Previously, the patient undergoes comprehensive diagnostics and examinations. This allows you to identify all indications and contraindications.

Benefits of intervention in MEDSI

• Highly qualified specialist surgeons . Our doctors have all the necessary knowledge and skills. Surgeons receive training to enable them to continually improve their skills and expand their capabilities.If necessary, rehabilitologists, neurologists and other specialists are connected to work with patients
• Application of advanced diagnostic and treatment techniques . The latest generation equipment is used to detect pathology. In our center, it is possible to conduct MRI using tomographs of famous brands. The diagnosis is therefore quick and accurate
• Modern minimally invasive techniques . They are applied thanks to the advanced equipment of the clinic.The center has special operating tables, arthroscopic racks, computer equipment
• Selection of an individual therapy and rehabilitation plan . Our doctors always take into account the identified pathologies and the general condition of the patient
• Comfort hospital . In it, patients receive three meals a day and round-the-clock medical monitoring.