Arthroscopic Knee Surgery
This is a minimally invasive technique that offers several key benefits, particularly for patients dealing with knee injuries, ligament issues, or meniscus tears. Using small incisions, a tiny camera (arthroscope) is inserted into the knee, allowing Jonathan to see the joint clearly on a monitor and perform repairs with precision. One of the main advantages of arthroscopic surgery is that it causes less disruption to the surrounding tissues compared to traditional open surgery, leading to reduced pain, quicker recovery, and less scarring. Jonathan uses this advanced technique for procedures like ACL, PCL, and multiligament reconstruction, as well as meniscus repairs and patella stabilisation surgeries. His expertise in arthroscopic surgery means that he can provide a more accurate diagnosis and perform repairs in a way that preserves the natural function of the knee. Patients often experience faster healing times and can return to their activities sooner, thanks to the minimally invasive nature of the surgery. Jonathan’s commitment to using the latest technology and techniques ensures that each patient receives the best possible care for their knee issues.
Arthroscopic surgery is done under a general anaesthetic. Once under anaesthetic and the leg has been prepared, two keyhole incisions are made at the front of the knee, on either side of the patella tendon. Next a 4mm diameter arthroscope is introduced into the knee to survey the various cartilage surfaces of the femur, patella and tibia, as well as the menisci and the anterior and posterior cruciate ligaments. The integrity of these structures can be seen and they can be tested to see if they’ve been damaged with the use of a small probe. The medial and lateral collateral ligaments cannot usually be seen directly as they lie outside the knee joint itself. If any damaged material is seen within the knee, then small tools and sutures can be introduced into the knee to remove or repair the damaged tissues.
The operative time of an arthroscopy is usually quite short and can vary depending on what needs to be done within the knee. The majority of procedures usually only require a day-stay in hospital, being discharged home later on the same day. You will usually be able to walk on the same day with the use of crutches.
A torn meniscus is one of the most common reasons for having a knee arthroscopy, which aims to alleviate the symptoms related to the meniscal tear. These may include localised pain, swelling, catching, clicking and locking of the knee. Depending on the age of the patient, the type of injury and location of the tear within the meniscus it may be feasible to repair the torn meniscus arthroscopically. The concept of meniscal preservation where possible is important to maintain the function of the meniscus for as long as possible. If mensical repair is not possible, then the damaged portions of the meniscus may be removed instead.
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Knee Arthroscopy Post Op Guidelines