Doctor insights on:
Arthroscopic Vs Orthoscopic
Arthroscopy is minimally invasive joint surgery, commonly used for the knee & shoulder, but also for the ankle, hip, wrist, elbow and other joints. A camera with a fiber optic cable is attached to a video screen placed thru a 1 cm incision and other instruments are introduced thru other small incisions to do the work required. The small incisions allow for quicker ...Read more
Can you have orthoscopic for Quervain's tendonitis and if you can what is the recovery information such as pain and how long will it take to be back to?
Dequervains: Surgery is typically open. It may be available somewhere I'm just not aware of it. The nerves are very close to the site of the problem and could be damaged with and arthro/endoscopic approach. Open surgery is relatively easy through a small incision and most people are unrestricted in a few weeks from surgery. ...Read more
Usually minimizing the swelling from the procedure is the key performing the procedure in an efficient
manor and minimizing the intra op bleeding will minimize swelling
also it is important to be off your feet for the first 24 hours to keep the swelling down
most of my patient who have an arthroscopic procedure done on thursday
have their dressing changed saturday and
return to work on monday. ...Read more
2 weeks: Typically, it goes down in the first 2 weeks but it can take longer. If it persists beyond say 6 weeks then it needs to be evaluated. ...Read more
I have had 2 orthoscopic cleanings of my left knee. Now I have constent pian on the inside of my knee help?
Relief...: This is hi-tech; but aimed at stabilization of the joint and quicker recovery time. Orthoscopic procedures are also associated with fewer complications; better outcomes(depending upon the skill of the orthopedist), and improved patient satisfaction. ...Read more
I'm having orthoscopic distal clavicle resection surgery sometimes it bothers me another times it doesn't. Is it normal?
Yes: All problems have a tendency to wax and wane Discuss with your surgeon / if it causes enough trouble then surg is warranted if not hold off. ...Read more
Repair vs removal: Both procedures are completed arthroscopically through small, fingernail sized incisions. You may have a meniscus repair or a partial menisectomy (removal). The repair is ideal, if possible, for preventing arthritic changes, but requires a longer recovery time. In either case recovery is relatively quick. Post-op rehab will concentrate on motion, & quad strength. Discuss options with your surgeon! ...Read more
I am taking eliquis that gives me a dry cough. I am getting Orthoscopic knee surgery this Tuesday! Is it going to be safe? No eliquis for 2 days!
It is unlikely that: The Eliquis is giving you a cough but not impossible. Although recommendations for this surgery would only require 24 hours off Eliquis it is entirely up to your doctor. Anytime you are off an anticoagulant that you need you will be at risk for blood clotting but you have to accept this risk in order to be able to reduce the risk of bleeding associated with most procedures. Risk/benefit ratio. ...Read more
I have synovial chondromatosis of the left hip I had surgery last year orthoscopic it came back. What do I do next surgical dislocation to remove or?
Had stitches removed from orthoscopic knee sx 5 days ago. Hard tender lump growing under 1 incision site. Not red or hot.?
Contact doctor: It would be prudent to contact your doctor and the lesion may need to be examined to determine if an intervention is needed. ...Read more
I have ACL torn ligament and I want to go to orthoscopic knee surgery. My question is which graft is best for me. And I am not a sportperson.
ACL: Since you are not a "sportsperson" the 1st question is do you even need surgery. Acl reconstructions are typically reserved for those involved in activities requiring pivoting or jumping as well as those who have instability outside those activities. As for the graft choices there are pluses and minuses with most data showing a preference for auto grafts (your tissue) in young patients (<40). ...Read more
Orthoscopic surgery in 2013 on knee to remove scar tissue from the joint. Has always hurt and stays swollen. Now has a vibration feeling top kneecap?
Get an exam: Your signs and symptoms are not normal or acceptable in a 31-year old unless you have suffered extensive trauma to your knee. You should see whoever performed your arthroscopic procedure for an opinion. If you are not satisfied with that outcome, you should get a second opinion. You don't want to live with permanent pain and swelling without pursuing a cure! Good luck! ...Read more
2 weeks after outpatient orthoscopic surgery for medial meniscus tear should I still be concerned about blood clots? Can CT scan show clot?
Usually not unless..: Arthroscopic knee meniscectomy surgery is a relatively quick, benign procedure. It is performed at times with a tourniquet. Blood clots rarely occur after it. Some people have predisposing factors (smokers on birth control bills, clotting disorders). Keeping the leg active can prevent it as well as taking baby aspirin. Ultrasound evaluation is best for diagnosing a clot. If concerned c your doc. ...Read more
Surgery w/ a camera: Arthroscopic surgery involves using a camera to address problems in and around a joint, such as for knee meniscus tears, ACL tears in the knee, and rotator cuff tears in the shoulder, to name a few. The advantages of arthroscopic surgery are that it is minimally invasive (small incisions) and it allows for excellent visualization of the structures in and around the joint. ...Read more
Failure to improve: As with all surgeries there is inherent risk of infection, bleeding, nerve injury, etc. However with the small incisions and minimal invasiveness of a well performed arthroscopy these risks are quite minimal. Other rare complications include blood clots or compartment syndrome (severe uncontrolled swelling of extremity, culminating in nerve and muscle damage). ...Read more
Can be limited: Wrist arthroscopy is an excellent, fairly low risk procedure for diagnosing and treating many wrist conditions including, ligament tears, synovitis, mild arthritis and ganglion cysts. It is limited to what can be performed through small portals in the wrist and sometimes other procedures may be needed. ...Read more
Arthroscopy involves the insertion of a fiberoptic tube inside your joint. This allows the surgeon to see what is going on inside your joint and if there are loose bodies, they are removed. If there is a tear in the cartilage, the ligament or the tendon then they are repaired.
The procedure is with minimal pain but some swelling depending on what is done. ...Read more
Careful activity: Depends on what was done. Slow return to activity with careful range of motion and strengthening. Start about 48h post op. ...Read more
Yes: Side effects include the scars of the procedure, which you can see on the skin, but also include the underlying subcutaneous tissue and joint capsule, scarring around the fat pad, which lies just behind the patella tendon, some reactive capsulitis, occasional numbness, especially the lateral (outside) of the knee, and then the side effects of whatever is done, which should include less pain. ...Read more
12 Weeks: On average, complete recovery is about 12 weeks. It depends a lot on your participation in physical therapy and the type of activities you do. Many patients are resume normal activities in about 6 weeks, but need to continue therapy to strengthen the shoulder and perform repetitive overhead maneuvers. Athletes who are put in stressed positions, need to continue strengthening during their career. ...Read more
What are the criteria for a 17 yr F to be an eligible candidate for partial psoas release on one side arthroscopically?
Multiple: There are several criteria. But basically would boil down to having failed legitimate non-operative care and that your case would benefit from the release. Therapy is the most common nonoperative treatment. The surgery is typically done for a tight psoas often producing a "snapping hip syndrome". ...Read more
Ihad an arthroscopy a year ago and my kne has locked straight it's been like it for a week now, it has happened before but was able to unlock in 4 days?
Need to be evaluated: Locking is not normal in any knee. Locking in extension is more likely a knee cap problem, but could be a torn cartilage. You should have this evaluated by the surgeon who performed surgery on your knee a year ago. You may need physical therapy but you may need further surgery. The surgeon knows what's going on in your knee and would have a better idea of what could be causing your problem. ...Read more