Osteoarthritis/Degenerative Joints
Athletic injuries and age related osteoarthritic and degenerative changes are frequent causes of joint pain, stiffness and limited range of motion. Ligaments, tendons and muscles that surround the joint may also be affected. Therapeutic injections and minimally invasive arthroscopic surgery have virtually eliminated extensive and expensive surgeries, hospital stays, and prolonged recovery periods.
Visicosupplementaion injections such as synvisc or hyalgan and platelet-rich plasma therapy may help relive joint pain and avoid surgery. However, if surgery is needed, an arthroscopic procedure greatly reduces the invasiveness of surgery. These various treatments may help alleviate painful conditions that involve the:
- Shoulder Joint
- Hip Joint
- Knee Joint
- Foot/Ankle
Injections and arthroscopic surgical procedures are often performed on an outpatient basis and typically the patient returns home the same day.
This revolutionary microsurgery is minimally invasive. Surgeons position a micro-camera so they can see inside the joint – easily examining, diagnosing and treating problems. The surgeon can operate tiny specialized instruments to perform joint surgery without major incisions.
Post-operatively, some injuries respond best to physical therapy. Others may require advanced surgery for optimum healing.
Arthroscopic orthopedic surgeons can diagnose and surgically correct:
- A wide range of joint problems such as arthritis and ligament tears
- Almost any region of the knee.
- Shoulder, ankle, wrist, elbow, and hip
How Arthroscopy works
A primary tool of this surgery is the arthroscope, a small fiber-optic viewing instrument, which projects images onto a monitor, allowing the surgeon to look deep inside the joint. A camera is inserted into the joint through a small incision of about one centimeter. The arthroscopic surgery camera is attached to a fiber optic light source and shows a picture of the inside of the joint on a television monitor so the operating team is aware of the type of surgical procedure being conducted. The arthroscope can be placed and positioned within the joint to give detailed views of internal structures, providing surgeons with an excellent tool to examine, diagnosis and treat patients.
Fluid is inserted into the joint to allow more maneuverability and to remove any debris. The procedure is performed under anesthesia and the inside of the joint is examined for damaged tissue. One or more other incisions are made to insert specially designed instruments that can treat the underlying problem. For example, a shaver can be inserted to trim the edges of a cartilage tear.
- The arthroscope is a small fiber-optic viewing instrument carrying a miniature lens, light source and video camera.
- These petite 3-4 mm diameter surgical instruments used in arthroscopic surgery appear large when viewed through an arthroscope.
- The surgeon inserts the arthroscope and surgical instruments into the joint through tiny incisions of about .25 inches each called portals. Incisions result in very small scars. After surgery, most scars are unnoticeable
Arthroscopic surgery is a common orthopedic procedure that is used to diagnose and treat problems in joints. The word "arthroscopy" comes from two Greek words: 'arthro,' meaning "joint," and 'scope,' meaning "look." Arthroscopic surgery simply means to look inside a joint.
Arthroscopic surgery is most commonly performed on the knee and shoulder joints. They are most commonly arthroscoped because the surgeon can manipulate instruments around them easier than the wrist, elbow, ankle, and hip. Further they respond well to arthroscopic surgery treatments.