arthroscopy

What are the Benefits?

Arthroscopy involves making only small incisions (portals) rather than large cuts. This results in less trauma to surrounding tissues, reduced pain, smaller scars, and often a faster recovery compared to traditional open surgery. It is commonly used for the knee, shoulder, ankle, and hip.

Patient Preparation (Before Surgery)

Pre-Operative Assessment: A medical history and physical exam ensure you are healthy for outpatient surgery and anesthesia.

Physical Preparation: Sometimes, "pre-hab" physical therapy is recommended to strengthen the muscles around the joint, which can significantly speed up post-operative recovery.

Home Logistics: Arrange for a reliable ride home and plan for assistance. Since arthroscopy is often an outpatient procedure, your home setup (crutches, ice machine, comfortable resting area) is crucial.

Medication Review: Discuss necessary adjustments to any regular medications or supplements with your care team.

Immediate Post-Operative Care

Outpatient Focus: Most arthroscopic procedures are performed as outpatient (day) surgeries, meaning you will return home just a few hours after the procedure, once the effects of the anesthesia have worn off.

Pain & Swelling Management: Control of pain and swelling is the immediate priority. This includes prescribed medication, strict elevation of the joint, and diligent use of ice (cryotherapy).

Weight Bearing: Depending on the repair (e.g., meniscus or ligament), your surgeon will provide strict instructions on weight-bearing status, often requiring the use of crutches or a brace for a prescribed period.

Early Motion: For many arthroscopic procedures, gentle, controlled range-of-motion exercises are started immediately or within the first few days to prevent stiffness and facilitate healing.

Long Term Returen to Sports

Achieving a safe and successful return to athletic activity is the ultimate goal of Sports Medicine and Arthroscopy. This phase is carefully managed to prevent re-injury and ensure long-term joint integrity.

• Patience is Key: The biological healing process cannot be rushed. Return to sport is determined by functional milestones (strength, stability, balance, confidence) rather than a fixed calendar date.

• The Clearance Process: Athletes must successfully complete structured functional tests designed to mimic the demands of their specific sport. The surgeon and physical therapist must provide formal clearance before the athlete re-enters full-contact or competitive play.

• Timeline Variability:

  • Meniscectomy (Trim): Can be as short as 6-8 weeks.

  • Ligament Reconstruction (e.g., ACL): Typically requires 9 to 12 months to allow the reconstructed graft to fully mature and integrate.

  • Cartilage Repair: Often requires a lengthy protected period, sometimes 6 months or more, before high-impact activity is permitted.

• Preventive Focus: Long-term success relies on maintaining the strength and neuromuscular control gained during rehabilitation. Ongoing conditioning and adherence to proper technique are critical for protecting the repaired joint.