Appointment Appointment
Appointment
Book Your Appointment

Knee Arthroscopy

Osteoarthritis Knee

Osteoarthritis is a degenerative disease of the joint characterised by wear and tear leading to damage to the cartilage, damage to the meniscus, breakdown of small pieces of cartilage into joint called loose bodies and also inflammation.

there is selective role of arthroscopy in (a) early cases of Osteoarthritis (b) traumatic component of meniscal tears in a n arthritic knee (c) localised cartilage damage only

No Osteoarthritis cannot be cured definitely. It can only be controlled.

Yes. Although rheumatoid arthritis is a disease of the small joints, the knee is a common joint to get affected by rheumatoid arthritis.

DMARD’s (Disease modifying Anti-Rheumatoid Drugs) are usually sufficient to treat Rheumatoid Arthritis of all joints. These drugs have good anti-inflammatory action and controls the disease process. However, the drug combination needs dose-adjustment on a regular basis by an Orthopaedician/rheumatologist/physician to ensure that the disease stays well under control.

In acute active state of inflammation, the knee joint is very painful and does not respond to high doses of DMARD’s also. In such cases, the inflamed synovial tissue of the knee is debrided, shaved off and arthroscopic lavage also washes away the inflammatory mediators and gives good pain relief.

The proliferative inflamed synovium tends to eat off the cartilage (smooth layer lining the knee joint on either sides) and leads to early onset of secondary Osteoarthritis. Hence it needs to be removed when medical management does not seem to control the disease.

Yes. Although gout is a disease of the joints of the feet especially the joint of the great toe , the knee can also be involved.

Drugs like colchicine, Febuxostat and Analgesics are usually sufficient. These drugs have good anti-inflammatory action and controls the disease process. However, the drug combination needs dose-adjustment on a regular basis by an Orthopaedician/physician to ensure that the disease stays well under control.

In acute active state of inflammation, the knee joint is very painful and does not respond to high doses of medications also. In such cases, the inflamed synovial tissue of the knee is debrided, shaved off and arthroscopic lavage also washes away the inflammatory mediators and gives good pain relief. There are also some situations where the diagnosis cannot be confirmed even after an MRI scan and arthroscopy aids in diagnosis by performing synovial biopsy. In this procedure, the joint is completely visualised and suitable samples of tissue are taken for microscopic examination.

The proliferative inflamed synovium tends to eat off the cartilage (smooth layer lining the knee joint on either sides) and leads to early onset of secondary Osteoarthritis. Hence it needs to be removed when medical management does not seem to control the disease.

Yes, especially in a country like India. Although tuberculosis is a disease of the lungs, it can affect anywhere in the body - from head to toe. The knee is the third most common skeletal region after the spine and the hip joint to get effected.

ATT (Anti Tuberculosis Therapy) are a group of drugs for treating Tuberculosis anywhere in the body. These drugs have good anti-inflammatory action and controls the disease process. However, the drug combination needs monitoring and dose-adjustment on a regular basis by an Orthopaedician/physician to ensure that the disease stays well under control.

In acute active state of inflammation, the knee joint is very painful and does not respond to high doses of ATT also. In such cases, the inflamed synovial tissue of the knee is debrided, shaved off and arthroscopic lavage also washes away the inflammatory mediators and gives good pain relief.

There are also some situations where the diagnosis cannot be confirmed even after an MRI scan and arthroscopy aids in diagnosis by performing synovial biopsy. In this procedure, the joint is completely visualised and suitable samples of tissue are taken for microscopic examination.

The proliferative inflamed synovium tends to eat off the cartilage (smooth layer lining the knee joint on either sides) and leads to early onset of secondary Osteoarthritis. Hence it needs to be removed when medical management does not seem to control the disease.

This is an acute knee emergency. As the name suggests, the knee is filled with lot of pus. This warrants urgent surgical drainage.

Elderly and children are the common age groups. The hip is another common joint for similar infection to occur. Immuno compromised individuals (Ex.Diabetes, HIV positive patients, asthmatics on steroid usage etc) are more prone to this condition.

“Pus anywhere in the body should be let out” is a common surgical adage. This pus has the tendency to eat away your cartilage (the smooth layer on either sides of your joint) leading to early onset Osteoarthritis, bony ankylosis (pathological fusion of the bony ends of the joint leading to stiff joint) or in the worst of cases, the pus can spread throughout the body and lead to generalised sepsis, multiorgan dysfunction syndrome and ultimately DEATH.

Traditionally the knee was opened by a 12 – 15 cm incision and the pus was cleared along with debridement of the dead muck of tissue called synovium. This procedure was morbid with wound healing problems, knee stiffness, severe pain postoperatively and difficult physiotherapy. On the other hand, Arthroscopic lavage and shaving of the infected synovial tissue by just two 3 mm holes ensures adequate clearance of the same with much lesser mortality.

Yes antibiotics play a role to clear the infection fully, but after surgical debridement only, either by open/arthroscopic surgery. Initially antibiotics are given Intravenously and later orally.