Knee Arthroscopy

Knee arthroscopy, also known as knee keyhole surgery, is a minimally invasive surgical procedure performed to diagnose and treat various knee joint problems. It involves the use of a tiny camera called an arthroscope, which is inserted through small incisions in the knee. During a knee arthroscopy surgery, the surgeon can visualise the internal structures of the knee, including the ligaments, cartilage, and tendons, on a video monitor. This allows him/her to assess the extent of any damage or abnormalities and make precise repairs if necessary.

When is Knee Arthroscopy Recommended?

Knee arthroscopy surgery is a minimally invasive procedure used to diagnose and treat various knee conditions. Dr. Rajesh Malhotra considers the following factors while recommending knee arthroscopy:

• Knee Pain - Individuals experiencing persistent knee pain that affects their daily activities and quality of life may be considered for knee arthroscopy. This pain can be caused by various conditions such as meniscal tears, cartilage damage, loose bodies, or certain types of knee joint inflammation.
• Diagnostic Purpose - Knee arthroscopy is commonly performed as a diagnostic procedure to assess the underlying cause of knee pain or other symptoms when imaging tests like X-rays or MRI scans are inconclusive.
• Specific Knee Conditions - Arthroscopy can be used to treat certain knee conditions. Some examples include meniscal tears (torn cartilage), ligament injuries (such as anterior cruciate ligament tears), cartilage damage (including chondral defects or loose cartilage), synovitis (inflammation of the joint lining), or removal of loose bodies (small fragments of bone or cartilage).
• Failed Non-surgical Treatments - Candidates who have tried conservative treatments like physical therapy, medications, or injections without significant improvement in symptoms may be considered for knee arthroscopy.
• Realistic Expectations - An ideal candidate should have realistic expectations about the potential outcomes of knee arthroscopy. It's important to understand that while this surgery can provide relief and improve symptoms in many cases, it may not be a cure-all for every knee problem.

For What, Knee Arthroscopy Surgery is Done?

Dr Rajesh Malhotra performs knee arthroscopy in Delhi for the following conditions:

• Ligament injuries ( ACL / PCL tears )
• Meniscus injuries
• Cartilage injuries
• Patellofemoral joint malalignment
• Synovitis or effusion
• Loose body removal
• Any kind of impingement
• Infection / septic arthritis
• As an aide to articular fracture fixation

Procedure of Knee Arthroscopy Surgery

Knee arthroscopy is a surgical procedure used to diagnose and treat various knee conditions. It is a minimally invasive procedure that involves inserting a tiny camera, called an arthroscope, into the knee joint through small incisions. With it, Dr Rajesh Malhotra can visualise the inside of the knee joint on a monitor and perform necessary treatments using specialised surgical instruments. Here is a general overview of the procedure:

• Preoperative preparations - Before the surgery, you will typically meet with your orthopaedic surgeon, Dr Rajesh Malhotra, to discuss the procedure, review your medical history, and undergo any necessary preoperative tests. You may need to stop taking certain medications or supplements that can increase bleeding risks.
• Anesthesia - Knee arthroscopy is usually performed under regional or general anaesthesia. The choice of anaesthesia depends on various factors, including your preference and the doctor's recommendation.
• Incision placement - The surgeon will make a few small incisions, each about 0.5 to 1 centimetre long, around the knee joint. These incisions serve as entry points for the arthroscope and surgical instruments.
• Arthroscopic examination - The doctor will insert the arthroscope through one of the incisions into the knee joint. Saline solution is continuously pumped into the joint to expand it, allowing for better visualisation. The camera on the arthroscope sends images to a monitor, which helps the surgeon assess the condition of the knee structures.
• Treatment - Once the problem is identified, the surgeon may perform various surgical procedures to address the issue. These may include repairing torn cartilage, removing loose bodies, and repairing ligaments. 
• Synovectomy - If there is inflammation or abnormal thickening of the synovial tissue lining the joint (synovium), the surgeon may remove or ablate the excess tissue.
• Closure - After completing the necessary treatments, the expert will remove the arthroscope and close the incisions. In most cases, sutures or adhesive strips are used to close the incisions. Sometimes, a sterile dressing and compression bandage may be applied.
• Postoperative care - After the surgery, you will be taken to a recovery area where medical staff will monitor your vital signs. You may experience some pain or discomfort, and your knee will be elevated and iced to reduce swelling. The length of your hospital stay, if any, will depend on your specific situation.
• Rehabilitation - Following knee arthroscopy, a comprehensive rehabilitation program is essential for optimal recovery. It typically involves physical therapy exercises to strengthen the knee, improve range of motion, and regain functional abilities. Dr Rajesh Malhotra or a physical therapist will guide you through the rehabilitation process.

The exact details of the procedure may vary depending on the specific knee condition being treated and the surgical techniques employed by your orthopaedic surgeon. It is always best to Dr Rajesh Malhotra for personalised information about your knee arthroscopy surgery.

Benefits of Knee Arthroscopy in Delhi

Knee arthroscopy offers several benefits compared to traditional open knee surgery. Some of the key benefits of knee arthroscopy include:

• Minimally invasive - Knee arthroscopy surgery is a minimally invasive procedure that requires only small incisions in the skin. This results in less tissue trauma, reduced scarring, and potentially faster recovery compared to open surgery.
• Reduced pain and swelling - The smaller incisions used in arthroscopy typically lead to less postoperative pain and swelling compared to open surgery. This can result in a more comfortable recovery period for the patient.
• Faster recovery time - Since knee arthroscopy involves less tissue damage and trauma, the recovery time is often shorter compared to open surgery. Patients may experience a quicker return to normal activities, work, and sports.
• Lower risk of complications - The minimally invasive nature of knee arthroscopy generally leads to a lower risk of complications such as infection, blood loss, and blood clot formation compared to open surgery.
• Accurate diagnosis - Arthroscopy allows for direct visualisation of the inside of the knee joint, providing the surgeon with a clear view of the joint structures. This enables accurate diagnosis of the underlying problem, such as torn cartilage, ligament damage, or synovial issues.
• Precise treatment - During arthroscopy, the surgeon can use specialised instruments to address the identified knee condition with precision. Procedures such as meniscus repair, ligament reconstruction, and synovial tissue removal can be performed with great accuracy.
• Outpatient procedure - Knee arthroscopy surgery is often performed on an outpatient basis, which means you can typically return home on the same day as the surgery. This eliminates the need for an extended hospital stay and reduces associated costs.
• Cosmetic benefits - The smaller incisions used in knee arthroscopy result in minimal scarring, which can be cosmetically appealing to patients.

Knee Arthroscopy Surgery Cost

Knee arthroscopy surgery cost in Delhi can vary depending on several factors, including the hospital or clinic where the procedure is performed, the surgeon's experience, the complexity of the surgery, and any additional treatments or tests required. In general, the cost of knee arthroscopy surgery in Delhi ranges approximately from INR 50,000 to INR 2,00,000 (Indian Rupees). However, getting in touch with Dr Rajesh Malhotra for the most accurate and up-to-date information regarding the cost of knee arthroscopy surgery.

How to Prepare for Knee Arthroscopy in Delhi

Here are some steps that can help you get ready for knee arthroscopy in Delhi:

• Consultation with your surgeon - Schedule an initial consultation with your orthopaedic surgeon. They will evaluate your knee condition, explain the procedure, and address any concerns or questions you may have.
• Medical evaluation - Your surgeon may request pre-operative tests, such as blood work, X-rays, or an MRI, to assess your overall health and the extent of your knee condition. Follow their instructions and complete the necessary evaluations.
• Medication and supplements - Inform your surgeon about any medications or supplements you are currently taking. They will advise you on whether to continue or temporarily discontinue certain medications, such as blood thinners, anti-inflammatory drugs, or herbal supplements that may interfere with the surgery or anaesthesia.
• Fasting instructions - Follow the specific fasting instructions provided by your surgeon. Typically, you will need to refrain from eating or drinking anything for a specified period before the surgery. Adhering to these guidelines is crucial to prevent complications during anaesthesia.
• Arrange transportation - Knee arthroscopy is usually performed as an outpatient procedure, which means you will be able to go home on the same day. However, since you will be under the effects of anaesthesia and may experience postoperative discomfort, arrange for someone to drive you home after the surgery.
• Support at home - Prepare your home environment for your recovery. Make sure you have a comfortable space with easy access to essentials like medications, ice packs, and walking aids (e.g., crutches or a walker). Remove any obstacles or hazards that may impede your mobility.
• Post-operative assistance - Consider having someone stay with you for the first few days after the surgery to help with daily activities such as cooking, cleaning, and personal care, if needed.
• Dress appropriately - On the day of surgery, wear loose-fitting, comfortable clothing that allows easy access to the surgical site. Avoid wearing jewellery, including piercings, and remove any nail polish.
• Pre-operative hygiene - Shower or bathe the night before or on the morning of the surgery. Follow your surgeon's instructions regarding using specific antiseptic soap or cleansing products.
• Mental preparation - Take time to mentally prepare yourself for the procedure. Talk to your surgeon about what to expect during the surgery, potential risks, and the anticipated recovery process. Knowing what lies ahead can help alleviate anxiety.

Why Dr Rajesh Malhotra for Knee Arthroscopy in Delhi?

Dr. Rajesh Malhotra is a renowned orthopaedic surgeon in Delhi with extensive experience in knee arthroscopy and other orthopaedic procedures. Here are some reasons why he may be an ideal doctor for your knee arthroscopy in Delhi:

• Sound expertise and experience
• High reputation
• Use of advanced techniques
• Patient-centric approach
• Collaborative care