Arthroscopic Surgery

An arthroscope with a sheath is used in minimally invasive joint surgery (arthroscopy) for diagnosis and treatment, where the sheath provides a stable portal, maintains fluid distension for clear vision, allows for instrument insertion (like shavers, probes), and has ports for inflow/outflow, with the arthroscope (camera) fitting inside or through it to visualize the joint (knee, shoulder, hip, etc.). The sheath protects tissues and simplifies instrument exchange, enabling procedures like meniscus repair, cartilage treatment, or tissue removal.

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Arthroscopy is a key hole surgery of the joint.The patient is administered suitable anaesthesia like S.A.,E.A., for knee and hip scopy and G.A. for shoulder scopy after which, a small telescope is introduced into the joint to be examined. A camera attached at the end of this telescope transmits the images on a viewing monitor. Various procedures are then performed through key holes while viewing the images on the monitor. This surgery are most of the time are stitchless so usually no visible marks of surgery on skin.We usually do recordings of procedures done through arthroscopy and hand over the CDs to patients or relatives on their demand. Sports Medicine:Sports medicine, the specialised branch of orthopaedic medicine concerned with physical fitness and with the treatment and prevention of sports injuries and disorders related to sports. Knee, elbow, leg, back, and shoulder jts are more commonly affected in sports injuries. Treatment and prevention include exercise programs for increasing strength, flexibility, and endurance; physical therapy; fitness tests; advice concerning nutrition and fluid replacement; and use of protective equipment. Surgery may be needed to treat some injuries.

Arthroscopy is a minimally invasive surgical procedure used to visualize, diagnose, and treat problems within a joint. It involves the use of an arthroscope, a thin, flexible fiber-optic instrument that is inserted into the joint through small incisions. The arthroscope contains a light source and a camera, which allows the surgeon to view the inside of the joint on a monitor. During an arthroscopy, the surgeon can examine various structures within the joint, including the cartilage, ligaments, tendons, and synovium (the lining of the joint). This allows for a detailed assessment of the joint s condition and the identification of any abnormalities or damage. Arthroscopy can be performed on various joints in the body, such as the knee, shoulder, hip, ankle, elbow, and wrist. It is commonly used to diagnose and treat conditions such as: Meniscal tears: Tears in the cartilage cushions (menisci) of the knee. Ligament injuries: Injuries to the ligaments, such as the anterior cruciate ligament (ACL) or the rotator cuff in the shoulder. Cartilage damage: Evaluation and treatment of cartilage defects or lesions. Synovitis: Inflammation of the synovial membrane. Loose bodies: Removal of loose fragments or foreign bodies within the joint. Impingement syndrome: Addressing bone spurs or abnormal bony growths that cause pain and limited range of motion. Joint infections: Evaluation and treatment of joint infections. The benefits of arthroscopy compared to traditional open surgery include smaller incisions, less tissue damage, reduced pain, faster recovery, and potentially fewer complications. However, not all joint conditions can be treated with arthroscopy, and in some cases, open surgery may be necessary. It s important to consult with an orthopedic surgeon to determine if arthroscopy is appropriate for your specific condition and to discuss the potential risks and benefits associated with the procedure.

An arthroscopy refers to the type of keyhole surgery that is used for the dual purpose of diagnosing problems with the joints and repairing damage done to the same. The procedure is usually [performed on knees, wrists, elbows, ankles and shoulders. This surgery is recommended for those suffering from problems with joints, such as swelling or stiffness and whose initial imaging tests have not been able to determine its cause. An arthroscopy is then used to look at the inside of the joint. Orthotech is a clinic that is renowned for performing this surgery under the experienced guidance of Dr. Neeraj Bijlani. We make use of standard instruments and sophisticated technology to ensure absolute safety and the success of the surgery performed by us. Why is arthroscopy necessary? Usually a joint injury or disease is diagnosed with the help of tests like x-rays, magnetic resonance imaging (MRI), computed tomography (CT along-with patient's medical history and physical examination. A final diagnosis is performed via the arthroscope. Performing this test ensures accuracy as compared with open surgery or from X-ray studies. Some of the most frequent and serious conditions found by arthroscopic examinations of joints include.

1) Hip Arthroscopy 2) Key hole surgery for disorders of the knee, shoulder, elbow and ankle 3) Trauma and Fracture surgery 4) High quality Swiss 'AO' systems help stabilize fractures 5) Image intensifier, confirms perfect fracture fixations 6) Ilizarov and External Fixation Device 7) Management of open fractures 8) Infected non-union of long bones 9) Limb lengthening 10) Correction of deformities 11) Fusion of joints 12) Meniscal Repair

ACL Reconstruction,Revision ACL reconstruction,Patello Femoral Replacement,High Tibial Osteotomy,Lower femoral Osteotomy,PCL reconstruction,Arthrodesis,Arthroscopic debridement of septic arthritis,Arthroscopic lateral release and Arthroscopic menisectomy.

Participating in a variety of sports is fun and healthy for children and adults. However, it's critical that before you participate in any sport, you are aware of the precautions you can take to prevent injuries. Warming up, strengthening your muscles and cooling down after any type of exercise are excellent ways to help prevent sports injuries. Unfortunately, even when taking these and other precautions, injuries still occur.

For repair of damaged cartilageFor removal of loose bits of cartilage and boneTo drain infected or excess synovial fluidFor reconstruction of torn ligaments.An arthroscopy is a pencil-sized fiber optic instrument attached to a small camera viewer that is used to look inside the joint. During surgery, special slim instruments are passed to remove bits of bone and cartilage from the joint cavity, drain excess synovial fluid, or repair small tears in the meniscus, a pad of special rubbery cartilage in the knee. The arthroscope is inserted through a very small incision, which leaves little scarring.This surgery does not require general anesthesia, and is done under local anaesthesia. It does not involve any blood loss. This is an advanced form of surgery and requires a very high level of costly instrumentation system. There are very few centers in India with a proper set-up offering this service. Welcare has invested in multiple sets of high-end arthroscopy equipment with the latest camera equipment and shaver systems.

From diagnostic arthroscopies to ligament reconstructions, fracture fixations and treatment of joint instabilities, every arthroscopic surgery on the shoulder and the knee is performed at Jog Hospital. Shorter hospital stay, easier and faster recovery and better return of function are a few of the advantages of arthroscopic surgery over open surgery.

Shoulder Arthroscopic Surgery: Shoulder Arthroscopy is now a single of the widespread techniques at Arthroscopy Surgical treatment clinic. The Shoulder joint is one of the big joint which allows a very good access to all its areas to Arthroscopy. The simple fact that it has a large ball and a shallow cup offers a straight access to arthroscopic surgeon to asses all areas and to virtually all pathologies. Shoulder Arthroscopy is a basic procedure In which through a little puncture portal at the back of the shoulder a Arthroscope (Telescope) of four.5 mm is introduced into the shoulder joint suitable and a comprehensive examination and testing of each and every and each structure of the joint is performed. The head of Humerus (the arm bone), the glenoid (shoulder blade forming the cup), the biceps, subscapularis muscle, the rotator cuff, the ligaments both in front and back again of shoulder are commonly examined . This assists in finding up of frequent difficulties like early arthritis of shoulder, infective arthritis(septic lesions), Rheumatoid arthritis, biceps tear, SLAP lesions, Rotator cuff lesion, impingement syndrome, ligament tear, recurrent dislocation of shoulder (Bankart lesion), instability, hyperlaxity, labral tear and cyst, Hills-sachs lesion, Frozen shoulder, loose system, bursitis, tendonitis and so forth. The other joint in shoulder joint complicated subacromial joint, acromioclavicular joint are effortlessly examined giving entry to rotator cuff lesions, acromion pathology, clavicular troubles and can be dealt satisfactorily. Shoulder Arthroscopy is a daycare process wherever 80% of the shoulder issues can be used and handled with a keyhole access with really lower morbidity and a really quick (only one day) stay in hospital. The shoulder arthroscopy is carried out by way of a extremely cosmetic technique with small incision four.5 mm at the back of shoulder in the strap area along with one and at times two in the front which is practically invisible. In shoulder arthroscopy the affected person is put in either semi sitting or lying place with hand by the facet. The arthroscope is introduced into the shoulder from the back again accessibility. The telescope is related to a higher power camera which displays the photo on the TV check. Fluid like saline/glycine are used to inflate the joint and make the motion of telescope simple. Surgeon is capable to visualize and accessibility the structures that we have pointed out previously mentioned and they are additionally tested by a hook for the integrity and also for any current pathology and also extent of pathology. Rotator Cuff: The rotator cuff muscle is a prime muscle in stabilizing the shoulder joint & allows us to lift the arm above the head. Due to wear & tear over time it is common in patients above age of 50 years to develop a rotator cuff tear. Often this tear occurs without any fall or trauma. However, sometimes due to prevailing degeneration within the rotator cuff a trivial trauma such as fall in bathroom or at times even after a throwing injury. Patients complain of pain at the side of the arm and inability to actively lift the arm. The rotator cuff tear can be diagnosed either by Ultrasound or MRI examination. If there is a partial tear this can be treated by our PSRP shoulder rehab program. But once a full thickness tear occurs it can only be treated by surgical repair. Without repairing the tear the shoulder cannot gain function. Local heat or physio does not address the cuff defect. The tear will propagate with time and the later a patient presents the poorer the outcome. Some patients have to be refused surgery as they present too late. Traditionally rotator cuff used to be repaired with open surgery leading to adhesions and post operative stiffness & recovery generally takes a very long time.

Arthroscopic Surgery Treatment

Knee arthroscopy is a minimally invasive technique that allows orthopaedic surgeons to assess and in most cases, treat a range of conditions affecting the knee joint. During the procedure, we make small incisions or portals in the affected joint, and then inserts a tiny camera and fiber optics to light the interior space. Pictures obtained with the camera are then projected onto a screen in the operating suite.The primary advantage afforded by arthroscopy is the ability to gain multiple views inside the joint. In the past, gaining access to some of these areas required an arthrotomy a surgery in which an open incision was made and dislocation of the patella, or knee cap . That procedure required additional trauma to the knee and carried the risk of additional injury to the joint. In contrast, arthroscopic examination of the knee joint usually does little damage to surrounding soft tissues. While most orthopedic surgeons continue to rely on radiographs (x-rays) and MRI to provide important preliminary information, many agree that arthroscopy is the best diagnostic tool available. Arthroscopy offers pieces of information that the other tests don t including that which is derived by probing the affected tissue. MRI is a wonderful tool to evaluate the structure of the soft tissues, but does not provide the tactile information acquired by probing the soft tissues and evaluating them with direct visual observation.

houlder arthroscopy involves a tiny camera called an arthroscope to examine or repair the tissues inside or around the shoulder joint. The arthroscope is inserted through a small incision (cut) in the skin. The word arthroscopy is derived from two Greek words, arthro (joint) and skopein" (to look). Therefore, the term literally means "to look within the joint." During the procedure, the surgeon inserts a small camera, called an arthroscope, into the shoulder joint. The camera displays pictures on a television screen, and the surgeon uses these images to guide miniature surgical instruments. Due to the thin structure of the arthroscope and surgical instruments, the surgeon uses very small incisions, rather than the larger incision needed for standard, open surgery. This results in less pain for patients, and shortens the recovery time.

Dr L Tomar, one of prolific arthroscopic surgeon in India, getting patient for advanced complicated arthroscopy using latest computer navigation technology. Although arthroscopic surgery has many advantages over conventional surgery, yet without computer navigation support, arthroscopic surgeon faces difficulties in navigating within the joint and correctly placing portal incisions without damaging critical neurovascular structures. With the support of computer-aided navigation system, arthroscopic surgeon addresses various challenges associated with arthroscopic hip surgery. The newer technique in arthroscopic procedures makes easier for surgeon to do accurate linkages to track surgical instruments and eliminates inaccuracies of standard tracking systems. The encoder position information is displayed at monitor about patient joints anatomy to support the restricted view from a typical arthroscopic camera. What is Arthroscopy? Arthroscopy is a minimal invasive surgical procedure which involves examination and treatment of problems inside a joint. In this procedure a small incision (about 1 cm only) is made on the patient s skin and then an arthroscope (similar to endoscope) which has a narrow tube like structure and has a camera and light source in it, is inserted into the patient s joint. With the help of arthroscope a magnified view of inside the joint can be seen on a larger screen and then after visualizing problem, other small incisions are made by which small surgical instruments are inserted and then damaged part is treated.Common Arthroscopic Procedures As mentioned above that many joints problems can be treated during a Arthroscopic procedure, some of the procedure which are done commonly are Trimming a torn meniscus of the knee For repairing a torn meniscus of the knee Shoulder bursitis can be treated by Arthroscopic procedure Repair of the rotator cuff in the shoulder For the treatment of knee in case of damage of cartilage and ligaments. For the treatment of shoulder in case of labral tears. In Arthroscopy minimal invasive technique is adopted that means that very small incision is made. Benefits of minimal invasive technique are Cause less pain and stress to the patient Less blood loss Faster recovery of the patient Shorter hospital stay. Arthroscopy is safe type of surgery so surgery risks are very low. Arthroscopic procedure can be used to treat almost every damaged joint of the body even on the complex joint on the body.

Arthroscopic surgery is a minimally invasive surgical procedure in which an examination and treatment of joint problems is performed using an arthroscope ( type of endoscope), that is inserted through a small incision. The advantages of arthroscopy over traditional open joint surgery are No scars ; only small key hole incisions Less perioperative morbidity Minimal chances of infection Short hospital stay ( day care surgery ) Quicker recovery

Refractive eye surgery is any eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses. This can include various methods of surgical remodeling of the cornea or cataract surgery. The most common methods today use excimer lasers to reshape curvature of the cornea. Successful refractive eye surgery can reduce or cure common vision disorders such as myopia, hyperopia and astigmatism. A corneal flap usually 100 to 180 microns is made by an instrument called a microkeratome or more recently also by a femtosecond Laser. As of now both methods give comparable results. The flap is lifted like a hinged door. The following is then done.Laser Assisted In-Situ Keratomileusis (LASIK): The targeted tissue , calculated based on the error to be corrected, is removed from the corneal stroma with an excimer laser. The flap is subsequently replaced.Surface procedures In these techniques, no partial thickness flap is made. Several methods can be used differing only in the way the epithelial layer is handled.Photorefractive keratectomy (PRK) : Using anaesthetic drops ,the corneal epithelium is removed and excimer laser ablation is performed as required. No flap is created and a bandage contact lens is used to reduce postoperative pain and promote healing of epithelium which takes a few days.. Recovery time is longer with PRK than with LASIK, though the final outcome (after 3 months) is about the same (very good). The advantage of this procedure is that it can be done on thinner corneas where LASIK is risky.Laser Assisted Sub-Epithelium Keratomileusis (LASEK) is a procedure similar to PRK except that the corneal epithelium is not removed but rolled over and used as a natural bandage contact lens. The surgeon uses an alcohol solution to loosen then lift a thin layer of the epithelium with a trephine blade (usually with a thickness of 50 micrometres).[2] During the weeks following LASEK, the epithelium heals, leaving no permanent flap in the cornea.EPI-LASIK is a new technique similar to LASEK that uses an epi-keratome (rather than a trephine blade and alcohol), to remove the top layer of the epithelium (usually with thickness of 50 micrometres), which is subsequently replaced. For some people it can provide better results than regular LASEK in that it avoids the possibility of negative effects from the alcohol, and recovery may involve less discomfort.Corneal incision procedures Radial keratotomy (RK) uses spoke-shaped incisions (usually made with a diamond knife) to alter the shape of the cornea and reduce myopia or astigmatism; this technique has now been largely replaced by the other methods (that use excimer laser). But it still is a useful option for lower degrees of myopia , say upto 2-4 where cost of procedure or availability of Laser machine is a concern. Limbal relaxing incisions (LRI) are incisions near the outer edge of the iris, used to correct minor astigmatism (typically less than 3 diopters). This is often performed in conjunction with an Intraocular Lens implantation.

Head: Dr. Avtar Singh Members: Dr. Manish Bansal, Dr. Rajeev Vohra, Dr. Vivek Mahajan, Dr. Inderdeep Singh The Division of Arthroscopy and Sports Injuries is comprised of Orthopaedic Surgeons who have a subspecialty interest in the treatment of the musculoskeletal problems of active people. While the care of elite athletes is part of the practice of sport medicine orthopaedic surgeons, the majority of the practice involves keeping all members of the public active so they can enjoy a high quality of life. The diagnosis and treatment of orthopaedic injuries has been revolutionized by a surgical technique known as arthroscopy. Using an arthroscope, inserted into the joint cavity through a small incision, the orthopedist can get a detailed view of the entire joint, which is displayed on a television screen in the operating room. Using this minimally invasive surgical technique, the surgeon can investigate, diagnose and immediately treat many conditions, eliminating the need for more major open surgery. Furthermore, this surgery can be performed in an ambulatory setting eliminating the need for hospital admission. Recovery is hastened by minimally invasive surgery such as arthroscopy.

An arthroscopy is a type of keyhole surgery that is used both to diagnose problems with the joints and to repair damage to the joints.The procedure is most commonly used on the knees, wrists, elbows, ankles and shoulders.If you have problems with your joints, such as swelling or stiffness, and initial imaging tests have not been able to find what is causing the problem, an arthroscopy might be recommended to look at the inside of the joint.

Memisectomy Shaving of Cartilage Anterior Cruciate Ligament

This Minimal invasive technique is specifically used to treat knee swelling in Rhumatiod, Tubercular affected Knee and other affected swollen joints. At Sports Med we use tissue ablation Radio Frequency system which is a Cost effective alternative to Laser tissue ablation.

Ankle Arthrodesis fuses the bones of the joint completely, making one continuous bone out of two bones. The goal of the procedure is to reduce pain by eliminating motion in the arthritic joint. During arthrodesis, the doctor removes the damaged cartilage and then uses screws to fix the joint in a permanent position. Over time, the bones fuse or grow together, just like two ends of a broken bone grow together as it heals. By removing the joint, the pain disappears. This surgery was earlier done by open methods with a high complication rate. Arthroscopy scpecialists at The Joint Clinic prefer to do it with arthroscopic techniques minimising complications and optimising the results.

Arthroscopy is a surgical procedure by which the internal structure of a joint is examined for diagnosis and/or treatment using a tube-like viewing instrument called an arthroscope. Arthroscopy was popularized in the 1960s and is now commonplace throughout the world. Typically, it is performed by orthopedic surgeons in an outpatient setting. When performed in the outpatient setting, patients can usually return home on the same day the procedure is completed.The technique of arthroscopy involves inserting the arthroscope, a small tube that contains optical fibers and lenses, through tiny incisions in the skin into the joint to be examined. The arthroscope is connected to a video camera and the interior of the joint is seen on a television monitor. The size of the arthroscope varies with the size of the joint being examined. For example, the knee is examined with an arthroscope that is approximately 5 millimeters in diameter. There are arthroscopes as small as 0.5 millimeters in diameter to examine small joints such as the wrist.If procedures are performed in addition to examining the joint with the arthroscope, this is called arthroscopic surgery. There are a number of procedures that are done in this fashion. If a procedure can be done arthroscopically instead of by traditional surgical techniques, it usually causes less tissue trauma, may result in less pain, and may promote a quicker recovery.

Arthroscopy is a procedure for diagnosing and treating joint problems using a single stab incision with the help of arthroscope. At Unity Hospital we have complete arthroscopy set-up to deal with all joint related problems like - ligament injuries of knee, meniscus injury, rotator cuff tear, shoulder instability and other sports injuries. Arthroscopic procedures are less Invasive with minimal blood loss. It promotes early recovery and shortens the hospital stay.

Arthroscopy (derived from words arthros = joint and scopein = to look inside ) is a procedure used to visualize the inside of a joint. An instrument called the arthroscope is used.

Arthroscopic surgery is a common orthopedic procedure that is used to diagnose and treat problems in joints. Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. It is used in orthopaedic conditions including torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage The surgery is performed with the help of a very fine telescope(Arthroscope) which is introduced into the joint by a very tiny punter of 4mm in the skin called viewing portal . The telescope has a light post which carries the light from external light source via fiber optic cable into the joint thus illuminating the structure in front of the telescope. The images of these structure are picked up by the telescope which has very sophiscated lens system which transmits them to the eye piece. The eye piece than passes these images to a very powerful 3 chip camera system which in turn projects these on to the screen of a TV monitor which are visualized by the operating surgeon and can be dealt easily. The total procedure images can be stored as movie on to a disc or as still image for future reference and also can be kept as a record.Procedure in the joint is facilitated by a fluid in the joint like Normal saline. It not only inflates the joint and make things clearer but also help in maneuverability of the telescope in the joint. One more portal is than made called Instrument port by which various instruments are inserted into the joint to check the integrity of various structures and to perform very specialized procedures arthroscopically.

Arthroscopic Surgeries Of Joints Treatment Service