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Arthroscopy, or keyhole surgery, is an invaluable tool in the treatment of the foot and ankle.
It was first developed for knee surgery in the 1960s. Small joint arthroscopy followed in the 1980s and as the technology and equipment improved, arthroscopy was adapted to the multiple foot and ankle joints by specialist orthopaedic surgeons.

Arthroscopic Examination by the Surgeon:

In an arthroscopic examination, an orthopaedic surgeon makes a small incision in the patient’s skin and then inserts pencil-sized instrument that contain a small lens and lighting system to magnify and illuminate the structures inside the joint. Light is transmitted through fibre optics to the end of the arthroscopic instrument that is inserted into the joint.
By attaching the arthroscope to a miniature television camera, the surgeon is able to see the interior of the joint through this very small incision rather than a large incision needed for surgery.
The television camera attached to the arthroscopic instrument displays the image of the joint on a television screen, allowing the surgeon to look, throughout the knee. This lets the surgeon see the cartilage, ligaments, and under the kneecap. The surgeon can determine the amount and type of injury and then repair or correct the problem, if it is necessary.

Why is arthroscopy necessary?
Diagnosing joint injuries and disease begins with a thorough medical history, physical examination, and usually X-rays. Additional tests such as magnetic resonance imaging (MRI) or computed tomography (CT scan) may be needed.
Through the arthroscope, a final diagnosis is made, which may be more accurate than through “open” surgery or from X-ray studies.
Disease and injuries can damage bones, cartilage, ligaments, muscles, and tendons. Some of the most frequent conditions found during arthroscopic examinations of joints are:

1. Inflammation
For example, Synovitis is an inflammation of the lining in the knee, shoulder, elbow, wrist, or ankle.

2. Acute or Chronic Injury
• Shoulder: Rotator cuff tendon tears, impingement syndrome, and recurrent dislocations
• Knee: Meniscal (cartilage) tears, chondromalacia (wearing or injury of cartilage cushion), and anterior cruciate ligament tears with instability
• Wrist: Carpal tunnel syndrome
• Loose bodies of bone and or cartilage: for example, knee, shoulder, elbow, ankle, or wrist

Some problems associated with arthritis also can be treated. Several procedures may combine arthroscopic and standard surgery.
• Rotator cuff surgery
• Repair or resection of torn cartilage (meniscus) from knee or shoulder
• Reconstruction of anterior cruciate ligament in knee
• Removal of inflamed lining (synovium) in knee, shoulder, elbow, wrist, ankle
• Release of carpal tunnel
• Repair of torn ligaments
• Removal of loose bone or cartilage in knee, shoulder, elbow, ankle, wrist.

Although the inside of nearly all joints can be viewed with an arthroscope, six joints are most frequently examined with this instrument. These include the knee, shoulder, elbow, ankle, hip, and wrist. As advances are made in fibre optic technology and new techniques are developed by orthopaedic surgeons, other joints may be treated more frequently in the future.

How is arthroscopy performed?
Arthroscopic surgery, although much easier in terms of recovery than “open” surgery, still requires the use of anaesthetics and the special equipment in a hospital operating. You will be given a general, spinal, or a local anaesthetic, depending on the joint or suspected problem.
A small incision about the size of a buttonhole will be made to insert the arthroscope. Several other incisions may be made to see other parts of the joint or insert other instruments.
When indicated, corrective surgery is performed with specially designed instruments that are inserted into the joint through accessory incisions. Initially, arthroscopy was simply a diagnostic tool for planning standard open surgery. With development of better instrumentation and surgical techniques, many conditions can be treated arthroscopically.
For instance, most meniscal tears in the knee can be treated successfully with arthroscopic surgery.
The surgeon inserts miniature scissors to trim a torn meniscus. After arthroscopic surgery, the small incisions will be covered with a dressing. You will be moved from the operating room to a recovery room. Many patients need little or no pain medications.
Before being discharged, you will be given instructions about care for your incisions, what activities you should avoid, and which exercises you should do to aid your recovery. During the follow-up visit, the surgeon will inspect your incisions; remove sutures, if present; and discuss your rehabilitation program.
The amount of surgery required and recovery time will depend on the complexity of your problem. Occasionally, during arthroscopy, the surgeon may discover that the injury or disease cannot be treated adequately with arthroscopy alone. The extensive “open” surgery may be performed while you are still anesthetized, or at a later date after you have discussed the findings with your surgeon.

What are the possible complications?
Although uncommon, complications do occur occasionally during or following arthroscopy. Infection, phlebitis (blood clots of a vein), excessive swelling or bleeding, damage to blood vessels or nerves, and instrument breakage are the most common complications, but occur in far less than 1 percent of all arthroscopic procedures.

What are the advantages?
Although arthroscopic surgery has received a lot of public attention because it is used to treat well-known athletes, it is an extremely valuable tool for all orthopaedic patients and is generally easier on the patient than “open” surgery.

What is recovery like after arthroscopy?
The small puncture wounds take several days to heal. The operative dressing can usually be removed the morning after surgery and adhesive strips can be applied to cover the small healing incisions.
Although the puncture wounds are small and pain in the joint that underwent arthroscopy is minimal, it takes several weeks for the joint to maximally recover. A specific activity and rehabilitation program may be suggested to speed your recover and protect future joint function.
It is not unusual for patients to go back to work or school or resume daily activities within a few days. Athletes and others who are in good physical condition may in some cases return to athletic activities within a few weeks. Remember, though, that people who have arthroscopy can have many different diagnoses and pre-existing conditions, so each patient’s arthroscopic surgery is unique to that person. Recovery time may vary accordingly.
Arthroscopic surgery is often, though not always, an available alternative to tradtional open surgical techniques. Surgical options depend on each patient’s unique condition and needs.
Common arthroscopic surgeries include:
• Shoulder surgery
• Knee surgery
• Joint debridement
• Labral repair
• Partial meniscectomy

Knee Arthroscopy for Arthritis
Arthroscopic surgery cannot cure arthritis, but it can improve function and help to relieve some pain associated with arthritis. In this procedure, small incisions are made to insert the tiny camera and special instruments the surgeon uses to perform the surgery. The type of procedure done depends on the patient’s need. Common procedures are cleansing the joint, removing loose bodies, smoothing joint surfaces, and removal of inflamed tissue. After the outpatient surgery, the joint should not be used for several days and support may be needed, such as crutches. Arthroscopy can ease joint pain temporarily, but does not slow the progress of the disease so surgery for arthritis should be thoroughly discussed with a doctor.
An arthroscopy is a common procedure performed by our expert surgeons at Ranka Hospital, Mukund Nagar, Pune. With this minimally invasive technique and our physical therapy specialists, patients can recover quickly and safely.

Knee Arthroscopy for Dislocating Kneecaps
The patella is the bone that covers the kneecap and can become unstable or dislocated, usually toward the outer side of the leg, when the kneecap moves from its position on the thigh bone. Dislocation may be the result of injury. Reduction, bracing, and physical therapy are used first to treat dislocation, but in severe cases, arthroscopic surgery may be appropriate. In this procedure, small incisions are made to insert the camera and surgical instruments so the surgeon can examine the knee joint and treat the damage done to the kneecap and repair tissues.
An arthroscopy is a common procedure performed by our expert surgeons at Ranka Hospital, Mukund Nagar, Pune. With this minimally invasive technique and our physical therapy specialists, patients can recover quickly and safely.

Knee Arthroscopy for Meniscal (Cartilage) Tears
The meniscus is the tough cartilage between the thighbone and shinbone that cushion the joint and provide stability. This type of knee injury is common among athletes as players may twist the knee, causing a tear. With a meniscal tear, pain and stiffness develops in the knee and there is limited flexibility. A knee arthroscopy is the most common procedure done for a meniscal tear. A tiny camera is inserted through a small incision that gives the surgeon a clear view of the anatomy of the knee. Other small incisions are made for the surgeon to insert instruments to remove or repair the damaged tissue. After surgery, the patient will be given exercises to strengthen the knee and restore mobility.
An arthroscopy is a common procedure performed by our expert surgeons at Ranka Hospital, Mukund Nagar, Pune. With this minimally invasive technique and our physical therapy specialists, patients can recover quickly and safely.

Knee Arthroscopy for Loose Bodies
Loose bodies are floating bone, cartilage, or a foreign object within the synovial fluid of the knee joint. This could be the result of osteoarthritis, torn cartilage, or an accident that caused injury. The loose body can cause locking of the knee, pain in the joint and swelling. A knee arthroscopy is done by making small incisions, one for the tiny camera and the others for instruments to be inserted in order for the surgeon to locate the loose bodies and remove them. The patient will be given instructions for proper care at home and exercises to perform in order to restore strength in the knee.
An arthroscopy is a common procedure performed by our expert surgeons at Ranka Hospital, Mukund Nagar, Pune. With this minimally invasive technique and our physical therapy specialists, patients can recover quickly and safely.
The Ranka Multispeciality Hospital is one of the only dedicated private Hospital in Mukund Nagar, Pune, specializing in joint replacement. It is a partnership that has been forged in excellence, with orthopaedic surgeons and exceptional patient care. If you choose to have your surgery with us, you will be in safe hands.
From complex surgery to straight forward procedures, we provide exceptional care at the Ranka Multispeciality Hospital. We are proud to work with leading Specialists across a range of medical fields, whose skills are matched by their integrity and compassion.

Is the surgery right for me?
Although arthroscopic surgery is often the best treatment for people with advanced osteoarthritis, before you make the decision to go ahead it’s important to:
1) Discuss all your options with the Specialist
2) Discuss your expectations for surgery
3) Ask questions and raise any concerns you may have
4) Weigh up the risks and benefits so that you can make your own informed decision

Why come to Ranka Multispeciality Hospital?
1) Always get the best care. We are committed to providing the most effective and highest quality healthcare for our patients.
2) Get Treated by The Best Arthroscopy Surgeon in Mukund Nagar, Pune
3) Faster recovery times
4) Shorter hospital stays
5) A reputation for innovation, we continually invest in the world’s most advanced diagnostic and treatment technologies.
6) High quality accommodation, being in a comfortable environment can help speed up a patient’s recovery.
7) Incredible Savings.
Millions of people suffer from Arthritis of the knee. Often the condition is so severe that the patient is unable to carry out even the activities of daily living. When conservative treatment fails to provide adequate relief, Total Knee Replacement should be considered.

About Total Knee Replacement (T.K.R)
Total Knee Replacement or “Arthoplasty” is the realigning of the joint (bone and surfaces) with artificial parts called protheses. There are three components in the artificial knee. The femoral (thigh) component is made of metal and covers the end of the thigh bone. It may be cemented to the bone or, for some protheses, inserted without cement for tissues to grow into the porous coating of the device (biological fixation).
The Tibial (shine bone) component made of metal and polyethylene (medial-grade plastic), covers the top end of the tibia. The metal forms the base of this component, while the polyethylene is attached to the top of the metal to serve as cushion and smooth gliding surface between the metal of the femoral and tibial components. The tibial component will be secured to the bone with bone content.
The third component, the Patella or knee cap, may be all polyethylene or a combination of metal and polyethylene. Depending on the prosthesis used, this part may be fixed with or without cement.
The total knee replacement is inserted through an incision that runs three or four inches above the knee down along the inside of the knee cap to several inches below the knee. The new components are stabilised by your ligaments and muscles, just as your normal knee was.
The operation is usually carried out under Epidural Anaesthesia (safe & also provides pain relief in post-surgical period)

Post Operation Progress:
1) Day 1 made to sit at Edge of Cot.
2) Day 2 made to stand.
3) Day 3 made to walk.
4) Day 7 can be sent home.
5) Day 10-12 follow up for stitch removal.
(Note: Above Protocol may vary depending on patient compliance.)

Why Choose Ranka Multispeciality Hospital?
1) International class Operation Theatres with Laminar Air Flow System.
2) Hi Tech equipment and Instruments to perform accurate Implantation of Artificial joint.
3) Fully Equipped and dedicated Physiotherapy Department.
4) All choices of Implants available i.e. Imported & Indian.
5) Reasonable Packages.
6) Facility to perform both side replacement in one sitting.
7) Internationally trained team of Joint Replacement Surgeons.
8) Deserving patients will be provided further subsidised charges.