Arthroscopy

What is Arthroscopy?

Arthroscopy is a minimally invasive surgical procedure used to diagnose and treat an inflamed, injured or damaged joint. It involves inserting a narrow tube attached to a fiber-optic video camera through a small incision. The view inside the joint is displayed on a high-definition monitor in real time.

Simply put, an arthroscopy allows the doctor to clearly view and treat a joint from outside the body. It is a minor procedure that is done on an outpatient basis, which means that the patient can usually go home within the same day.

Compared to traditional surgery, arthroscopy is less invasive as it is done through small incisions instead of a single large one. This decreases the risk of infection, and has a faster recovery time. Most patients also experience less post-operative discomfort. An arthroscopy typically takes less than an hour to perform, while an open surgery may take considerably longer.

However, it is important to note that an arthroscopy requires a higher level of surgical skill, given the limited visual field and maneuverability of tiny instruments. Thus, choosing an experienced orthopaedic surgeon is crucial in ensuring a smooth and effective procedure.

Who Needs an Arthroscopy?

Mild orthopaedic injuries can sometimes be treated via non-surgical means such as the RICE method (Rest, Ice, Compress, Elevate), injections to the joint and physiotherapy. However, if the condition is serious and symptoms are not alleviated by non-surgical treatments, arthroscopy is advised in order for the doctor to get a clearer look at the injury, as well as administer treatment if needed.

What are the Types of Arthroscopy?

How Should I Prepare for an Arthroscopy?

Before undergoing an arthroscopy, patients may have to adjust or temporarily stop certain medications that they are currently taking, at the advice of their doctor. They should also inform their doctor of any allergies beforehand. Patients will also receive specific fasting instructions prior to their procedure. Finally, a ride home should also be arranged beforehand, as patients will not be allowed to drive home on their own due to the sedative effects of anaesthesia.

What Happens During an Arthroscopy?

1. The anaesthetist will first sedate the patient so that they will not feel anything during the procedure
2. The orthopaedic surgeon will then create two or three small incisions in the area that will be treated
3. An arthroscope (light-and-camera-equipped instrument) will then be inserted through the incisions, and carefully manoeuvered for better viewing of the internal structures as the arthroscope transmits clear images onto a screen in real-time
4. The surgeon will then formulate a diagnosis or treat the patient with the use of tiny surgical instruments, if necessary

What to Expect after an Arthroscopy Procedure?

An arthroscopy is a minimally invasive procedure that will usually take less than an hour to finish. Afterwards, the patient will be taken to a recovery room and usually rest for a few hours before being discharged.

After the procedure, the orthopaedic surgeon may prescribe medication to alleviate the pain and inflammation. Patients may also have to temporarily wear protective gear like splints, slings or use crutches for a few weeks after surgery. Active participation in physiotherapy will significantly aid in the recovery process.

International Orthopaedic Clinic specialises in various types of orthopaedic surgery, including shoulder arthroscopy and ankle arthroscopy in Singapore, among others. Call 6253 7111 for more information.