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Arthroscopic Knee Surgery

Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues in or around the shoulder joint.. The arthroscope is inserted through a small cut (incision) in their skin.

Arthroscopic Knee Surgery in Bogotá

Knee arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. . During the procedure, your surgeon will make a very small incision and insert a tiny camera, called arthroscope , on his knee. This allows them to see the inside of the joint on a screen.. Later, the surgeon may investigate a problem with the knee and, if required, correct the problem using small instruments inside the arthroscope.

Arthroscopy diagnoses various knee problems, such as a torn meniscus or kneecap (ball joint) misaligned . It can also repair the ligaments of the joint . The risks of the procedure are limited and the prognosis is good for most patients.. Your recovery time and prognosis will depend on the severity of the knee problem and the complexity of the required procedure..

Arthroscopic Knee Surgery bogota
Arthroscopic Knee Surgery

Arthroscopic Knee Surgery in Colombia

Arthroscopic knee surgery may be a treatment option for certain types of knee pain . Arthroscopic surgery is a procedure that involves inserting a small camera into the joint. Through other small incisions, instruments can be inserted to repair or remove damaged structures. Arthroscopic knee surgery is often referred to as “knee reach” or knee arthroscopy.

Not all causes of knee pain can be effectively treated with an arthroscopic procedure. Some of the reasons to perform arthroscopic knee surgery include: 1

    • Torn cartilage surgery / meniscus : Meniscectomy is the official name for surgery that involves the removal of a part of the cartilage from the meniscus of the knee joint. The meniscus is a shock-absorbing cartilage wedge that sits between the ends of the bone to provide cushioning and support.. The smallest meniscus tears can usually be trimmed to relieve symptoms of a torn meniscus.
    • Meniscus repair : a meniscus repair is a surgical procedure done to repair the damaged meniscus. Meniscus repair can restore normal knee anatomy and has a better long-term prognosis when successful. Nevertheless, meniscus repair is a major surgery. Recovery is longer and, due to limited blood supply to the meniscus, meniscus repair is not always possible.
    • ACL Reconstruction : the Anterior cruciate ligament , o LCA, is one of the four main ligaments of the knee. The ACL is essential for the stability of the knee, and people who injure their ACL often complain that their knee sags under them. Therefore, many ACL tear patients choose to undergo surgical treatment of this injury. Most ACL surgeries are performed arthroscopically.
    • Escrow split: a plica is a remnant of tissue left over from fetal development. In early development, his knee was divided into separate compartments. Compartment dividers are gradually lost over time, but there are some remains. When this remnant tissue is most prominent, it is called escrow. When the escrow is irritated, is named plica syndrome . A plica resection is performed to remove this irritated tissue. 2
    • Lateral release : the kneecap moves up and down the end of the femur in a groove of cartilage. The kneecap can be pulled out of this groove, or it can even dislocate from the groove, causing pain when bending the knee joint. A lateral release is performed to loosen the ligaments that pull the patella out of the groove. 3
    • Microfracture : the microfracture is a treatment used to stimulate the body to develop new cartilage in an area of ​​damaged cartilage. 4 In a microfracture procedure, the firm outer layer of the bone is penetrated to expose the inner layers of the bone where marrow cells exist. These cells can access the damaged area and fill the space with cartilage..
  • Implantation of autologous chondrocytes : in this procedure, arthroscopic surgery is used to identify areas of cartilage damage and collect cartilage cells. 5 The person's own cells are then grown in the laboratory and reimplanted into the joint in a separate procedure., which is open surgery rather than arthroscopic surgery.
  • Cartilage transfer / OATS : Cartilage transfer involves moving cartilage from healthy parts of the joint to damaged areas. Small cartilage plugs are removed, with a portion of underlying bone, and are transferred to the damaged area. Plugs are taken from areas of the joint where the cartilage surface is not needed.

Arthroscopic Knee Surgery Procedure

Arthroscopic knee surgery is one of the most common surgical procedures performed by an orthopedist.. A variety of surgical procedures can be performed arthroscopically, using small incisions and minimizing soft tissue damage. Not all surgical procedures can be performed through small incisions, and there are some procedures that can be done better through direct visualization than through an endoscope. Having said that, arthroscopy has enormous benefits for many types of surgery knee and can help people return to sports and daily activities much earlier than they used to.

Arthroscopic Knee Surgery in Colombia

Arthroscopic Knee Surgery

Your knee is the largest joint in your body and one of the most complex. The bones that make up the knee include the lower end of the femur (thigh bone), the upper end of the tibia (shin bone) and the kneecap (ball joint).

Other important structures that make up the knee joint include:

  • Articular cartilage. The ends of the femur and tibia and the back of the patella are covered with articular cartilage. This slippery substance helps the bones of the knees slide smoothly against each other while bending or straightening the leg..
  • Sons. The knee joint is surrounded by a thin lining called the synovium.. This coating releases a fluid that lubricates the cartilage and reduces friction during movement..
  • Meniscus. Two wedge-shaped pieces of meniscal cartilage act as “shock absorbers” between the femur and the tibia. Unlike articular cartilage, the meniscus is tough and rubbery to help cushion and stabilize the joint.
  • Ligaments. Bones are connected to other bones by ligaments. The four main ligaments in the knee act as strong cords to hold the bones together and keep the knee stable..
    • The two collateral ligaments are found on either side of the knee.
    • The two cruciate ligaments are found within the knee joint. They intersect to form a “X” with the anterior cruciate ligament in front and the posterior cruciate ligament in the back.

Frequently Asked Questions about: Arthroscopic Knee Surgery

Common Questions and Answers about Arthroscopic Knee Surgery

It may be recommended that you have knee arthroscopy if you have knee pain. Your doctor may have already diagnosed the condition causing your pain., or they may order arthroscopy to help find a diagnosis. In any case, an arthroscopy is a helpful way for doctors to confirm the source of knee pain and treat the problem.

Arthroscopic surgery can diagnose and treat knee injuries, including:

torn anterior or posterior cruciate ligaments
torn meniscus (the cartilage between the knee bones)
ball joint that is out of position
torn pieces of cartilage that are loose in the joint
removal of a Baker's cyst
knee bone fractures
swollen synovium (the lining of the joint)

This surgery is not very invasive. For most people, the procedure takes less than an hour, according to the specific procedure. You will likely return home the same day to recover. You must wear an ice pack on the knee and a dressing. Ice will help reduce swelling and minimize your pain.

At home, you must have someone to take care of you, at least for the first day. Try to keep your leg elevated and put ice on for a day or two to reduce swelling and pain. The bandage will also need to be changed. Your doctor or surgeon will tell you when to do these things and for how long.. You will probably need to see your surgeon for a follow-up appointment a few days after the procedure..

Your doctor will give you an exercise regimen to follow at home to help your knee heal., or recommend a physical therapist to see you until you can use your knee normally. Exercises are necessary to help restore your full range of motion and strengthen your muscles.. With proper care, your prognosis after this procedure is excellent.

Knee arthroscopy can be used when making or confirming a diagnosis and performing surgery:

  • Make a diagnosis: if a patient has knee pain, a doctor may order an x-ray or other imaging tests. Nevertheless, The provider may need more information before going ahead with a treatment such as surgery.. In this case, the doctor may use the scope of the knee for a diagnosis or to confirm a treatment. To do this, a doctor makes a small incision, then insert the tiny arthroscope into the knee and the images can be viewed on a video screen. An example of how this could be used is when a surgeon wishes to view a meniscus tear to assess the extent of damage..

  • Performing the surgery: if arthroscopy is used for surgery, small incisions are made at different points around the knee joint, in addition to the opening made for the arthroscope. These additional openings allow the physician to insert small surgical tools into the area as needed.. Using arthroscope images as a guide, the surgeon can repair torn ligaments, remove a torn or damaged meniscus, remove loose bone fragments or perform other treatments.

Knee braces after simple arthroscopic knee surgery are rarely used. Nevertheless, if your surgery involves more than the removal of a torn cartilage or meniscus, for example, if you have a meniscus repair, a brace may be placed on your knee after surgery. If you have a neoprene knee sleeve that you used before surgery and want to use it after surgery, do not start using it until your wounds have completely stopped draining. If you use a neoprene sleeve, be sure to take it off for several hours a day to allow your skin to breathe.

Can shower 48 hours after surgery if there is no drainage from your incisions. Do not rub directly on the incisions and pat them dry after showering.

Many patients are referred to physical therapy after knee arthroscopy, and this is usually decided on the first postoperative visit. Some patients regain movement very quickly and have minimal swelling, so they may not need therapy. Or they may only have to go once or twice to learn a home program.. Your surgeon will decide what is best for you.

It is recommended that you bend and straighten your knee as much as pain allows immediately after standard knee arthroscopy.. Nevertheless, remember that your knee may be swollen and full movement may be difficult for the first few days. You can tighten your quadriceps muscle immediately after surgery and we recommend that you lift your leg straight if it doesn't hurt too much. Massaging the kneecap is also beneficial (ball joint) with straight leg. With the fingers, push the ball joint in all four directions (above, under, left and right) and hold it down for 10 seconds in each direction. This helps prevent scarring and tension around the kneecap during the recovery period..

You can put as much weight as is comfortable on your leg immediately after surgery. One more time, the usual need for crutches or a walker is about two to three days. Riding an exercise bike, using a treadmill or elliptical machine or just walking are good exercises to start once the knee is less sore. Don't be surprised if your knee tends to swell after such activities.; remember to apply ice and then elevate the knee.

After surgery, You will be transferred to the recovery room and you can go home in 1 O 2 hours. Make sure you have someone with you to drive you home and check on you that first night.

While recovery from knee arthroscopy is faster than recovery from traditional open knee surgery, it is important to follow your doctor's instructions carefully after you return home.

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Schedule your Appointment with him Dr. Danilo Velandia to be able to provide you with information and guidance about our Procedures. All the necessary information will be explained to you from: how to prepare for surgery, what will happen to you at the Clinic or Hospital, how you should take care of yourself at the end of the Procedure, as well as the changes that must occur in your lifestyle.

Testimonials from our patients

I broke my left rotator cuff while falling. I tried to put up with it for almost a year with medications, physical therapy and basically it didn't help . I was scheduled for surgery elsewhere. I did not like the atmosphere, so I looked for another opinion. I am happy to have done it !! all nursing staff, ambulatory surgical units, postoperative care and now the final results: I have no pain I have a full range of motion, I have strength and continue to develop it while following a very detailed therapy regimen. I can only recommend Dr.. Danilo Velandia and elite staff, professional, personal, warm and friendly.

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Camila cardenas Orthopedics and Traumatology Patient

I am so impressed and grateful for the care that Dr.. Danilo, that every time I get a chance to give a positive review, I can not resist! The level of care he provides far exceeds that of any other doctor I have ever seen. I am so impressed. He patiently explained every detail of the treatment plan for my broken Knee to me and really took the time to listen and answer all the questions I had.. If I ever have to refer someone I know to an orthopedic surgeon, I will insist that they see Dr.. Danilo Velandia. There is no one else I would turn to if I needed one again. Thank you Dr. Danilo for the great care you have given me!

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Raul CespedesOrthopedics and Traumatology Patient

I have seen Dr.. Danilo Velandia a couple of times in Bogotá and I'll be back, it's been great so far. No pressure to rush to surgery, great advantage. Gives good information and options from the first day to the surgery process. All staff are friendly and helpful highly qualified, He has been the most proactive and helpful medical person I have dealt with and I am really very happy. Your diligence has made sure you get the help you need, and it even helped me avoid forgetting things. Thank you very much indeed! I am very happy with my visits with him. Highly recommended Dr. Danilo Velandia and his team of professionals!

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Pedro Mutis Orthopedics and Traumatology Patient

My experience as a patient of Dr.. Daniel has been extremely positive. Performed surgery on my right shoulder, completely relieving my symptoms. He patiently listened to my concerns, answered my many questions and provided insightful information, but not too technical. The doctor. Danilo made himself available both before and after my surgery to address my pre-surgery nerves and my post-surgery expectations.. He was always professional, patient and attentive. I feel very lucky that when I could no longer suffer with the symptoms, my husband, who recommended me to Dr.. Danilo Velandia.

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Maria lopezOrthopedics and Traumatology Patient

After playing competitive soccer for several years, I broke my anterior cruciate ligament and meniscus. I was very nervous about the long process of surgery and recovery really is a life changing process, I thought I would lose everything since sport is my life and my passion, but Dr.. Danilo Velandia was very helpful, informative and reassuring, he really knew how to handle the situation. My surgery went smoothly and my recovery went according to plan. The doctor. Danilo was present every step of the way and showed his medical competence, as well as his natural compassion, Thank you very much and very grateful, I have been able to continue with my day to day.

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