ARTHROSCOPY

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Arthroscopy what is it
Your surgeon will need to look inside your knee and find out exactly what is causes your problem.
You could have a tear in one of your cartilages a half moon shaped pieces of gristle cushioning the bones in the knee.
You could have torn a ligament within your knee joint witch are bands of gristle that holds the bone ends together within the joint.
You could have a loose fragments of bone in your knee joint.
You could have arthritis in areas of your knee.
The Procedure
A general anaesthetic is administered and you will be asleep for the whole operation. A arthroscope is a telescope about the width of a pen then connected to a television. The arthroscope is then inserted through one or two tiny cuts (half an inch ) in your knee. Using this as a viewing port to look at the inside of your knee. The operation is called an arthroscopy. The torn  cartilage will be removed using instruments inserted through small cuts .He may have to make a bigger cut to remove larger pieces of cartilage. Maybe about three inches long. Torn ligaments within the knee will not be replaced during this operation. He will discuss the possible treatments with you after your arthroscopy.  If you have arthritis, he can see how severe it is. He will wash out the knee with salt water. This often improves your symptoms for some months. The cuts will be closed with paper tapes or stitches. The surgery can is done as a day case, you come into the hospital on the day of the operation and go home the same day, or as an inpatient case, which means spending one night in hospital. Discuss with doctor  which way you will be having the operation.
Do not leave things as they are, the knee problem will probably get worse. X-rays and scans will not help after the initial one. Arthroscopy is the only way to give a direct view of the inside of the joint.
Before
Get your weight down if you are overweight. All your tablets and medicines bring with you to the hospital. On the ward, you will be checked for past illnesses and may have special tests, to make sure that you areprepared and that you can have the operation as safely as possible..
After
Your knee for protection will be wrapped in a bulky bandage. You may have a fine plastic drainage tube running from the wound. To help drain any residual blood from the operation. You may have a knee support on your leg to keeping it still when you are not doing your exercises. The wound may be painful. You will be given injections maybe tablets to control this. . Your nurses will help you  until you are able to do things for yourself.
.At Home
You will be able to move around the house,manage stairs. Most important continue the exercises shown to you. Avoid going shopping for the first few weeks after you go home. Make arrangements for a friend or family to shop for you. Your knee will continue to improve over the next six months. Do not drive for two months after you leave hospital. You will not be able to perform an emergency stop as quickly as before . How soon you can return to work is dependant on your job. If you can get to work without driving yourself or by using public transport you may be able to return to work one week after your operation. 
Possible Complications
The tests that you  have before the operation will make sure that your operation complication chances  bring the risk for such complications very close to zero.
Your doctor will discuss with you about rare and seldomly serious complications. Bleeding into the joint and infection of the joint  rarely happens after the arthroscopy. Sometimes a repeat operation is needed to remove discovered damaged cartilage. If there is arthritis, the operation may do no more than confirm this, without making the knee better. A further operation may then be necessary.
General Advice
We hope these notes will help you through your operation. They are a general guide. They do not cover everything.
The operation is a minor one. You should end up much better off after the operation. We hope these notes will help you through your operation. They are a general guide. They do not cover everything. Also, all hospitals and surgeons vary a little. If you have any queries or problems, please ask the doctors or nurses.

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