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Knee arthroscopy - Overview

Alternative Names

Knee scope - arthroscopic lateral retinacular release; Synovectomy; Patellar (knee) debridement; Meniscus repair; Lateral release; Knee surgery

Definition of Knee arthroscopy:

Knee arthroscopy is surgery that is done to check for problems, using a tiny camera to see inside your knee. Other medical instruments may also be inserted to repair your knee.

Description:

Three different types of anesthesia (pain management) may be used for knee arthroscopy surgery:

  • Your knee may be numbed with painkilling medicine, and you may be given medicines that relax you. You will stay awake.
  • Spinal anesthesia. This is also called regional anesthesia. The painkilling medicine is injected into a space in your spine. You will be awake but will not be able to feel anything below your waist.
  • General anesthesia. You will be unconscious and unable to feel pain.

A cuff-like device that inflates may be used around your thigh to help control bleeding during knee arthroscopy.

The surgeon will make 2 or 3 small incisions (cuts) around your knee. Saltwater (saline) will be pumped into your knee to open up the space.

A narrow tube with a tiny camera on the end will be inserted through one of the incisions. The camera is attached to a video monitor in the operating room. The surgeon looks at the monitor to see the inside of your knee. In some operating rooms, the patient can also watch the surgery on the monitor, if they want to.

The surgeon will look around your knee for problems. The surgeon may put other medical instruments inside your knee through the other small incisions. The surgeon will then repair or remove the problem in your knee.

At the end of your surgery, the saline will be drained from your knee. The surgeon will close your incisions with sutures (stitches) and cover them with a dressing. Many surgeons take pictures of the procedure from the video monitor so that afterward you can see what was found and what was done.

See also: ACL reconstruction

  • Reviewed last on: 2/3/2009
  • C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Dept of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Phillips BB. Arthroscopy of the lower extremity. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 48.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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