Arthroscopic Meniscectomy-Minimally Invasive Arthroscopic Surgery for Torn Meniscus Cartilage in the Knee.
Edited By: Carol C. Teitz, M.D.
Last updated Friday, January 02, 2009
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Arthroscopic Meniscectomy - Set-up for Arthroscopic Meniscectomy About the procedureTechnical details Once the patient is asleep or the knee is anesthetized, three small
holes (portals) are made in the knee. The arthroscope is inserted into
one of the portals. Another portal is used for a cannula to keep a
saline solution flowing through the knee to improve visibility and
maneuverability of the instruments. The third portal is for the working
tools. The arthroscope and the tools are typically 4.5 mm in diameter.
The entire inside of the knee is inspected, including the kneecap, the
ends of the thigh and leg bones that form the knee, the menisci, and
the cruciate ligaments. The tear is identified and probed with a small
hook to determine where it starts and ends and how mobile it is.
The torn fragment is then cut free and removed. The edge of the
remaining meniscus is then shaved smooth. Any shaggy articular
(gliding) cartilage is also shaved. The knee is then reinspected to
make sure there are no other abnormal findings.
Finally additional saline is flushed through the knee to wash out any
tiny particles that may be floating around.
The portals are each closed with one stitch and a long acting pain
reliever is injected into the joint.Anesthetic Arthroscopic meniscectomy can be performed with the patient under a
general anesthetic or with a spinal block. Before surgery, patients can
discuss their preferences and the risks and benefits of various types
of anesthesia with the anesthesiologist.
Because arthroscopic surgery is done with a camera on the arthroscope,
a patient who has chosen to stay awake may watch and talk to the
surgeon during the procedure.
Length of arthroscopic meniscectomy-minimally invasive arthroscopic surgery The procedure usually takes about one hour. However, the
preoperative preparation and the postoperative recovery may add several
hours to this time.
Surgery for Torn Meniscus Cartilage in the Knee at the University of Washington, Department of Orthopaedics and Sports Medicine, Seattle, Washington If you are interested in making an appointment to discuss this procedure in Seattle, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-543-1552 or 425-646-7777 to make an appointment. Our clinical center is located in Seattle Washington, USA
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