Keyhole surgery is a minimally invasive surgery that is often used by orthopedics to treat joint problems. It is also called Arthroscopy. Doctors use arthroscopy to look for, diagnose, and treat problems in the joints that cause arthritis.
Mostly, it is used to cure problems for knees, elbows, ankles, shoulders, wrists, or hips. Only a small incision is made in the skin, like a buttonhole, thus, the name provides keyhole surgery.
Knee and other joints Arthroscopy
Arthroscopy can be beneficial for patients suffering from arthritis, injury, or osteoarthritis.
It has become popular as it is less invasive and a much faster method.
The patient may be discharged on the same day. In addition, the joint only needs six to eight weeks to heal fully.
For joint injuries or less severe damage, keyhole surgery not only allows doctors to accurately diagnose the extent and type of damage but also treats it with minimal seizures.
There is much less risk than joint replacement or total arthroplasty. Due to arthroscopic means, healthy tissues suffer high precision and negligible damage, therefore allowing rapid recovery.
The Procedure of Surgery
In the process, small cuts similar to buttonholes are made in the knees and a camera is put into one of them. The camera is attached to a monitor.
With the help of other incisions, doctors place an arthroscopic instrument which is like a thin layer that facilitates to flood of the joints with the guild which eliminates debris and damaged tissues.
During the whole procedure, they can see the progress on the monitor.
Now let’s take a look at some of the types of arthroscopic treatments performed at Eva Hospital – knee, shoulder, and hip joints.
Arthroscopic surgery is very fruitful in treating knee problems like:
- Increased cartilage or bone. They can be shortened to finish grinding.
- Removal of osteophytes or loss of cartilage fragments. Trim or smooth cartilage that has become irregular and dirty.
- Remove the inflamed synovial tissue
- A process is known as lavage in which a saline solution is used to flush out the joint as well as to expel the material which can cause irritation and inflammation.
In the knee joint, the two bones of the thigh and shin are connected to each other and form a joint. The ends of the bones are lined with cartilage (soft elastic bones).
Osteoarthritis is a condition where this cartilage becomes hypertrophy, painful and swollen.
The purpose of this type of arthroscopy is to remove the joint to correct the condition through keyhole surgery.
Specialist orthopedic surgeons at EVA Hospital for Orthopedic Care recommend this treatment when joint and bone health is good and arthritis is denied.
Arthroscopy of the shoulder joint is a major advancement in surgical procedures. Intact tissue is less damaged, so it allows a shorter time for recovery.
This process involves 3-4 incisions close to the joint for inserting a fiber-optic camera and miniature surgical tools.
The following are the types of arthroscopy surgery:
- Shoulder dislocation
- SLAP repair
- Subacromial decompression
- Rotator cuff repair
- Tendon repair
- Frozen shoulder release
Cleansing the loose spleen cartilage in the joint
This is an outpatient procedure in which sufferers can be sent home on a similar day. As per Dr. Tanveer Bhutani, sometimes physiotherapy sessions can be advised with specific instructions depending on the type of keyhole surgery.
The rehabilitation period is very short and the person may be suggested to wear a sling and physical therapy usually lasts anywhere between 4 and 5 weeks.
This minimally invasive surgery involves the insertion of the camera and surgical equipment along with the time of the same day.
Doctors decide to perform keyhole procedures for hip conditions that do not respond to non-surgical procedures.
Thus the following conditions can be successfully treated:
- Labral Tears
- Femoroacetabular impingement
- Removal of loose pieces of cartilage inside the hip joint
Physical therapy can be included in post-op instructions. It enables you to start walking immediately after surgery with the help of a crutch. Moreover, you can go back to work within a few days.