ARTHROSCOPIC SURGERY IN MENISCUS DISEASE

Arthroscopic Surgery in Meniscus Disease

Meniscus, popularly known as athlete's disease, is a knee joint disorder that can be seen in men and women of all ages and professions, contrary to popular belief. Meniscus tears can always occur due to sudden turning, falling, squatting, a severe blow to the knee area or the wearing of tissues in patients of a certain age.

Arthroscopy is a surgical method that means to observe the joint as a word, and small tubes are placed inside the joint and the intra-articular structures are enlarged 6 - 10 times and used for diagnosis and treatment purposes. Arthroscopic surgery method is used to avoid the problems caused by open surgical intervention, to restore the patient's daily life earlier, and to make the diagnosis and treatment of intraarticular diseases in the best way.

Knee arthroscopy was first applied in 1960. Until the 1980s, arthroscopy, which was used only for diagnostic purposes, has become an indisputable treatment method with the development of technology and experiences. Today, arthroscopy has become the most frequently used orthopedic surgery procedure. Although arthroscopic surgery is frequently performed on the knee and shoulder joint; It can be made up to elbow, wrist, hip, ankle and chin joint.

COMPLAINTS IN MENISCUS DISEASES

Complaints such as joint pain, lock in the knee, restriction of movement, swelling in the knee, difficulty in climbing up and down stairs, difficulty in doing the work by pushing the knees to the ground can be listed.

SURGERY: Arthroscopy surgery can be performed not only by numbing the leg to be arthroscopied, but also by numbing the lower part of the waist or by making the patient fully sleep. The operation time is between 30-60 minutes, depending on the severity of the problems in the patient's knee.

The skin incision is about 0.5-1 cm. It consists of two incisions. They insert a device called arthroscope from one of the incisions, which connects to the video device, allowing to see inside the joint. From the second incision, surgery is performed by placing devices that allow us to understand and treat the discomfort in the knee. After the operation is completed, the devices are removed from the joint and the incisions are closed with a stitch.

DISEASES WHICH ARTROSCOPIC SURGERY APPLIED:

· In the treatment of meniscus tears

· To remove arthral calcification in the early period

· Removal of free bone and cartilage pieces in the joint

· Front and back cruciate ligament injuries

· In cases of infection or edema in the knee

· Problems of the knee cap bone

· Treatment of joint cartilage injuries

· In the treatment of intra-articular fractures

· For diagnostic purposes in knee pain that cannot be diagnosed

· Removal of torn pieces of menicus,

· Sewing some meniscus tears,

· Front and back cruciate ligament repairs,

· Treatment of osteoarthritis [calcification] in the early period,

· Osteochondritis [cartilage fragments or joint mice],

· Fractures of the knee joint

· Cartilage transplants,

· Correction of the patella (knee cap) axis,

· Treatment of knee cap dislocations

· Discharge of joint inflammations,

· Removal of the diseased joint membrane (synovectomy)

· Opening movement restrictions after accident or illness,

· Removal of intra-articular benign tumors and cysts can be done with arthroscopic or arthroscopy support.

IMPROVEMENT: Recovery after a simple meniscus tear by arthroscopic method is faster. Many patients can stand up on the same day without the need for crutches and walk with a load on the operated leg and become able to see their own work at home. After the first week, he can take short walks outside the home, and after the third week, he can return to his normal daily life. In open surgery, the patient's leg should remain in the cast or bandage for a long time, while now it is possible to heal within a few weeks by wrapping it with a simple bandage.

ADVANTAGES:

· Since the operation is made from 0.5-1 cm incisions, there is no large skin incision.

· Hospital stay is short. Usually, the patient is discharged on the same day or the next day.

· Since the incision is small, unwanted problems such as wound healing problems and infections are very rare.

· On-the-job time is much shorter. While it may take 1-2 months in open surgeries, those who do desk work after arthroscopy can return to work in 2-3 weeks, while those who have to work standing up in the first week.