Arthroscopic surgery in Mumbai
What is Arthroscopic Surgery?
Arthroscopy is a combination of two Greek-derived words, i.e., Arthro(Joint)+ scopy( to look), which translates into ” to look inside the joint.” Arthroscopy is the procedure to view, diagnose and treat joint disorders.
Arthroscopic surgeries are revolutionary joint surgeries that are more accurate and take lesser recovery time. The surgeries are done with an arthroscope (small telescope) that allows the surgeon to look inside the joint, monitor, and perform adept surgery to restore joint functions. In fact, according to our expert arthroscopy surgeon in Mumbai, except for joint replacement and major intra-articular fractures, arthroscopy can be performed to solve major hip, knee, ankle, shoulder, elbow, and wrist joint problems.
What is The Role of Arthroscope in Arthroscopic Surgery?
The Arthroscope (endoscope) is inserted into the joint through a small incision to see the joint clearly. The images captured by the arthroscope are transmitted on a synced screen enabling the surgeon to monitor and insert surgical instruments accurately without damaging adjacent muscles or tissues. The role of arthroscopy can be broken down as:
- Capturing detailed internal joint images
- Gauging accuracy to insert tools
- Guiding surgeon to perform adept surgery with space constraints
Benefits Of Arthroscopic surgeries
Some of the well-known benefits of our arthroscopic surgery in Mumbai are:
- Surgery through a key-hole incision, therefore lesser tissue, and skin damage.
- Lesser blood-loss
- Faster recovery
- Quicker restoration of joint function
- Lesser complication risks
- Lesser post-operative pain
Types Of Arthroscopic Surgery
Arthroscopic surgery can be done to various joints, including hip, knee, ankle, shoulder, elbow, and wrist joint. Here, we will discuss four major arthroscopic joint surgeries and explain when they are recommended.
Knee-arthroscopy is a procedure to diagnose and treat a range of knee problems. During knee arthroscopy, the surgeon inserts a thin pipe mounted with a small camera, called an arthroscope, in the knee joint. The camera shows internal images of knee-joint on the monitor, which guides the surgeon to do surgery with miniature surgical instruments.
Anatomy Of Knee
The Knee-joint is the largest joint that comprises three components: Femur( thighbone), tibia( shinbone), and patella( knee-cap). Apart from damage to the major parts, some other damage such as meniscus, cartilage, tissue rupture may constrict knee mobility and lead to excruciating knee pain, requiring surgical intervention.
When is Knee Arthroscopy Recommended?
It is highly recommended by the arthroscopic surgeon in Mumbai for the following cases:
- Removal, repair, or reconstruction of the worn meniscus
- Reconstruction of Anterior and Posterior Cruciate Ligament( ACL and PCL)
- Removal and replacement of inflamed synovial tissue
- Articular cartilage trimming
- Trimming and removal of loose cartilage or bone overgrowth
- Treatment of worn patella
- Treatment of Knee sepsis (infection)
2. Shoulder Arthroscopy
Shoulder arthroscopy is a surgery that aims to correct shoulder-joint problems using an arthroscope, a tiny camera to examine or repair the damaged shoulder joint bones or tissues.
Anatomy of Shoulder
The shoulder is made of three bones: upper arm bone( humerus), shoulder bone( scapula), and collar bone (clavicle). The combination of these three bones forms the ball-socket shoulder joint that is prone to damage, requiring shoulder arthroscopy for repair.
In the process, the arthroscope is first inserted through a small cut (incision) in your skin to figure the damaged tissue(cartilage, ligaments, bones, tendons). Then a colored sterile liquid is injected to show the shoulder defects on the screen. Accordingly, presessional instruments are inserted through two to three keyhole slits to repair the damage. Finally, the shoulder is checked for motion, and the incision is irrigated and closed.
When is Shoulder Arthroscopy Recommended?
Shoulder arthroscopy is recommended in the following cases:
- Rotator cuff repair– The tendons are brought together, repaired, and attached to the bone with sutures.
- Impingement syndrome– The inflamed tissues are removed from the shoulder joint surface. Next, a ligament called the coracoacromial ligament is cut off. Finally, an undersurface bone called an acromion-causing bone spur, or impingement syndrome is trimmed and repaired for easing shoulder-joint movement.
Shoulder instability (Bankart’s Repair)–
Typically, the worn labrum (tough fibrous cartilage covering the rim of the joint socket) causing shoulder instability is repaired through arthroscopy.
3. Hip-Joint Arthroscopy
Hip arthroscopy allows surgeons to see-through hip joints via a small incision, contrary to a large incision required in open surgery. In addition, it enables doctors to operate the diseased part, treating hip problems directly.
Anatomy of Hip joint
The hip is a ball-and-socket joint. The socket comprises the acetabulum, part of the pelvic bone; the ball, or upper femur bone that docks inside the socket. Articular cartilage- a slippery tissue that covers the ball and socket surface easing bone to glide smoothly. The acetabulum is ringed by a labrum(strong fibrocartilage) that shields and moisturizes the socket. The underside of the capsule is lined with a synovium membrane that produces a slippery liquid, protects and moisturizes the inner surface of the socket. Finally, the joint is protected and held in position with the help of strong fibrous bands called ligaments.
In hip joint surgery, the incision is made in the side of the hip, and a tubular channel is created to insert an endoscope, fluoroscope, or other surgical instruments. Sterile fluid may or may not be injected to view damages inside or around the hip joint. Once the surgery is done, the site is irrigated with sterile fluid, and the incision is closed.
When is Hip-joint Arthroscopy Recommended?
The hip joint arthroscopy can treat severe hip pain and restore hip mobility. Therefore, the orthopedic surgeons recommend hip-joint arthroscopy in Mumbai in the following cases:
- Femoroacetabular impingement (FAI) – a disorder of extra bone development in the femoral head or acetabulum, leading to constriction in movement.
- Dysplasia – a condition of the abnormally shallow hip socket, stressing labrum and making it susceptible to wear.
- Tendon rub on bony structures and therefore suffering tendon-tear.
- Synovitis– inflamed synovium membrane.
- Loose cartilage and ligament– risking joint motion.
Hip joint infection
4. Ankle Arthroscopy
The ankle is the last big joint in the body that relays the entire body’s weight. In several instances, sports, arthritis, accidents, and muscular or bone disease may cause wearing of ankle joint, which ankle arthroscopy aims to correct.
Anatomy of Ankle
The ankle joint is a hinge-type joint comprising three main bones: tibia, fibula, and foot or talus. Its surface is articulated with ligaments to enable smooth movements. The arthroscopy aims to ail diseased ankle joints and restore their functioning.
Like in all arthroscopic surgeries, this one is also done by inserting an arthroscope in a keyhole incision in the ankle. While doing the surgery, two keyhole portals on opposite sides of the ankle are made to insert the arthroscope and precision instruments. Then, a sterile liquid is injected to visualize the damaged ankle better. Then accordingly, the surgery is done both with motorized or hand-handled equipment. Once the surgery is complete, the incision is cleansed with sterile liquid, and sutures are closed.
When Is It Recommended?
- Ankle arthroscopy is recommended for the following cases:
- Ankle fusion for treating ankle arthritis
- Ankle fractures
- Ankle Instability
- Anterior ankle impingement
- Loose bodies
- Osteochondral defect (OCD)
- Posterior ankle impingement
- Unexplained ankle symptoms
Our arthroscopy surgeon in Mumbai will guide you with the right steps for quick healing and faster recovery and anticipate you to follow them religiously. Here are a few pointers regarding recovery from arthroscopic surgery.
- Take medications timely.
- If you witness unusual symptoms, such as puss, drainage, excess-swelling, continuous pain in the surgical site, then consult an arthroscopic surgeon immediately for the same.
- Visit for follow-up checkups without fail.
- Exercise surgical joints as instructed.
- The recovery shall take place in the approximately estimated time.
Why Choose Dr. Tushar Ubale For Arthroscopy Surgery In Mumbai?
Dr. Tushar Ubale is one of the well-known orthopedic surgeons in Mumbai, serving as an orthopedic doctor for fourteen years, and has acquired relative qualifications, knowledge, and skills for doing a range of orthopedic-open or arthroscopic surgeries in Mumbai. Orthocare, owned and headed by our venerated Dr. Ubale, is highly equipped with state-of-art facilities to offer our patients the best orthopedic treatments.
Make Appointment and take care of Your healthy life