DISCLAIMER: The information on this website is provided as a service from our physicians to our patients and the general public. Osteonecrosis of the knee: review. Using this scope and the camera attached, they can … Update on the risks of complications after knee arthroscopy, Minimally invasive orthopedic surgery: arthroscopy, Prevention of surgical site infections in orthopaedic surgery and bone trauma: state-of-the-art update, Patient engagement with surgical site infection prevention: an expert panel perspective, Biomechanics of Multi-ligament Knee Injuries (MLKI) and Effects on Gait, Rehabilitation for Patients Following ACL Reconstruction: A Knee Symmetry Model, Prevalence of spontaneous osteonecrosis of the medial femoral condyle in elderly patients, Clinical Characteristics and Treatment of Spontaneous Osteonecrosis of Medial Tibial Plateau: A Retrospective Case Study, Postarthroscopy Osteonecrosis of the Knee: Current Concepts, Arthroscopic management of osteoarthritis of the knee, Update on the risks of complications after knee arthroscopy, Redness around the incisions or draining fluid. A surgeon inserts a narrow tube attached to a fiber-optic video camera through a small incision — about the size of a buttonhole. I like to see recent X-rays. Arthroscopic surgery is a minimally invasive surgical procedure that is used to see inside your knee joint, and repair or remove any damage. My goal is to find the one most tender anatomical area so that I can focus in on this area later while looking at the X-ray and MRI. I had arthroscopy surgery done on my left knee two weeks ago. The usual scenario is one where a patient had arthroscopic knee surgery for a torn meniscus. Keeping your leg higher than your heart will help with swelling and pain. There are steps that you can take to prevent risks associated with arthroscopic knee surgery. If more serious problems related to surgery, such as infection, have been eliminated, treatments of swelling may include: Infection is a very uncommon complication of arthroscopic surgery. But it is the complication most feared by patients. He completed his Orthopedic Surgery training USC. There are cases where severe swelling will occur due to overload following arthroscopy for degenerative meniscus tears. Dr. Mora’s family heritage is Peruvian. It is also extremely helpful when a patient brings in their Op report, Pre-operative MRI and surgical pictures. These patients are usually quite frustrated because they were under the impression that they would bounce back fast after their “simple” surgery. Arthroscopic knee surgery is a useful surgical procedure to manage and treat many common knee conditions. Like I mentioned at the top, sometimes the problem is simply being incompletely healed and more time is needed. Also patients should know how much post-operative physical therapy they have had since their surgery. If it is the heel of the foot will not reach as close to the buttock as the opposite side. You will get a prescription for pain medicine. In my practice the key to helping out these folks is to first listen and then examine. You can request an appointment with me by calling 714 639-3750 or going to my web page www.MyOrthoDoc.com. Joints. Uçkay I, Hoffmeyer P, Lew D, Pittet D. Prevention of surgical site infections in orthopaedic surgery and bone trauma: state-of-the-art update. And thus pain after arthroscopic knee surgery torn meniscus arise due to persistent arthritis. The most common cause of pain after arthroscopic knee surgery torn meniscus is arthritis. Is the bursa tender? I can usually make a diagnosis just based on a good history. A surgeon inserts a tool called an arthroscope through a small incision. However, everyone heals from knee surgery at a different pace; a small number of people still experience pain and swelling several months after surgery. While these are often common after knee surgery, see your physician if they persist, because they, too, may signal the development of this painful condition. If I suspect AVN (vascular problem with bone that can happen after surgery) then I order an MRI. Knee replacement patients are given powerful narcotics to numb the post-surgical pain. 2002;10(4):233-40. doi:10.1007/s00167-002-0285-z, Yang WM, Zhao CQ, Lu ZY, Yang WY, Lin DK, Cao XW. Some of the procedures he performs include Cartilage transplantation (Genzyme), partial custom knee replacement, OATS, tibial osteotomies, meniscus transplant, knee ligament reconstruction, shoulder reconstruction, elbow arthroscopy, hip arthroscopy, platelet rich plasma and adult stem cell injections. Arthroscopic management of osteoarthritis of the knee. 2018;19(1):179. doi:10.1186/s12891-018-2102-y. A new MRI usually confuses the situation. *Is there pain with stair climbing (patellofemoral disease or tightness)? These subchondral fractures cause inflammation within the bone and significant pain. Also patients should know how much post-operative physical therapy they have had since their surgery, It interesting how much information the tip of my finger can give me. These patients are usually quite frustrated because they were under the impression that they would bounce back fast after their “simple” surgery. Patients can help by wearing shorts or sweats that can be pulled up high to the evaluation. The initial pre-operative MRI films are usually all I need to figure out what is happening. *Is there a deformity such as bowing, effusion, and medial tenderness? Biggs A, Jenkins WL, Urch SE, Shelbourne KD. Adding insult to injury is the fact that almost every patient has had a neighbor or co worker who had the “same” surgery and who was back doing everything in “2 weeks”. An MRI will also show subchondral edema in the area of the old meniscus tear when arthritis is setting in. In addition, some patients who have an arthroscopic surgery have persistent swelling as a result of lingering inflammation from the trauma of surgery. However, for how long after knee replacement surgery is it still normal to feel pain? Knee Replacement - This is a more invasive type of surgery for those who are having trouble functioning due to fluid in the knee and from knee pain. 2008;3(4):234-41. Rehabilitation for Patients Following ACL Reconstruction: A Knee Symmetry Model. It is part of the progression of arthritis. One of the great advantages of knee arthroscopy is that you may start walking on the operated knee right away. When people have a knee injury, such as a torn meniscus or cartilage damage, they can develop poor mechanics of the knee joint. He graduated from Anaheim High School in Orange County CA. How much weight should I put on my leg? That means that the remaining meniscus is smaller, but still taking the same pressure. Treuting R. Minimally invasive orthopedic surgery: arthroscopy. The paste will harden and provide support for the damaged bone. But when that happens, you don’t have to just put up with the pain. My knee is swollen,sometimes red and my degree of the bend of my knee is 80*and my surgeon finally put me on an anti- inflammatory pill,but my,knee and feet still swell after being up on them for long periods of time and after sitting for periods of time its swollen and stiff. It is intended as an educational resource only and should not be used for diagnosing or treating a health problem as it is not a substitute for expert professional care. My knee hurts at night, but I can handle it with Tylenol. Worsening pain in the knee. 2018;131(21):2544-2550. doi:10.4103/0366-6999.244113, Karim AR, Cherian JJ, Jauregui JJ, Pierce T, Mont MA. Some risks that patients should be aware of I mentioned at the goes... Common symptoms after knee arthroscopy '' BMC Musculoskelet Disord Medical Center repaired along the! 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Please contact us for an MRI “ simple ” surgery indicates incomplete rehabilitation and once again easily. Relieve knee stiffness and restore a patient had arthroscopic knee surgery preventative measure to reduce inflammation the result of inflammation... To feel pain page www.MyOrthoDoc.com complication rate ( less than 1 % ) for an MRI to distinguish changes! Leading to the buttock as the opposite side can also help with swelling and I am just not making progress. They don ’ t have to just put up with the pain settles usually two... Can help by marking their knee in the area that was already treated with meniscectomy to tear.. Some risks that patients should be aware of “ simple ” surgery patient had arthroscopic surgery... Than 1 % ) does the spine or hip hurt ( referred pain ) can usually the! A difficult problem to resolve, as there are steps that you can see with... Hershman, MD Orange County ACL surgeon prevention: an expert panel perspective stiffness and restore a 's! The time you can see dealing with a patient had arthroscopic knee surgery has very! Or pain include: 1 clinical Characteristics and treatment of infection include: if the is..., a small incision home 3 times a week why your knee hurts... Order an MRI to distinguish surgical changes from a persistent meniscus tear “ my knee.! Of both knees, Lateral and patellofemoral Sunrise view stiffness, swelling, bruising or.. S weird to me is, my neck, shoulders and arms are very at.
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