Arthroscopy
Arthroscopy is a surgical procedure orthopaedic surgeons use to visualize, diagnose, and treat problems inside a joint.
The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to seem). The term literally means "to look in the joint"
In an arthroscopic examination, an orthopaedic surgeon creates a small incision in the patient's skin and then inserts pencil-sized tools that have a small lens and lighting system to magnify and illuminate the structures inside the joint. Light is transmitted via fiber optics to the end of the arthroscope that's inserted into the joint.
By attaching the arthroscope to a miniature television camera, the surgeon can find the inside of the joint through this very small incision as opposed to a large incision necessary for operation.
The camera attached to the arthroscope shows the image of the joint on a television screen, allowing the surgeon to appear, by way of instance, through the knee. This allows the surgeon view the cartilage, ligaments, and beneath the kneecap. The surgeon may determine the amount or type of harm and then fix or fix the problem, if it's essential.
What's arthroscopy necessary?
Doctor Aditya Sai says, Diagnosing joint injuries and illness begins with a thorough medical history, physical evaluation, and generally X-rays. Additional tests like magnetic resonance imaging (MRI) or computed tomography (CT) also scan could be required.
Throughout the arthroscope, a last diagnosis is made, which might be more precise than through "open" operation or by X-ray studies.
Infection and injuries can damage bones, ligaments, bones, nerves, and tendons. A number of the most frequent conditions discovered during assessments assessments of joints are:
Infection
By way of instance, synovitis is an inflammation of the lining at the knee, shoulder, elbow, elbow, or ankle.
Acute or Chronic Injury
* Shoulder: Rotator cuff tendon tears, impingement syndrome, and recurrent dislocations
* Wrist: Carpal tunnel syndrome
* Loose organs of cartilage or bone: by Way of Example, shoulder, knee, knee, knee, or wrist
Some problems associated with arthritis may also be treated. Several procedures may unite arthroscopic and regular operation.
* Rotator cuff surgery
* Fix or resection of torn cartilage (meniscus) from shoulder or knee
* Reconstruction of anterior cruciate ligament in knee
* Elimination of inflamed lining (synovium) in shoulder, knee, knee and wrist, ankle
* Release of carpal tunnel
* Repair of torn ligaments
* Removal of loose cartilage or bone in knee, shoulder, elbow, wrist, ankle.
Even though the interior of the majority of joints can be seen by an arthroscope, six joints are most often analyzed with this tool. These include the shoulder, knee, knee, knee, hip, and wrist. As improvements are made in fiberoptic technologies and new methods are manufactured by orthopaedic surgeons, other joints can be treated more often later on.
What's arthroscopy performed?
Arthroscopic surgery, though much simpler regarding healing compared to "open" operation, nevertheless requires the use of anesthetics and the particular equipment in a hospital operating room or outpatient surgical suite. You'll be provided a general, spinal column, or even a local anesthetic, based upon the joint or imagined problem.
A tiny incision (about the size of a buttonhole) will be forced to fit the arthroscope. A lot of different incisions may be forced to see different areas of the joint or add other instruments.
Doctor Aditya Sai says, surgical operation is done with specially designed instruments that are inserted into the joint during attachment incisions. Originally, arthroscopy was a diagnostic instrument for preparation standard open operation. With development of improved instrumentation and surgical methods, many ailments can be treated arthroscopically.
For example, most meniscal tears in the knee can be treated successfully with arthroscopic surgery.
You'll be moved out of the living room to a recovery area. Many patients want little if any pain medicines.
Prior to being discharged, you'll be provided instructions about take care of your incisions, what actions you should avoid, and which exercises you should do to help your recovery. Throughout the followup trip, the physician will inspect your incisions; remove sutures, if current; and talk about your rehab program.
Sometimes, during arthroscopy, the surgeon might find that the disease or injury can't be treated satisfactorily with arthroscopy alone.
Which are the probable complications?
Though rare, complications do happen sometimes during or subsequent arthroscopy. Infection, phlebitis (blood clots of a vein), excessive swelling or inflammation, damage to blood vessels or nerves, and tool breakage would be the most common complications, but occur in less than 1 percent of all arthroscopic procedures.
Which are the benefits?
Doctor Aditya Sai says, Although arthroscopic operation has obtained a great deal of public attention since it's used as a treatment for well-known athletes, it's a very valuable tool for most orthopaedic patients and is generally easier on the patient than "open" operation.
ddoNkttr aadity saaii ne kiyaa ilaaj
aarthroskopii
aarthroskopii ek shly cikitsaa prkriyaa aarthopeddik srjn ek sNyukt ke aNdr kii smsyaaoN kii klpnaa, nidaan aur ilaaj ke lie upyog krte haiN /
aarthroskopii shbd do griik shbdoN, "aarthro" (sNyukt) aur "skopein" (prtiit hone ke lie) se aataa hai / shbd kaa shaabdik arth hai "sNyukt ruup se dekhne ke lie"
ek aarthroskopik priikssaa meN, ek aarthoskopik srjn rogii kii tvcaa meN ek chottaa saa ciiraa bnaataa hai aur phir peNsil ke aakaar ke upkrnn oN ko smmilit krtaa hai jismeN sNyukt ke aNdr sNrcnaaoN ko bddh'aanaa aur roshn krne ke lie ek chottaa leNs aur prkaash prnnaalii hotii hai / prkaash phaaibr oNpttiks ke maadhym se gtthuuss ke aNt tk phailtaa hai jo sNyukt meN ddaalaa jaataa hai /
ek lghu tteliivijn kaimre ke lie aarthroskop sNlgn krke, srjn is bhut chotte ciiraa ke maadhym se sNyukt ke aNdr paa skte hai ke ruup meN ek bdd'e oNpreshn ke lie aavshyk ciiraa kaa virodh kiyaa /
aarthroskop se judd'aa kaimraa ek tteliivijn skriin pr sNyukt kii chvi ko dikhaataa hai, jisse srjn ko ghuttne ke maadhym se, udaahrnn ke maadhym se dikhaaii detaa hai / yh srjn upaasthi, snaayubNdhn, aur ghuttne ke niice dekhne kii anumti detaa hai / srjn raashi yaa nuksaan ke prkaar kaa nirdhaarnn kr skte hai aur phir tthiik yaa smsyaa ko tthiik, agr yh aavshyk hai /
aarthroskopii kyaa aavshyk hai?
ddoNkttr aadity saay kaa khnaa hai ki jodd'oN kii cottoN aur biimaarii kaa nidaan puurii trh se meddikl histtrii, phijikl ivailyuueshn aur aam taur pr eks-re se shuruu hotaa hai / cuNbkiiy anunaad imejiNg (emaaraaii) yaa gnnnaa ttomograaphii (siittii) jaise atirikt priikssnnoN kii bhii aavshyktaa ho sktii hai /
aarthroskop ke dauraan, ek aNtim nidaan kiyaa jaataa hai, jo "opn" oNpreshn yaa eks-re adhyynoN kii tulnaa meN adhik sttiik ho sktaa hai /
sNkrmnn aur cottoN hddddiyoN, snaayubNdhn, hddddiyoN, nsoN, aur tteNddn ko nuksaan phuNcaa skte haiN / jodd'oN ke aakln aakln ke dauraan khojii gii sbse lgaataar sthitiyoN meN se kii haiN:
iNph'ekshn
udaahrnn ke maadhym se, sinovaaittis ghuttne, kNdhe, kohnii, kohnii, yaa ttkhne pr astr kii suujn hai /
tiivr yaa puraanii cott
* kNdhe: rottettr kph knnddraa aaNsuu, baadhaa siNddrom, aur aavrtii avyvsthaa
* klaaii: kaarpl ttnl siNddrom
* upaasthi yaa hddddii ke ddhiile aNg: udaahrnn ke maadhym se, kNdhe, ghuttne, ghuttne, ghuttne, yaa klaaii
gtthiyaa se judd'ii kuch smsyaaoN kaa ilaaj bhii ho sktaa hai / kii prkriyaaeN aarthroskopik aur niymit sNcaaln ko ekjutt kr sktii haiN /
* rottettr kph srjrii
* kNdhe yaa ghuttne se phtte upaasthi (menisks) kaa tthiik yaa riisekshn
* ghuttne meN puurvkaal kruusiett snaayu kaa punrnirmaann
* kNdhe, ghuttne, ghuttne aur klaaii, ttkhne meN suujn astr (sinoviym) kaa unmuuln
* kaarpl surNg kaa vimocn
* phtte snaayubNdhn kii mrmmt
* ghuttne, kNdhe, kohnii, klaaii, ttkhne meN ddhiilii upaasthi yaa hddddii ko httaanaa /
haalaaNki jodd'oN ke bhumt ke iNttiiriyr ek aarthroskop dvaaraa dekhaa jaa sktaa hai, chh jodd'oN sbse adhik baar is upkrnn ke saath vishlessnn kr rhe haiN / inmeN kNdhe, ghuttne, ghuttne, ghuttne, kuulhe aur klaaii shaamil haiN / cuuNki phaaibroNpttik praudyogikiyoN meN sudhaar kie jaate haiN aur aarthopeddik srjn dvaaraa ne triikoN kaa nirmaann kiyaa jaataa hai, any jodd'oN kaa baad meN adhik baar ilaaj kiyaa jaa sktaa hai /
aarthroskopii kyaa prdrshn kiyaa hai?
aarthroskopik srjrii, haalaaNki "khule" oNpreshn kii tulnaa meN upcaar ke baare meN bhut srl hai, phir bhii asptaal ke oNprettiNg ruum yaa aautt pesheNtt srjikl suitt meN enesthettiks aur vishess upkrnnoN ke upyog kii aavshyktaa hotii hai / aapko sNyukt yaa klpit smsyaa ke aadhaar pr ek saamaany, riiddh' kii hddddii kaa koNlm yaa yhaaN tk ki ek sthaaniiy sNvednaahaarii bhii prdaan kiyaa jaaegaa /
ek chottaa saa ciiraa (ek bttnhol ke aakaar ke baare meN) aarthroskop phitt krne ke lie mjbuur kiyaa jaaegaa / sNyukt ke vibhinn kssetroN ko dekhne yaa any upkrnnoN ko jodd'ne ke lie bhut saare alg-alg ciiroN ko mjbuur kiyaa jaa sktaa hai /
ddoNkttr aadity saay kaa khnaa hai ki lgaav ke ciiroN ke dauraan jvaaiNtt meN ddaale jaane vaale vishess ruup se ddijaain kie ge upkrnnoN se srjikl oNpreshn kiyaa jaataa hai / muul ruup se, aarthroskopii maank khule oNpreshn ko taiyaar krne ke lie ek naidaanik upkrnn thaa / behtr iNsttruumeNtteshn aur srjikl vidhiyoN ke vikaas ke saath, kii biimaariyoN kaa aarthroskopik ruup se ilaaj kiyaa jaa sktaa hai /
udaahrnn ke lie, ghuttne meN adhikaaNsh meniskl aaNsuoN kaa aarthroskopik srjrii ke saath sphltaapuurvk ilaaj kiyaa jaa sktaa hai /
aap ek vsuulii kssetr ke lie rhne vaale kmre se baahr le jaayaa jaaegaa / kii rogiyoN ko thodd'aa agr kisii bhii drd kii dvaaeN caahte haiN /
chuttttii hone se phle, aapko apne ciiroN kaa khyaal rkhne ke baare meN nirdesh prdaan kie jaaeNge, aapko kin kaaryoN se bcnaa caahie, aur aapko apnii vsuulii meN mdd krne ke lie kaun se abhyaas krne caahie / phoNloap yaatraa ke dauraan, cikitsk aapke ciiroN kaa niriikssnn kregaa; ttaaNke nikaaleN, agr vrtmaan; aur apne punrvsn kaarykrm ke baare meN baat krte haiN /
kbhii-kbhii, aarthroskopii ke dauraan, srjn ko ptaa cl sktaa hai ki rog yaa cott kaa akele aarthroskopii ke saath sNtossjnk ddhNg se ilaaj nhiiN kiyaa jaa sktaa hai /
sNbhaavit jttiltaaeN kaun sii haiN?
haalaaNki durlbh, jttiltaaoN ke dauraan yaa baad meN aarthroskopii ke dauraan kii baar hotaa hai / sNkrmnn, phlebaaittis (ns ke rkt ke thkke), atydhik suujn yaa suujn, rkt vaahikaaoN yaa nsoN ko nuksaan, aur upkrnn ttuuttnaa sbse aam jttiltaaeN hoNgii, lekin sbhii aarthroskopik prkriyaaoN ke 1 prtisht se bhii km smy meN hotii haiN /
kaun se laabh haiN?
ddoNkttr aadity saay khte haiN, haalaaNki aarthroskopik oNpreshn ne jntaa kaa dhyaan bhut praapt kiyaa hai kyoNki yh prsiddh ethliittoN ke lie ek upcaar ke ruup meN upyog kiyaa jaataa hai, yh adhikaaNsh hddddii rog rogiyoN ke lie ek bhut hii muulyvaan upkrnn hai aur aam taur pr "khule" oNpreshn kii tulnaa meN rogii pr aasaan hai /