Arthroscopy Surgery In Hyderabad By Dr.Sanjib Kumar Behera
Arthroscopy Surgery in Hyderabad By Dr.Sanjib Kumar Behera, In Arthroscopy Surgery, Arthroscopy means “to look within the joint”. The word derives its meaning from the Greek words, “Arthro” meaning a joint and “skopein” means to “observe or examine”.
In an arthroscopic examination, an orthopedic surgeon makes a small incision in the patient’s skin and examines the structures inside by inserting an instrument called Arthroscope.
The arthroscope has a small lens and a fiber optic transmitted light to magnify and illuminate the joint structures. The surgeon can observe the interior of the joint through a miniature television camera attached to the arthroscope on the other end. This procedure not only helps in the examination but also in the treatment of the damaged interior of the joint.
Arthroscopic procedures are a significant advancement in joint care as they do not make big incisions and recovery times are very low as compared to other surgeries. Arthroscopic procedures have made it very easy in the evaluation and treatment of many orthopedic conditions such as torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage. Although arthroscopy is most commonly used in knee surgery, shoulder surgery, and ankles surgery, it can also be used for spine surgery, hip surgery, wrist surgery, and ankle surgery.
Arthroscopy Surgery in Hyderabad is one of the cities in India famous for orthopedic and Arthroscopy surgeries with highly educated and talented doctors.
Arthroscopy assisted ACL(Anterior Cruciate Ligament) Reconstruction Surgery
What is an ACL (Anterior Cruciate Ligament)?
ACL or Anterior Cruciate Ligament is the most important ligament that runs through the knee joint from the thigh bone (femur) to the shin bone(tibia). It runs right through the center of the knee giving it stability and preventing the knee from giving out or otherwise called buckling.
What is an ACL tear or ligament tear?
ACL tear is a very commonly heard complaint from patients who are very mobile and mostly during fast movements and direction changes such as in sports. A sudden direction change or a deceleration force crossing the knee can tear the ACL. The patient feels it immediately sometimes also hearing a popping sensation. ACL tear is followed by rapid onset of swelling, and a buckling sensation in the knee while attempting to change direction.
Immediate First Aid for ACL Tear:
If you find yourself or a near one going through an acute ACL injury, an initial treatment with ice or anti-inflammatory medication can be of help until you reach a doctor close by. A physical therapist can also help with restoring the range of motion of the injured knee as an immediate
Full Diagnosis for ACL Tear:
The full diagnosis of an ACL injury involves the following
- Determine the cause and mechanism of injury
- Examining the knee
- Determine if there is a presence of blood within the joint
- Perform diagnostic tests including X-rays, MRI scans and stress tests of the ligament
What is ACL reconstruction?
An ACL reconstruction is replacing the torn ligament utilizing a different tissue and holding in place until it recovers. The procedure can be typically performed on an outpatient basis.
A number of different types of tissue can be used to reconstruct the ACL. The central third of the patellar tendon is the most common type of tissue used in ACL reconstruction. After a series of diagnostic arthroscopic examination of the knee, the central third of the patellar tendon is harvested with a bone block at each end of the tendon graft.
The rest of the tendon is then repaired. Using drill guides, holes are placed into the tibia bone (located below the knee) and femur bone (located above the knee). The harvested tissue graft is pulled through the drill holes and into the knee joint. The drill holes are placed right at the attachment sites of the original ligament so that the graft will be placed in the same position as the original ACL.
Bioabsorbable screws or metallic screws are used to hold the graft in place after pulling it through the drill holes and the joint to replace the torn ACL. The fastened graft in this way is left for healing. Over a period of time, new blood vessels grow into the transferred graft and naturally heals the joint and ligament.
Postoperative care for ACL Reconstruction:
Since ACL reconstruction is an outpatient procedure, patients can be discharged the same day post-surgery. Mostly crutches are recommended for the first 7-10 days after surgery so that the patient bears only partial weight on the surgically treated leg.
Patients can stop using crutches whenever they feel comfortable to do so. A supervised physical therapy session can help and can be started by the second or third day after surgery. The recovery time differs from patient to patient but most of them can walk independently after the first month.
Recovery for Arthroscopy assisted ACL Reconstruction Surgery:
The reconstructed ligament heals in approximately 3-4 months. Although the patient can walk comfortably, any sport or activity that requires rapid direction changes must be avoided until thoroughly examined and recommended by the physician.
Some of the sports that might need a go-ahead from the physician before starting include contact sports, racquet sports, skiing, tennis, martial arts, etc.
Shoulder Arthroscopy Surgery
What is a Shoulder Rotator Cuff Tear?
Rotator cuff tear or injury-related tear to shoulder is a painful shoulder with restricted mobility. Shoulder stiffness is not always a frozen shoulder. Aging is the main cause of the tear. As one age, the rotator cuff also ages, weakening the tendons and increasing chances of the tendon to tear.
Adults over the age of 40 are more prone to rotator cuff tears due to aging and repeated use of the hands in the overhead position. Rotator cuff tear is also very common in diabetic and hypothyroid patients who frequently develop tendonitis. Tendonitis is an accelerated weakening of tendons which may eventually progress to a complete tear in one of the tendons. Tendonitis is also frequently observed in individuals who perform common overhead activities.
Tears are also very common in certain athletes like baseball pitchers, swimmers, and tennis players who use repetitive overhead motions. Sometimes, a tear can be sustained from a direct blow like a fall from a bicycle or some common household work.
Symptoms of Shoulder Rotator Cuff Tear:
- With a shoulder rotator cuff tear, one usually experiences pain primarily on top and in the front of the shoulder. In some cases, pain may also occur at the side of the shoulder, and the pain increases or feels worse with activities that force to reach above the level of the shoulder.
- There could be weakness and stiffness in the shoulder making it difficult to perform simple overhead activities like lifting mobile phones to the ear or placing dishes in the cupboard. Some people with tears also complained of not able to lift their arms to comb their hair. Stiffness may result from the inability to move the shoulder, and this stiffness may become progressive over a period of time.
- There may also be difficulty sleeping on the shoulder at night.
- Bursitis is a common symptom that occurs with a rotator cuff tear. Bursitis is the inflammation of the bursa, a small sack of fluid that surrounds the joint. Bursitis may cause a mild popping or clicking sensation in the shoulder. The tear itself may cause this sensation.
Arthroscopy shoulder surgery:
- When a shoulder rotator cuff tear begins to interfere with normal activities, arthroscopic (minimally invasive) shoulder surgery may be necessary to restore your shoulders full functional abilities.
- Some athletes need to get it done to get back to the activities they love to do, or simply to enjoy a good night’s rest that has been hampered by the shoulder pain.
- Shoulder Arthroscopic Surgery can treat acute or recurrent shoulder dislocation.
- Shoulder Injuries during sports or normal household blows etc. also can be treated with arthroscopy with special arthroscopic Instrument.
Small Joints (Wrist or Elbow or Ankles) Arthroscopic Surgery
There are many smaller joints in the body such as the wrist or elbow which can also be treated using arthroscopic corrections without cutting and not leaving scars behind at the regions. Immediate return to work is possible with this method of treatment.
The tear in small joints mainly occurs in
Some Examples for Small Joints (Wrist or Elbow or Ankles):
- Ankle disorder of loose bodies can be treated with arthroscopy.
- Elbow stiffness can be fixed with arthroscopic surgery.
- Carpal Tunnel syndrome or (Nerve Compression) at the wrist which is more common in females, can be released with Arthroscopy.
Care after the Arthroscopy surgery
Arthroscopy involves only small incisions in the skin and only a simple operative dressing is needed where adhesive strips can be applied to cover the healing incisions which are usually removed the morning after surgery. The small puncture wounds take 5 – 7 days to heal.
After arthroscopic surgery, it takes several weeks for the joint to maximally recover although the puncture wounds are small and pain in the joint is minimal. A special physiotherapy session or recommended exercise activity or a rehabilitation program can be suggested based on the level of the injury to speed up the recovery and protect any future joint functions.
Most patients resume daily activities and go back to work or school within a few days. Athletes and others who are in good physical condition may return to athletic activities within a few weeks but only after a careful examination by the physician. As each patient’s diagnoses and pre-existing conditions are different their arthroscopic surgeries and recovery times are also unique to the individual.
Arthroscopy Surgery In Hyderabad
Dr. Sanjib Kumar Behera is one of the top leading surgeons in India. Famous for arthroscopy surgeries in Hyderabad, Telangana and working in most of the parts of India in Kolkata in West Bengal, Orissa, Bhubaneswar, etc.
“OPERATIVE ARTHROSCOPY IS A VERY HIGH SKILLED JOB. IT IS PERFORMED BY A VERY FEW SURGEONS ACROSS INDIA. WE ARE A TEAM OF VERY COMMITTED MEMBERS WHO DEAL WITH ARTHROSCOPIC PROCEDURES WITH GREAT ATTENTION, DETAIL AND CARE TOWARDS THE CONDITION AND THE PATIENT”.
For any arthroscopy surgery in Hyderabad, please feel free to consult Dr. Sanjib Kumar Behera, Yashoda Hospital, Secunderabad.