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Before Knee Surgery
If you decide to have knee arthroscopy, you may need a
complete physical examination with your family physician
before surgery. He or she will assess your health and
identify any problems that could interfere with your
surgery.
Before surgery, tell your orthopedic surgeon about any
medications or supplements that you take. He or she will
tell you which medicines you must stop taking before
surgery.
To help plan your procedure, your orthopedic surgeon may
order pre-operative tests. These may include blood counts or
an EKG (electrocardiogram).
Almost all arthroscopic knee surgery is done on an
outpatient basis.
Arrival
Your hospital or surgery center will contact you with
specific details about your appointment. You will likely be
asked to arrive at the hospital an hour or two before your
surgery. Do not eat or drink anything after midnight the
night before your surgery.
Anesthesia
When you first arrive for surgery, a member of the
anesthesia team will talk with you. Arthroscopy can be
performed under local, regional, or general anesthesia.
- Local anesthesia numbs just your knee
- Regional anesthesia numbs you below your waist
- General anesthesia puts you to sleep
The anesthesiologist will help you decide which method
would be best for you.
If you have local or regional anesthesia, you may be able to
watch the procedure on a television monitor.
Your surgeon's first task is to properly diagnose your
problem. He or she will insert the arthroscope and use the
image projected on the screen to guide it. If surgical
treatment is needed, your surgeon will insert tiny
instruments through another small incision. These
instruments might be scissors, motorized shavers, or lasers.
This part of the procedure usually lasts 30 minutes to
over an hour. How long it takes depends upon the findings
and the treatment necessary.
Arthroscopy for the knee is most commonly used for:
- Removal or repair of torn meniscal cartilage
- Reconstruction of a torn anterior cruciate ligament
- Trimming of torn pieces of articular cartilage
- Removal of loose fragments of bone or cartilage
- Removal of inflamed synovial tissue
Your surgeon may close your incisions with a stitch or
steri-strips (small bandaids) and cover them with a soft
bandage.
You will be moved to the recovery room and should be able
to go home within 1 or 2 hours. Be sure to have someone with
you to drive you home.
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