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7 Types of Knee Surgery Arthroscopic Procedures Explained

Last Updated on November 18, 2025 by Ugurkan Demir

Modern medicine has changed how we treat knee injuries and conditions. At Liv Hospital, our trusted orthopedic specialists use arthroscopic surgery. This method helps restore knee function and reduce pain.

We’ve seen big improvements in knee arthroscopy. Patients now get to enjoy quicker recovery times and fewer complications. This is compared to the old open orthopedic surgery methods.

Our team is all about putting patients first and doing things right. In this article, we’ll dive into the seven main arthroscopic procedures for knee surgery. We’ll cover what they’re for, how they’re done, and their benefits.

Key Takeaways

  • Minimally invasive knee arthroscopy offers faster recovery times.
  • Arthroscopic surgery reduces complication rates compared to open surgery.
  • Liv Hospital’s orthopedic specialists provide patient-centered care.
  • Seven types of arthroscopic procedures are available for knee surgery.
  • Arthroscopic surgery alleviates pain and restores knee function.

Understanding Knee Arthroscopy: The Basics

 

Knee arthroscopy is a key part of modern orthopedic surgery. It’s a precise way to diagnose and treat knee problems. This method is less invasive, leading to quicker recovery times and fewer risks.

We’ll look at the basics of knee arthroscopy. This includes what it is and the technology behind it. Knowing how it works helps patients understand its benefits and how it’s changed knee surgery.

What is Arthroscopic Knee Surgery?

Arthroscopic knee surgery, or knee scoping, lets surgeons see and fix knee issues. They use a small camera and special tools. It’s great for fixing ligament tears, meniscal damage, and cartilage wear.

Small cuts are made for the arthroscope and tools. The camera shows the knee’s inside on a screen. This helps the surgeon see what’s going on.

How Arthroscopy Works: The Technology Behind Scoping a Knee

The tech in arthroscopy of knee is advanced. It includes a high-def camera, light, and monitor. The arthroscope lights up the knee and captures clear images. This helps with accurate diagnosis and treatment.

To scope a knee, surgeons use the arthroscope and special tools. These tools let them do precise tasks. This tech makes diagnosing and treating knee problems easier, often in one go.

Benefits of Arthroscopic Surgery vs. Open Knee Procedures

 

Arthroscopic knee surgery has changed orthopedic surgery for the better. It offers many benefits over traditional open knee surgeries. These include faster recovery times, less pain, and better knee function. Let’s dive into why arthroscopic surgery is often the top choice for both doctors and patients.

Reduced Recovery Time and Pain

Arthroscopic surgery leads to quicker healing times. This is because it causes less damage to the knee. Patients usually feel less pain after surgery compared to open procedures.

Minimally invasive techniques help reduce pain and speed up recovery. This is great for people who are active or need to get back to work fast.

Lower Risk of Complications

Arthroscopic surgery has fewer complications than open knee surgery. The smaller cuts lower the chance of infection and blood loss. It also allows for more accurate diagnosis and treatment, reducing risks further.

Improved Cosmetic Results

Arthroscopic surgery also offers cosmetic benefits. The small cuts mean less scarring. This is a big plus for patients who worry about scars.

The advantages of arthroscopic surgery, including reduced scarring, make it an attractive option for patients undergoing knee surgery.

Criteria Arthroscopic Surgery Open Knee Surgery
Recovery Time Typically 1-3 months Often 3-6 months or more
Pain Level Generally less due to smaller incisions Can be more severe due to larger incision
Cosmetic Results Less scarring due to small incisions More noticeable scarring

In conclusion, arthroscopic surgery has many benefits over open knee procedures. These include faster recovery, less pain, fewer complications, and better looks. As orthopedic surgery keeps improving, arthroscopic techniques will likely become even more important for patient care.

Common Types of Knee Surgery Arthroscopic Procedures

Knee arthroscopy has changed orthopedic surgery a lot. It helps us find and fix many knee problems. We use it to see what’s wrong and to fix it.

Diagnostic vs. Therapeutic Applications

Knee arthroscopy is used for both looking and fixing. Diagnostically, it lets us see inside the knee. This helps find pain sources that tests can’t show. Therapeutically, it lets us fix or remove damaged tissue.

This tool is great because it can do both. It helps us find problems and fix them well. This makes knee surgery more precise and effective.

Most Frequently Performed Knee Arthroscopies

Some common surgeries include fixing the meniscus, ACL reconstruction, and cartilage repair. Meniscus repair fixes tears in the meniscus, a cartilage that cushions the knee. ACL reconstruction fixes a torn ACL, which is key for knee stability.

Cartilage restoration aims to fix damaged cartilage. This can be from injury or conditions like osteoarthritis. These surgeries can make the knee work better and hurt less.

We do these surgeries with care, using the newest arthroscopic tech. This helps us get the best results for our patients.

Type 1: Meniscus Repair and Meniscectomy

The meniscus is key to knee function. When it’s damaged, surgery might be needed. This can be through arthroscopy, a minimally invasive method.

Meniscus tears are common reasons for knee arthroscopy. The choice between repair or removal depends on the tear’s severity and location.

Partial vs. Complete Meniscectomy

Meniscectomy removes the damaged part of the meniscus. It can be partial or complete, based on the tear’s extent. Partial meniscectomy is often chosen first. It keeps more of the meniscus, which may reduce future knee problems.

Complete meniscectomy removes the whole meniscus. It’s usually done for very large tears.

Meniscus Repair Techniques

Meniscus repair is a more conservative option. It involves stitching or reattaching the torn meniscus. This method is best for tears in the outer rim, where blood flow is better.

The goal is to keep the meniscus and its function. This can help prevent future knee issues. For example, a professional soccer player had meniscus surgery and returned to play successfully.

Recovery Timeline for Meniscus Procedures

The recovery time for meniscus procedures varies. It depends on whether it was a meniscectomy or repair. Generally, people can get back to normal in a few weeks to months after surgery.

Physical therapy is often needed to build strength and mobility. Following the surgeon’s instructions and rehabilitation plan is critical for the best results.

Type 2: Anterior Cruciate Ligament (ACL) Reconstruction

ACL reconstruction surgery helps fix the knee after an injury. It’s often needed by athletes and those who play sports that require quick stops or changes in direction.

Reconstruction Techniques

There are different ways to do ACL reconstruction. The choice depends on the patient’s condition, age, and how active they are. It also depends on the surgeon’s experience.

Single-Bundle vs. Double-Bundle ACL Reconstruction: Single-bundle focuses on the ACL’s front part. Double-bundle tries to fix both parts. Double-bundle might offer more stability.

Graft Options for ACL Reconstruction

The graft can come from the patient (autograft) or a donor (allograft). Each has its own benefits and risks.

Graft Type Source Advantages Disadvantages
Autograft Patient’s own tissue (e.g., patellar tendon, hamstring) Lower risk of rejection, potentially faster integration Donor site morbidity, potentially for harvest site pain
Allograft Donor tissue No donor site morbidity, potentially shorter surgery time Risk of disease transmission, slower integration

Rehabilitation After ACL Surgery

Rehab is key after ACL surgery. It helps get the knee working right again.

The rehab process starts with caring for the knee right after surgery. It includes exercises to improve movement and muscle strength.

It takes months to get back to sports or hard activities. The knee needs to be strong and stable first.

Type 3: Posterior Cruciate Ligament (PCL) Reconstruction

PCL injuries are not as common as ACL injuries but need careful evaluation and surgery. The posterior cruciate ligament is key for knee stability. Its injury can greatly affect a patient’s life quality.

PCL Injury Assessment

We look at several factors when assessing PCL injuries. These include injury severity, patient health, and activity level. Accurate diagnosis is key to choosing the right treatment.

PCL injuries are graded based on severity:

  • Grade 1: Partial tear with some fibers left intact.
  • Grade 2: Complete tear, but the knee is somewhat stable.
  • Grade 3: Complete tear with major knee instability.

Surgical Approach to PCL Reconstruction

PCL reconstruction aims to fix or replace the damaged ligament. We use arthroscopic techniques to reduce recovery time and lower complication risks.

The surgery may include:

  • Arthroscopic check to see how bad the injury is.
  • Choosing and preparing the graft.
  • Drilling tunnels for the graft.
  • Securing the graft with devices.

Post-Operative Care for PCL Procedures

Post-surgery care is vital for PCL reconstruction success. We focus on:

  • Managing pain with medication and rest.
  • Exercises to improve knee function and strength.
  • Slowly returning to activities, avoiding high-impact sports first.

With a structured rehab program, patients can see big improvements in knee stability and function.

Type 4: Cartilage Repair and Restoration Procedures

Damaged articular cartilage can cause a lot of pain. Cartilage repair and restoration procedures are key to fixing this. They help heal damaged cartilage, easing pain and improving joint function.

Microfracture Surgery

Microfracture surgery helps grow new cartilage. The surgeon makes small bone fractures to encourage new cartilage growth. It’s often used for smaller cartilage defects.

Benefits of Microfracture Surgery:

  • Minimally invasive
  • Relatively simple procedure
  • Potential for significant pain relief

Autologous Chondrocyte Implantation (ACI)

ACI is a two-step surgery. It takes healthy cartilage cells from the patient, grows them in a lab, and then implants them. It’s good for bigger cartilage defects.

Experts say ACI is promising for fixing cartilage and easing symptoms in those with big damage. Learn more about cartilage repair treatments.

Procedure Ideal Candidate Recovery Time
Microfracture Surgery Patients with small to medium cartilage defects Several months
ACI Patients with larger cartilage defects 6-12 months
OAT Patients with localized cartilage damage Several months

Osteochondral Autograft Transfer (OAT)

OAT moves healthy cartilage and bone from one knee area to the damaged one. It’s good for those with localized cartilage damage.

Procedures like microfracture surgery, ACI, and OAT offer many benefits. They’re chosen based on the patient’s condition and cartilage damage. Knowing these options helps patients make better treatment choices.

Type 5: Synovectomy and Plica Excision

Arthroscopic synovectomy and plica excision are effective for certain knee issues. They remove inflamed or abnormal tissue. This helps ease symptoms and boosts knee function.

Synovial Tissue Removal Procedure

Synovectomy removes inflamed synovial tissue causing knee pain. It’s for those with synovitis, an inflammation of the synovial membrane.

We use an arthroscope to see and remove the inflamed tissue. This method is less invasive. It cuts down on recovery time and lowers the risk of complications.

Plica Syndrome and Surgical Management

Plica syndrome happens when the plica, a tissue fold, gets irritated or inflamed. If other treatments don’t work, plica excision might be needed.

Plica excision removes the abnormal plica through arthroscopy. This stops the irritation. It can greatly reduce knee pain and enhance function.

Expected Outcomes After Synovectomy

Synovectomy and plica excision aim to ease knee pain and improve function. Patients can expect less pain, better mobility, and a faster return to activities.

Many patients see a big improvement after these procedures. But, results can differ. They depend on the condition’s severity and the patient’s overall health.

Type 6: Lateral Release for Patellar Realignment

For those with patellofemoral pain syndrome, lateral release can help. This condition causes pain around or behind the kneecap. It often happens with activities like climbing stairs or jumping.

Patellofemoral Pain Syndrome

Patellofemoral pain syndrome is a common knee issue. It leads to pain and discomfort. It’s often caused by kneecap misalignment, muscle imbalance, overuse, or trauma.

The symptoms include pain around or behind the kneecap, mainly during activities that stress the knee. Doctors diagnose it through a thorough exam and sometimes imaging studies.

Lateral Release Technique

Lateral release is a surgery to realign the kneecap. It’s done arthroscopically, which is less invasive and leads to quicker recovery.

The procedure involves small incisions around the knee for an arthroscope and tools. The lateral retinaculum is released for proper kneecap alignment. It can be done under general or regional anesthesia.

Recovery and Rehabilitation Process

After surgery, patients start a rehabilitation program. The first phase focuses on pain management and reducing inflammation. Then, exercises improve range of motion and strengthen muscles.

The recovery time varies, but most return to normal activities in a few weeks to months. A structured rehabilitation program is key for the best results, including tailored physical therapy exercises.

Phase Timeline Rehabilitation Focus
Immediate Post-Op 0-2 weeks Pain management, reducing inflammation
Early Rehabilitation 2-6 weeks Range of motion exercises, initial strengthening
Advanced Rehabilitation 6-12 weeks Progressive strengthening, functional activities

Type 7: Loose Body Removal

Arthroscopic loose body removal is a surgery to fix loose pieces in the knee. It helps bring back comfort and function. These loose pieces can come from injuries, wear and tear, or old surgeries.

Causes of Loose Bodies in the Knee

Loose pieces in the knee can happen for many reasons. A big injury can break off bone or cartilage pieces. Osteoarthritis can also cause loose bodies as the joint wears down. Sometimes, a condition called osteochondritis dissecans can lead to loose fragments.

Surgical Approach to Fragment Removal

The surgery to remove loose pieces uses arthroscopy. This is a small camera to see inside the knee. Special tools are used through small cuts to find and take out the loose pieces. This method hurts less and heals faster.

Key steps in the procedure include:

  • Insertion of the arthroscope to visualize the loose body
  • Use of grasping instruments to carefully remove the fragment
  • Inspection of the joint to ensure all fragments are removed

Post-Operative Expectations

After surgery, recovery is usually quick. Patients start exercises to get their knee strong and mobile again. Most people feel little pain and can do normal things in a few weeks. But, how fast you heal depends on your health and the surgery’s extent.

It’s key to follow the doctor’s instructions well to heal right and avoid problems.

Preparing for and Recovering from Knee Arthroscopic Surgery

The success of knee arthroscopy surgery depends on more than just the surgery. It also relies on a good pre-operative check-up and care after the surgery. We will guide you through these steps, stressing the need to be ready for both the surgery and recovery.

Pre-Operative Assessment

A detailed pre-operative assessment is key for a successful knee arthroscopy. This includes looking over your medical history, any past surgeries, allergies, and current medicines. Your doctor will also do a physical check to see how your knee and overall health are.

Talking openly about your surgery and recovery worries is important. Clear communication with your healthcare team helps you get ready for the procedure.

“A well-informed patient is a key to successful surgery and recovery.” – An Orthopedic Surgeon

What to Expect on Surgery Day

On surgery day, you’ll get clear instructions on fasting, medicine, and when to arrive. It’s important to follow these steps closely for a smooth process. When you arrive, the surgical team will help you get ready for surgery.

The surgery uses arthroscopic technology for a minimally invasive look and treatment. It’s done under local or general anesthesia, based on the surgery’s complexity and your health.

Right Knee vs. Left Knee Arthroscopy Considerations

Arthroscopy on either knee is similar, but there might be slight differences based on your condition and the surgeon’s approach.

Following the post-operative care instructions from your healthcare team is vital. These instructions will be based on your needs and the surgery type. They might cover pain management, physical therapy, and follow-up visits.

Knowing what to expect before, during, and after your knee arthroscopy helps prepare you for a smooth recovery. Our team is here to support and care for you every step of the way.

Conclusion: The Future of Arthroscopic Knee Procedures

Exploring knee surgery arthroscopic procedures shows big improvements. These advancements have made recovery times shorter and outcomes better. The future of knee arthroscopy is bright, thanks to new tech and techniques.

Now, we’re moving towards even less invasive surgeries. This means fewer risks and quicker recovery times. New imaging tech, tools, and methods will shape the future of knee arthroscopy.

As the field grows, patients will see better results and more treatment options. Our institution is dedicated to top-notch healthcare for all, including international patients. We support those seeking advanced medical care.

We’re excited for the future of knee arthroscopy. With ongoing improvements, patients worldwide will enjoy better treatments. This will greatly enhance their quality of life.

FAQ

What is knee arthroscopy?

Knee arthroscopy is a surgery that lets doctors see and fix knee problems. They use a small camera and special tools.

What are the benefits of arthroscopic surgery over open knee procedures?

Arthroscopic surgery has many advantages. It means less pain, quicker recovery, and fewer risks. This helps you heal faster and look better.

What types of knee conditions can be treated with arthroscopic surgery?

This surgery can fix many knee issues. It’s good for meniscal tears, ACL and PCL injuries, cartilage damage, and more.

What is the difference between meniscus repair and meniscectomy?

Meniscus repair fixes the torn meniscus by sewing it back. Meniscectomy removes the torn part.

How is ACL reconstruction performed?

ACL reconstruction is a detailed surgery. It repairs or replaces the torn ACL. The choice depends on the patient and the surgeon.

What is involved in preparing for knee arthroscopic surgery?

Preparing for surgery includes a detailed check-up and understanding what to do before and after. You’ll learn about the surgery day and how to care for yourself afterwards.

What are the different techniques used for cartilage repair and restoration?

There are several ways to fix cartilage. Microfracture, Autologous Chondrocyte Implantation (ACI), and Osteochondral Autograft Transfer (OAT) are some. Each has its own use and benefits.

What is the recovery process like after knee arthroscopic surgery?

Recovery varies based on the surgery. It usually involves caring for your knee and doing exercises to get it strong again.

Are there any risks or complications associated with knee arthroscopy?

Like any surgery, knee arthroscopy has risks. These include infection, bleeding, and nerve damage. But these are rare.

How has knee arthroscopy technology evolved over time?

Technology in knee arthroscopy has improved a lot. Advances in cameras, tools, and techniques make the surgery more precise and effective.

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