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ARTHROSCOPY
- ia a diagnostic and treatment method used
in orthopaedics to treat injuries of big joints structures,
such as meniscus, ligament, synovial tissue, etc. As a diagnostic
tool it guarantees the highest diagnostic precision (almost
100%) and as a surgical method it allows to perform an involvement
with mininal possible traumatisation.
Compare:
Traditional methods of diagnosing knee joint disorders in post
soviet countries provide only 50% of correct diagnosises. |
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Diagnostic mistakes which are fairly frequent in cases when non-arthroscopic
methods are applied to treat joint disorders become the main obstacle in
the selection of adequate treatment optioins.
Such mistakes may lead to unjustified open surgeries and trigger the
development of serious complications.
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HOW
IS ARTHROSCOPY PERFORMED?
In an arthroscopic examination, an orthopaedic surgeon makes
a small incision in the patient's skin and then inserts
pencil-sized instruments that contain a small lens and
lighting system to magnify and illuminate the structures
inside the joint. Light is transmitted through fiber optics
to the end of the arthroscope that is inserted into the joint.
The television camera, attached to the arthroscope, displays
the image of the joint on a television screen, allowing the surgeon
to look throughout the knee at cartilage and ligaments, and under
the kneecap. Thus surgeon can determine the amount or type of injury,
and then repair or correct the problem with the help of miniature instruments.
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ADVANTAGES OF ARTHROSCOPY AS A DIAGNOSTIC AND TREATMENT
PROCEDURE
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- good visualization, high diagnostic precision and informativeness
- low traumatism (short postoperational rehabilitation period)
- high predictability and reliability
- relative cheepness and simplicity
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HEALING EFFECT
Arthoscopic procedure (even in cases when no surgery is performed) may have
a considerable healing effect as it is the most effective way to remove pathological
synovial liquid, containing the debris (fragments of cartilage, fibrine, mucin,
etc.). Arthroscopy is normally followed by a continuous and steady remission
period, which may last from a few months to a few years. General improvement
of the joint condition is characterized by relieving pain, increasing the joint
motion amplitude, recovering weight-bearing ability and musles functions.
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