Dr. Kovalchuk
What is knee arthroscopy?
Knee Arthroscopy
is a minimally-invasive 'key-hole' surgery that allows orthopedic surgeons
to evaluate and treat - a wide range of conditions that affect the knee joint.
During the procedure, the orthopedic surgeon makes small puncture incisions (portals) in the joint and then inserts a tiny HD camera and fiber optics to illuminate the internal space of the joint. The images captured by the camera are then projected onto the HD screen in the operating room.
Benefits of the Knee Arthroscopy
Multiple Viewpoints of the Knee Joint
The main advantage that arthroscopy gives is the ability to examine all parts of the joint from the inside from a large number of viewpoints. In the past, access to some of these areas required an arthrotomy, a surgical procedure that involved making a large, open incision with a dislocation of the knee cap. Such surgery often carried the risk of additional knee injury.
Golden Standard of Diagnostics
Unlike open surgery, arthroscopic knee surgery usually minimally damages the surrounding soft tissues. And while most orthopedic surgeons continue to rely on X-rays and MRIs for preliminary diagnosis, many agree that arthroscopy is the best diagnostic tool available today.
Dynamic Method of Diagnostics and Treatment
Arthroscopy provides a lot of information about the joint over time, which cannot be obtained with other methods of examination. MRI is an excellent tool for assessing soft tissue structure, but it is static and does not provide the tactile information that can be obtained by probing soft tissues and evaluating them using direct visual observation with HD magnifying optics.
Minimally-invasive Treatment
During knee arthroscopy, microinstruments specially designed only for this type of procedure are used, which leave minimal changes on the tissues of the joint. This approach guarantees a quick recovery from surgery.
That Frequently Require Arthroscopic Surgery
Reconstruction of the anterior cruciate ligament (ACL) and repair of a torn meniscus are some of the most commonly performed arthroscopic procedures.

Inside the knee, these structures have different functions. The anterior cruciate ligament helps stabilize and support the joint. Also, there are two menisci in the knee. These crescent-shaped cartilage "pads" help to protect the smooth articular cartilage, which is the "backing" of the bones, allowing them to slide smoothly against each other during movement. Trauma or loss of articular cartilage leads to knee joint arthritis. The menisci also act as shock absorbers to distribute the stress in the knee joint.

Meniscus injury, as well as the anterior cruciate ligament (ACL rupture), is a common occurrence, especially in athletes. Moreover, orthopedists often see them in combination with each other. This can be the result of injuries occurring simultaneously or sequentially; that is, a person with a torn anterior cruciate ligament (ACL) has a greater risk of injury to the menisci. Statistics show that more than 60% of patients diagnosed with anterior cruciate ligament rupture also have a torn meniscus.

In recent years, a gender difference in anterior cruciate ligament injuries among young female athletes has been demonstrated. Women are 2-5 times more likely to rupture the anterior cruciate ligament than men, depending on the sport.

Some meniscus injuries can be treated in a non-surgically with rest, exercise therapy, and lifestyle modifications. This treatment is suitable for meniscus injuries in older patients as a result of degenerative processes. In this case, the use of orthobiological injection technologies gives a good result.

However, in a young active person, refusal to reconstruct the anterior cruciate ligament or repair the meniscus is likely to lead to persistent instability and pain in the knee, and will also create the basis for the development of knee arthritis if he does not want to significantly limit and modify his sports activities.

How It Works?
Knee MRI
1.5T MRI of the Knee Joint is needed
Orthopedic Surgeon Consultation
During the consultation we will select the best treatment option for your knee.
Please take the disc / usb stick with the Knee MRI on your consultation.
Arthroscopic Surgery
We will treat injuries to the meniscus, knee cartilage and ACL through small 'key-hole' 5mm-incisions
Early Motion
Just in couple hours after surgery you will be able to walk independently.
1 Day in Clinic
In most cases, in 6 hours after arthroscopic surgery you can go home. However, you can also stay 1 night for your comfort.
Gentle Regimen 5-7 days
It is advisable to spend the first week in a quiet mode in order to reduce swelling after surgery.
Fast recovery with guided step-by-step rehab from a couple of weeks after meniscus surgery to several months after anterior cruciate ligament surgery.
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