Minimally Invasive Surgery for Joint and Bone Injuries (Arthroscopy)

Trauma from accidents and sports with intense physical contact can cause severe injuries to certain areas of the body, including knee injuries. Meniscus tears can occur as a result of injuries to football, futsal, basketball and other sports. This injury can cause pain, swelling, and a feeling of locking in the knee joint. If no action is taken, this torn meniscus can cause damage to the smooth joint surface. The impact of physical contact from the movements in this sport can also cause dislocations, fractures, and tears that require surgery/surgery. Actions taken as early as possible can save joints from damage

Currently, the public does not need to worry about the treatment of the injury, because it can be done using a minimally invasive method, namely arthroscopy, which is safer and faster.

Arthroscopy (also called arthroscopic or keyhole surgery) is a minimally invasive surgical procedure of the joint in which examination and sometimes treatment is performed using an arthroscope, endoscope, or flexible tube with a light and camera attached to it that is inserted into the joint through a small incision. Minimally invasive surgery has many benefits. Doctors can cut joints, repair damage and tears, and improve joint function, all through this tiny keyhole. Other benefits of having minimally invasive surgery are:

  • Local anesthesia can be used instead of general anesthesia, lowering the risk of complications
  • Smaller incisions mean fewer stitches and smaller scars
  • Recovery time is much shorter so you can get back to exercising as soon as possible.
  • Lower risk in general, meaning it is safer than open surgery for most people
  • Painless side effects during recovery

Arthroscopy is important because this operation is a more accurate diagnostic tool compared to imaging (X-ray, Ct Scan, MRI). In addition, with arthroscopy, diagnosis and therapy can be carried out simultaneously. Injury to the ACL (anterior cruciate ligament), which is the ligament in the middle of the knee joint and is used to maintain the stability of the knee joint, is also a common disorder and can be treated with arthroscopy.

Reconstruction of cartilage is also an arthroscopic procedure that is currently being developed, in an attempt to preserve the original knee joint. Starting from efforts to flatten the damaged joint cartilage surface, micro fracture procedures by making holes in the damaged joint cartilage surface so that the young cells in the bones can come out and form new cartilage, and other joint cartilage reconstruction actions which are carried out minimally invasively by arthroscopy.

Osteoarthritis is joint damage that often occurs in elderly patients. Joints become painful, swollen, stiff, unstable, and bent. The articular cartilage that covers the bones wears away or completely disintegrates, causing the joint surfaces to become uneven and calcify. In osteoarthritis, arthroscopy will be very helpful if there is a foreign object in the form of loose joint cartilage in the joint (loose body) which results in impaired joint movement, or damage to the meniscus due to a degenerative process, by flattening the damaged meniscus.

Article written by d r. Pradhana Wijayanta, Sp.OT (Orthopedic and Traumatology Specialist Doctor at EMC Tangerang Hospital).

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