29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

Name of the Procedure:

Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed.

• Common Names: Knee arthroscopy with meniscectomy and chondroplasty
• Technical Terms: Arthroscopic meniscectomy, chondroplasty

Summary

This is a minimally invasive surgical procedure to treat issues within the knee joint. It involves repairing or removing damaged tissue in the meniscus (medial or lateral) and includes trimming or smoothing the articular cartilage.

Purpose

The procedure is primarily used to address knee pain, swelling, and limited movement caused by a torn meniscus or damaged cartilage. The goal is to alleviate discomfort, improve joint function, and prevent further joint damage.

Indications

• Persistent knee pain
• Swelling not responsive to conservative treatment
• Mechanical symptoms like catching or locking of the knee
• Confirmed meniscal tear or cartilage damage via imaging

Preparation

• Fasting typically required for 8 hours before surgery
• Medications may need to be adjusted or paused
• Pre-surgical physical examination and imaging tests, like MRI, to assess the damage

Procedure Description

1. The patient receives anesthesia (general or regional).
2. Small incisions are made around the knee.
3. A camera (arthroscope) is inserted to visualize inside the joint.
4. Specialized instruments are used to trim or remove the damaged meniscus and smooth or shave the cartilage surfaces.
5. The area is flushed to remove debris.
6. Incisions are closed with sutures or steri-strips.

Duration

The procedure usually takes about 1 to 2 hours.

Setting

Performed in a hospital or outpatient surgical center.

Personnel

• Orthopedic Surgeon
• Nursing Team
• Anesthesiologist

Risks and Complications

• Infection
• Bleeding
• Blood clots
• Stiffness or reduced range of motion
• Damage to surrounding tissues
• Persistent pain or swelling

Benefits

• Pain relief
• Improved knee function and mobility
• Reduced risk of further joint damage
• Typically quicker recovery compared to open surgery

Recovery

• Initial rest and ice application
• Pain management with medications
• Physical therapy prescribed for rehabilitation
• Full recovery may take several weeks to months
• Follow-up visits to monitor progress

Alternatives

• Physical therapy and exercise programs
• Medication for pain management
• Corticosteroid injections
• Other surgical options like partial meniscectomy or meniscus repair

Patient Experience

Patients might feel discomfort post-surgery, managed with prescribed pain relief. Swelling and stiffness are common, usually improving with time and physiotherapy. Regular follow-ups will ensure the recovery process is on track.