29883 Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)

Name of the Procedure:

Arthroscopy, Knee, Surgical; with Meniscus Repair (Medial AND Lateral)

Summary

This minimally invasive surgical procedure involves inserting a small camera (arthroscope) into the knee joint to repair tears in the medial and lateral meniscus. It is performed through tiny incisions around the knee, allowing for detailed visualization and precise repair of the meniscal cartilage.

Purpose

The procedure addresses torn meniscal cartilage in the knee, which can cause pain, swelling, and limited mobility. The goal is to restore knee function, alleviate pain, and prevent further joint damage by repairing the meniscus.

Indications

• Persistent knee pain and swelling.
• Mechanical symptoms like locking or catching.
• Confirmed meniscal tears through MRI or other imaging.
• Ineffectiveness of conservative treatments like physical therapy and medication.

Preparation

• Fasting for at least 8 hours before surgery.
• Adjustments to medications as directed by the healthcare provider.
• Preoperative imaging tests (e.g., MRI) and bloodwork.
• Arranging transportation for post-procedure return home.

Procedure Description

1. Anesthesia: The patient receives either general or regional anesthesia.
2. Incisions: Small incisions (portals) are made around the knee.
3. Arthroscope Insertion: A tiny camera is inserted to provide a clear view inside the knee joint.
4. Meniscus Repair: Specialized instruments pass through additional portals to repair the torn meniscus tissues.
5. Closure: The incisions are closed with sutures or staples, and a bandage is applied.

Duration

The procedure typically takes 1 to 2 hours.

Setting

Performed in a hospital operating room or outpatient surgical center.

Personnel

• Orthopedic Surgeon
• Surgical Nurse
• Anesthesiologist or Nurse Anesthetist
• Surgical Technologist

Risks and Complications

• Infection
• Blood clots
• Nerve or blood vessel injury
• Stiffness or swelling in the knee
• Incomplete healing of the meniscus

Benefits

• Pain relief and improved knee function.
• Enhanced mobility and quality of life.
• Reduced risk of long-term joint damage and arthritis. Benefits can be noticed within a few weeks post-surgery, with continued improvement over several months.

Recovery

• Initial rest and elevation of the knee.
• Use of crutches as recommended.
• Physical therapy to restore strength and mobility.
• Gradual return to regular activities over 4 to 6 weeks.
• Follow-up appointments to monitor progress.

Alternatives

• Conservative treatments (physical therapy, medications, corticosteroid injections).
• Meniscectomy (removal of the damaged meniscus).
• Pros: Non-surgical options may avoid surgery-related risks.
• Cons: Conservative treatments may not effectively resolve the problem, and meniscectomy may lead to faster joint deterioration.

Patient Experience

• Mild discomfort post-surgery managed with prescribed pain medication.
• Swelling and stiffness that improve with rest and physical therapy.
• Most patients can resume normal activities within a few weeks, with progressive improvement. Pain management includes oral pain relievers and application of ice packs to minimize swelling and discomfort.