Knee injuries and joint conditions can cause pain, swelling, instability, and difficulty with everyday movement. When nonsurgical care does not provide sufficient relief, knee arthroscopy may be used to diagnose or treat certain problems through a minimally invasive approach.
Dr. Brian Cohen is a board-certified orthopedic surgeon with more than 20 years of experience, over 30,000 orthopedic surgical procedures performed, and more than 100,000 patient evaluations. He uses advanced arthroscopic techniques and individualized treatment planning to address knee injuries while minimizing disruption to the surrounding tissues.
Knee Arthroscopy Overview
Knee arthroscopy is a minimally invasive procedure performed with a small instrument called an arthroscope. The arthroscope contains a tiny camera that allows Dr. Cohen to view the inside of the knee joint without making the larger incision required for open surgery.
Images from the camera are displayed on a monitor and used to guide the evaluation. Knee arthroscopy may be performed to diagnose the source of knee symptoms or to treat damaged tissue with small surgical instruments inserted through additional incisions.
Knee Arthroscopy Benefits
Compared with open knee surgery, arthroscopy may offer several potential benefits, including:
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Less postoperative pain
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A shorter recovery period
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Less joint stiffness
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Smaller scars
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A lower risk of certain complications
The specific benefits depend on the procedure performed, the condition being treated, and the patient’s overall health.
Nonsurgical Knee Treatment Options
Many knee conditions can be treated without surgery, and nonsurgical care is often recommended before arthroscopy is considered.
Treatment options may include:
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Activity modification
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Rest from painful activities
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Physical therapy
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A knee brace
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Medication
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Therapeutic injections
The recommended approach depends on the diagnosis, the severity of symptoms, the activity level, and the response to previous treatment.
Common Knee Arthroscopic Procedures
Knee arthroscopy may be used to diagnose or treat several conditions. Common arthroscopic procedures include:
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Arthroscopically assisted anterior cruciate ligament reconstruction
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Treatment of infection within the knee joint
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Meniscus trimming or repair
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Removal of inflamed synovial tissue
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Removal of loose bone or cartilage fragments
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Treatment of selected areas of damaged cartilage
Knee Arthroscopy Preparation
Knee arthroscopy is commonly performed as an outpatient procedure, allowing most patients to return home the same day. A responsible adult will need to drive the patient home and may need to remain available during the early recovery period.
Before surgery, Dr. Cohen will provide instructions that may include:
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Which medications to continue or temporarily stop
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When to arrive for the procedure
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When to stop eating and drinking
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How to prepare the skin and surgical area
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What to bring on the day of surgery
Knee arthroscopy requires anesthesia. The recommended type will depend on the procedure, medical history, and surgical plan.
Knee Arthroscopy Procedure Details
Knee arthroscopy is performed in an operating room. After anesthesia is administered, the knee is cleaned and positioned, and a stabilization device may be placed on the leg.
Dr. Cohen makes several small incisions and introduces sterile fluid into the joint to improve visibility. The arthroscope is then inserted, allowing images from inside the knee to appear on a monitor.
Small surgical instruments may be passed through the other incisions to trim, remove, or repair damaged tissue. The exact steps depend on the condition being treated. Once the procedure is complete, the instruments are removed, the incisions are closed, and the knee is covered with a dressing.
Risks And Complications Of Knee Arthroscopy
Knee arthroscopy is minimally invasive, but complications are still possible.
Potential risks include:
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Infection
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Bleeding
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Swelling
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Joint stiffness
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Blood clots
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Nerve or blood vessel injury
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Continued pain or incomplete symptom relief
Dr. Cohen will review the risks related to the planned procedure, the patient’s health, and the condition being treated before surgery.
Knee Arthroscopy Recovery
Most patients return home within several hours of knee arthroscopy. Recovery varies based on several factors, including:
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Age
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Overall health
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The original damage within the knee
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The procedure performed
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The patient’s activity and work demands
Pain, swelling, and temporary difficulty placing weight on the leg may occur after surgery. Crutches, a brace, medication, and physical therapy may be recommended depending on the procedure.
Some patients may need to temporarily or permanently modify certain sports or exercises. Dr. Cohen will provide individualized guidance regarding walking, driving, work, exercise, and return to athletic activity.
Frequently Asked Questions
Recovery depends on the procedure performed. An ACL reconstruction, meniscus repair, kneecap procedure, or simple removal of damaged tissue may each involve different restrictions and timelines.
Some patients may need crutches or a brace, while others may begin placing weight on the leg relatively soon after surgery. Pain medication may be prescribed to manage discomfort during the early recovery period.
Dressings should be kept clean and dry, and the incisions should not be submerged in a bathtub, pool, lake, or hot tub until Dr. Cohen confirms that it is safe. Return to work and driving depend on the procedure, the knee involved, medication use, and the physical demands of the patient’s occupation.
Knee movement after arthroscopy depends on the procedure performed. Some patients may begin gentle bending and straightening soon after surgery, while others may have temporary motion restrictions to protect a repair.
Swelling limits the range of motion commonly during the early recovery period. Dr. Cohen and the rehabilitation team will provide specific instructions regarding how far and how often to bend the knee. Exercises should be performed within the recommended limits and should not cause significant or worsening pain.
The timing of physical therapy depends on the condition treated and the procedure performed. Some patients may be evaluated within the first week, while others begin with a home exercise program before formal therapy.
Rehabilitation may include exercises to restore range of motion, reduce swelling, rebuild strength, and improve balance. Running, jumping, and other high-impact activities should not resume until Dr. Cohen or the physical therapist confirms that the knee is ready.
Activities that cause increasing pain or swelling may need to be reduced or temporarily stopped.
Knee arthroscopy is usually performed as an outpatient procedure, and most patients return home within several hours. A responsible adult will need to provide transportation after surgery.
The length of the procedure and recovery room stay depend on the condition being treated, the surgical work required, the type of anesthesia, and the patient’s response after surgery.
Why Choose Dr. Cohen?
OVER 25+ YEARS OF EXPERIENCE
One of the first orthopedic surgeons employed by a large hospital. Dr. Cohen spent 20 years.
TRUSTED BY OVER 100,000+ PATIENTS WORLDWIDE
Over his distinguished career, Dr. Cohen has cultivated a reputation of excellence and trust among his patients and his peers.
UTILIZING THE LATEST TECHNOLOGY
To achieve the best surgical outcomes, Dr. Cohen uses the most advanced technologies and techniques, keeping his practice state-of-the-art.
PATIENT SAFETY IS TOP PRIORITY
An individualized, patient-focused process coupled with decades of training and experience helps ensure maximum safety for all of Dr. Cohen’s patients.
Knee Arthroscopy Care in Chillicothe, OH
Knee arthroscopy may be used to diagnose or treat meniscus tears, ligament injuries, loose tissue, and other conditions through small incisions. Dr. Cohen determines whether surgery is appropriate based on the diagnosis, symptoms, previous treatment, and activity goals. Each surgical and recovery plan is tailored to the patient and the specific procedure performed. To schedule a consultation with Dr. Brian Cohen, call ((614) 788-0375.