

Dr. Farideh Najafi is a distinguished orthopedic surgeon based in Isfahan and one of the few women in Iran to […]
Arthroscopic knee surgery is a minimally invasive surgical technique that allows orthopedic surgeons to diagnose and treat joint problems through tiny incisions (typically 4-5mm). Using an arthroscope – a pencil-sized instrument with a high-definition camera – surgeons can visualize, diagnose, and repair damaged knee structures with remarkable precision.
✔ Meniscal tears (medial/lateral meniscus)
✔ ACL/PCL ligament injuries
✔ Cartilage defects (chondral lesions)
✔ Loose body removal (bone/cartilage fragments)
✔ Synovitis treatment (inflamed joint lining)
✔ Early-stage arthritis management
✅ Minimal scarring (3-4 tiny incisions)
✅ Accurate diagnosis with magnified visualization
✅ Less postoperative pain than open surgery
✅ Outpatient procedure (usually same-day discharge)
✅ Faster recovery and rehabilitation
✅ Lower infection risk (1% vs 3-5% in open procedures)
Physical exam and MRI imaging
Blood tests and medical clearance
Fasting for 8 hours prior
General or spinal anesthesia
Sterile draping and positioning
2-3 small portal incisions
Joint distension with saline solution
Systematic joint examination
Targeted repair of damaged structures
Sterile dressing application
Cryotherapy for swelling control
Pain management protocol
Early mobilization guidelines
Weight-bearing as tolerated with crutches
Regular icing (20min every 2 hours)
Elevation to reduce swelling
Gradual range-of-motion exercises
Transition off crutches (if stable)
Wound care and stitch removal
Progressive strengthening program
Low-impact activities (cycling, swimming)
Return to desk work
Sport-specific training
Gradual return to athletic activities
Continued proprioceptive exercises
⚠ Deep vein thrombosis (0.5% risk)
⚠ Joint stiffness (requires prompt PT)
⚠ Persistent swelling (may need aspiration)
⚠ Reflex sympathetic dystrophy (rare)
Q: How painful is the recovery?
A: Most patients report 3-4/10 pain, well-controlled with prescribed medications.
Q: When can I drive?
A: Typically 1-2 weeks post-op, once off narcotics and with good leg control.
Q: Will I need physical therapy?
A: Yes, customized PT is crucial for optimal recovery – usually 2-3x/week for 6-12 weeks.
Q: How soon can I return to sports?
A: Depends on the procedure – meniscectomy (4-6 weeks), ACL reconstruction (6-9 months).
Q: Are the results permanent?
A: While arthroscopy addresses current damage, future degeneration depends on activity modification and joint preservation strategies.
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