Arthroscopy (joint mirroring) – what is it? Munich clinic

Arthroscopy (knee, hip, shoulder.)

As arthroscopy or joint mirroring refers to interventions on joints that require only millimeter-long skin incisions for the surgical instruments. Through a small opening, our orthopedists introduce the rod-shaped arthroscope, which carries light source and camera and allows a comprehensive view into the joint. Through further small accesses, the surgeons can introduce surgical tools such as special milling machines, pliers, scissors or suture instruments and perform the necessary interventions.

Minimally invasive arthroscopy, which has since replaced many open surgical methods in orthopedics, protects the surrounding tissue and patients experience less pain and get fit faster.

Where is the arthroscopy used??

"arthroscopy" is used in many areas of orthopedics:

  • on the shoulder
  • at the knee
  • at the hip
  • at the elbow
  • at the foot
  • on the hand

In this way, our experienced orthopedists can, for example, perform stabilizing operations in the shoulder joint or treat injuries to the rotator cuff that surrounds the shoulder joint like a muscle and tendon sheath.

Even artificial tendon replacement is possible arthroscopically if the tendon damage is not repairable.

What are the advantages of arthroscopy??

As different as the diseases and injuries appear, which we treat with the help of arthroscopy, but the goals are similar: Through the minimally invasive procedures that injure the surrounding tissue

  • heal the wounds quickly
  • the patients are quickly on their feet again
  • can use their joints soon and return to everyday life or sports

“Arthroscopy is a Gentle surgery, but brings the patient great benefits“, Emphasizes Dr. med. Donat Schlemer, Senior Physician at the Clinic for Orthopedics, Traumatology and Sports Medicine in München-Bogenhausen.

Another incorruptible advantage of arthroscopy is that this method has a good insight into the whole joint allows. In some cases, the arthroscopy is therefore initially diagnostic purposes.

Our orthopedic surgeons, for example, rule out that osteoarthritis in the shoulder is too advanced before undergoing rotator cuff reconstruction. Using knee arthroscopy, you can check whether a cruciate ligament in the knee is actually completely torn, or make sure that the cartilage on the other side of the joint is still good enough if you have a one-sided joint replacement.

High flexibility during the arthroscopic procedure

Despite modern imaging techniques that provide high-resolution slices Donat Schlemer considers the additional diagnostic benefit of arthroscopy as very high: “We can get an unobstructed view of all structures in the entire joint.”

This makes it possible to re-examine the intended procedure, Align operating strategies flexibly and possibly so far unrecognized comorbidities with to to treat.

Knee arthroscopy not only treats the injury, but also examines the structures in the knee.

How do we prepare our patients for arthroscopy??

For all patients who come to the clinic, we check whether non-operative (conservative) treatment methods such as physiotherapy or painkillers can solve patients’ problems.

Only if the suffering is not mitigated by these measures, we consider a surgical intervention.

When preparing to take arthroscopy radiographs a high priority: Our orthopedists always produce X-ray images in at least two levels of the joint – if they are not already in their current form.

In the so-called clinical examination The joint is examined and palpated, as well as various targeted tests on flexibility and functionality of the joint. If necessary, then find one ultrasound, a magnetic therapy (MRT) and possibly also one Computed Tomography (CT).

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