Justin T. Smith, MD
Orthopaedic Sports Surgery & Shoulder Reconstruction Specialist
Specialty: Arthroscopic Surgery
What is Arthroscopic Surgery?
Minimally invasive surgical techniques utilizing poke-hole incisions with a camera and sterile fluid to visualize, navigate, and perform procedures.
Preparation for Arthroscopic Surgery
Arthroscopic surgery preparation depends on the joint/extremity undergoing the procedure. However, in general, you are required to:
Avoid taking certain medications or supplements that may increase the risk of bleeding
Inform your doctor if you are allergic to any medications or anesthesia
Avoid consuming liquids or solid foods 6 to 8 hours before surgery
Wear comfortable clothing to get on and off easily
Bring assistive devices, such as a walker, cane, or crutches
Arrange for a ride as you will not be able to drive back yourself
Arthroscopic Surgery Procedure
The surgery is performed under general or local anesthesia. After adequately sterilizing the surgical area, Dr. Smith will make a few small poke hole incisions through which the arthroscope and tiny specialized instruments are inserted. The joints are irrigated with sterile fluid to clear debris and aid in visibility. The camera attached to the tip of the arthroscope to allow Dr. Smith to view the structures inside the joint through a monitor, and the damaged structures are repaired. The instruments and arthroscope are then withdrawn, and the surgical incisions are closed with sterile dressings and sutures.
Postoperative Care of Arthroscopic Surgery
Before being discharged, Dr. Smith and/or his assistant will give you appropriate postoperative instructions, such as:
How to care your incisions and dressing
Exercises you should do
What activities you must avoid
Use of assistive devices like a sling, splint, or crutches
Use of pain medications
Rehabilitation program for a quicker recovery
Follow-up visit to remove dressings or sutures and monitor your overall progress
Risks and Complications of Arthroscopic Surgery
The risks and complications of an arthroscopic procedure are minimal and occur in less than one percent of all arthroscopic surgeries. Some of the possible risks and complications of arthroscopic surgery include:
Infection
Swelling or bleeding
Blood clots
Damage to nerves or blood vessels
Instrument breakage
Anesthetic problems
Benefits of Arthroscopic Surgery Over Traditional Open Surgery
Some of the benefits of arthroscopic surgery over traditional open surgery include:
Often performed as an outpatient procedure
Reduction in swelling from soft tissue manipulation
Reduced post-operative pain
Lower risk of infection
Minimal blood loss
Improved recovery time
Tiny scars
Reduced surgical risk as arthroscopic surgery is a minimally invasive procedure
Both diagnosis and surgery can be carried out in one approach
Use of tiny instruments in arthroscopy aids in minimal damage to surrounding tissues compared to large-sized surgical devices