What is Arthroscopy? •Non Invasive procedure •Used to repair joint injuries •Uses medical tool called Arthroscope •Is done 600,000 times annually • • http://s133214.gridserver.com/wp-content/uploads/2010/11/Arthroscopy3-375x300.png What needs Arthroscopy? •Joint problems –ACL –MCL –Shoulder •Many types of arthritis •Frayed or loose cartilage • • • http://t3.gstatic.com/images?q=tbn:ANd9GcRaT04eER5T2WgYhnGrQJ_EuMCxC55Km8gRR6-aXixBu0ppT-SV 600,000 surgeries each year 85% are for torn acl knee, shoulder, elbow, wrist, ankle, foot, and hip History of Arthroscopy •1800s- start of cystoscopes •1960 – first modern arthroscope by Masaki Watanabe •1970’s arthroscopy becomes widely used –Fiber optics –Television monitors –Focus on sports and fitness – • http://www.discoveriesinmedicine.com/images/mdis_0000_0001_0_img0024.jpg First were candlelight and mirrors reflecting light Arthroscope •Arthroscope: A thin flexible fiberoptic scope which is introduced into a joint space through a small incision in order to carry out diagnostic and treatment procedures within the joint •Diameter of a straw •Fitted with –Mini camera –Light source –Surgical tools http://orthoinfo.aaos.org/../figures/A00109F02.jpg http://t0.gstatic.com/images?q=tbn:ANd9GcRcJMFSv9oFctiHG24Oo0NHwbsIycDShZol_Em9BMOOygdMZkCT $4500 The Procedure (ACL example) •Diagnosis •harvest •Tunnel •Secure •Recover • Step A shows the anatomy of the knee from the front with the leg bent. To repair a torn meniscus, three small incisions are made into the knee to admit laparoscopic instruments (B). Fluid is injected into the joint to aid in the operation. The injury is visualized via the instruments, and the torn area is removed (C). (Illustration by GGS Inc.) Recovery •Puncture wounds take several days to heal •Several weeks for joint paint to heal •Rehabilitation is usually necessary •If surgery is successful patient fully recovers • • • • • http://t1.gstatic.com/images?q=tbn:ANd9GcRc6lR5llAyDgZ6uf4S_82f7x7ib1xfu97IQkNQQJxkqmg5GmH-pQ Risks and Limitations •Infection •Anesthesia •Instrument breakage •Pain or numbness •Nerve damage •Less than 1% have complications • •