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OTHER NAMES
- Artroscopia.
- Meniscectomía.
- Artroscopia meniscal.
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- Repair meniscal.
- Desbridamiento patelar.
- Sinovectomía.
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DEFINITION
It is the examination realized by means of a device endoscópico that interferes inside the knee articulation, being able to realize interventions of menisci, sinews, and of the sinovia (covering of the joint).
DESCRIPTION
The knee artroscopia, by means of instruments endoscópicos, is one of the most frequent orthopedic procedures nowadays. The patient is submitted to general anesthesia or, sometimes he is sedated and anesthetizes by means of regional anesthesia or spinal anesthesia.
Then several small perforations are realized in the knee joint.
The artroscopio and other instruments get in the knee joint. The surgeon can see the ligaments, the disc of knee (meniscus), the bone of the knee (patella), the revetment of the joint (sinovia), and the rest of the joint. They can repair or extract the damaged textiles. The vision with the artroscopio allows the repair of textiles or sinews while they are manipulated from the exterior, without direct vision. This procedure is realized in ambulatory diet, the patient being discharged in the same day, without needing night hospitalization.
INDICATIONS
Such problems of knee like:
- Possible break of meniscus.
- Possible damage or break of the patella.
- Possible damaged ligament.
- Inflammation or damage in the revetment of the joint.
EXPECTATIONS AFTER THE ARTROSCOPIA
The artroscopía has obtained an advance in the surgery of the knee because, on having been carried out with bloodless methods, the joint is not opened, offers like turned out less pain, distension, rigidity and complications, and diminishes the hospitalization. CONVALESCENCE
- It is usually rapid.
- The patient can need crutches to avoid weight and pressure on the knee joint for a few days.
- The normal activity must diminish for some weeks.
- Sometimes it is necessary to take medicines for the pain and the inflammation.
RISKS
The risks of any intervention under general anesthesia:
- Reactions to the medication.
- Respiratory problems.
- Hemorrhages: In this case there can take place a hemartrosis (blood in the joint) or to coagulate (tromboflebitis).
- Infections.
COST
The cost of any surgery changes significantly between surgeons, medical facilities, and regions of the country. The youngest patients, with other complications, or that more intervencionista need of surgery will need more intense and expensive treatment.
The costs can be ordained for groups:
- Surgeon: 721,20 to 1.803,00 euros.
- Anesthetist: 180,30 to 360,61 euros.
- Hospital expenses, including taken care of infirmary and operating theater: 240,40 to 1.202,00 euros.
- Medicines: 30,05 to 120,20 euros.
- Other additional expenses, if complications exist (transfusions, etc...) or there are realized analysis or X-rays: 120,20 to 901,52 euros.
The changeability of every case is a fact being able to be considering to be a basic cost for 1.502,53 euros by intervention without complications.
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