Knee Injury- When Do I Perform a Knee Arthroscopy?

Am I Going to Need a Knee Arthroscopy?

First off we need to understand that most people with knee pain even those with swelling do not need surgery.

Even patients who have a torn meniscus may not need surgery. Often, patients will respond to good physical therapy and possibly injections or anti-inflammatories.

It’s my patients who don’t respond to these therapies that I consider scoping.

When a Knee Arthroscopy is Necessary

But who really needs a knee scope? Someone who’s knee is locking or has loss of motion.

This can be seen in kids and in seniors, but most commonly in the active “younger” population.

Knee Arthroscopy Surgery

A knee arthroscopy is a relatively simple procedure that takes typically 10-15 minutes.

It is done through 2 small quarter inch incisions-one for the camera and one for the suction-shaver or mini-biters.

Only the damaged tissue is removed typically leaving about 90% of the meniscus in place. It is truly a minimally invasive surgery.

Patients go home the same day and walk full weight bearing on the leg immediately.

I do the surgery under local block with IV sedation and typically patients have no pain for up to 8 hours after the surgery. Return to sports is about 6 weeks after surgery.

Procedures that I perform through the scope which are minimally invasive include meniscus surgery, ligament surgery (including ACL surgery), and synovial resection and articular cartilage surgery.

People and Technology Involved

The technology I use is the best available and includes HD monitors and HD cameras.

I have also established a surgical team including anesthesiologists and nurses who are highly specialized and trained for the procedures I perform.

This makes everyone who works with me specialists and makes for more efficient surgery (patients spend less time in the OR and receiving anesthesia) with better surgical outcomes.

Dr. Rick Weinstein, MD, MBA is an orthopedic surgeon specializing in sports medicine. He is the Director of Orthopedic Surgery at Westchester Health Associates and has subspecialty training in knee and shoulder surgery, including minimally invasive surgery and arthroscopy. Dr. Weinstein is a Board Examiner for the American Board of Orthopedic Surgeons, determining certification for other orthopedic surgeons.