Knee Arthroscopy and Open Surgery
Knee arthroscopy is a widely used surgical technique. Meniscal injuries are undoubtedly one of the most common. From the complete resections of the past, today we try to preserve as much of it as possible. Therefore not only partial meniscal resections are performed, but the preservation of the meniscus is the current objective worldwide.
The appearance of meniscal sutures and the possibility of replacing a meniscus resection for meniscal transplantation are relatively common techniques among experienced teams, allowing for better cartilage protection.
One of the most dangerous sports related injuries, is the rupture of the anterior cruciate ligament ACL. The failure of the ACL creates instability of the knee that hinders the realization of a large part of sports, especially those involving contact. Continued instability can lead to subsequent injuries of the meniscus and cartilage. It is therefore often necessary to reconstruct the anterior cruciate ligament with techniques using grafts and most are performed via arthroscopy.
Cartilage injuries like chondropathies, osteochondritis and degenerative processes like osteoarthritis are very frequent and require arthroscopic cleaning. The preservation of cartilage is directly related to the conservation of the knee so techniques that favor cartilage regeneration or maintenance help prevent accelerated degeneration of structures in the knee joint.
Knee arthroscopy allows for non-aggressive visualization of the knee and gives us access to all parts within the joint, useful for cleaning the cartilage and stabilization thereof. Small perforations can be performed in areas lacking bone cartilage, a technique called microfractures and/or apply substances or elements that favor cartilage regeneration such as growth factors, PRP or concentrated stem cells.
Knee arthroscopy serves as a support to surgeries that up until a few years ago could only be performed with open surgery, such as tibial plateau fractures where arthroscopy helps us to improve diagnosis and associate surgical procedures that improve the prognosis of these patients.
Arthroscopic Meniscal Repair.
Primary ACL Reconstruction.
Revision ACL Reconstruction.
Autologous chondrocyte implantation.
Distal femur and proximal tibia osteotomies.
Arthroscopic Microfracture Procedures.
Multiligament knee Reconstruction.
Posterolateral ligament Reconstruction.
Isolated MCL reconstruction.
MPFL and TTO for patellofemoral instability.
Arthroscopic treatment of knee arthrofibrosis.
Endoscopic exertional compartment syndrome release.