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What is Arthroscopic Surgery?

Arthroscopic surgery is a minimally invasive surgical technique for diagnosing and treating joint problems.  This is performed utilizing small incisions to insert an arthroscope (camera) into a joint and using micro instruments to treat the joint problem.  Arthroscopic surgery is commonly performed in the shoulder and knee, and can be done in most joints.  This technological innovation utilizes the latest surgical techniques for orthopedic problems that previously required an open procedure.

Common Arthroscopic Procedures

The arthroscope can be utilized to repair and remove torn cartilage, remove loose bone fragments, tighten joint linings, repair tendon tears, assist with visualization in ligament reconstruction, as well as many other procedures.

Advantages of Arthroscopy

Arthroscopic surgery avoids significant damage to tissues that used to be common with open procedures.  Due to the small incisions and less invasive nature of the surgery, recovery from arthroscopy tends to be quicker and incisions heal more predictably.

Risks

In general, arthroscopy is a very safe procedure. As with any surgery, there are inherent risks involved, which can include damage to tissue and nerves.  During an arthroscopic procedure, tissues within the joint can be damaged by the instruments.  Additionally, nerves can be impacted by the placement of instruments or during the actual procedure itself.  Arthroscopic procedures have a small risk of infection. The risk of infection, however, is less common than it is for open procedures.  Blood clots are a rare occurrence, depending on the medical comorbidities and length of surgery.

During the Procedure

Patients undergo anesthesia prior to the arthroscopic procedure, which may consist of local anesthesia, regional anesthesia, or general anesthesia.  This will be determined by the type of procedure and complexity of the problem being treated.  During surgery, you will be placed in the best position for the procedure you’re having.  The extremity that you are having the procedure on will be placed in a special holding device and a tourniquet may be required to decrease blood loss and improve visibility.  The joint being visualized will also be filled with sterile fluid to help with visualization.  Incisions are made to place the camera or arthroscope, and other incisions are utilized to place the surgical tools necessary for the joint repair.  These incisions are usually very small and can be closed with 1 or 2 sutures.

Recovery after an arthroscopic procedure

Recovery after an arthroscopic procedure depends on the type of procedure you undergo.  The incision sites for an arthroscopic procedure usually heal within 1 to 2 weeks.  There can be fluid that drains from those incisions over the first couple weeks due to the amount of fluid that is utilized for visualizing your joint.  Commonly, you may be prescribed some pain medications as well as anti-inflammatories to help with your discomfort after surgery.  Ice, compression and elevation are used to help reduce swelling and pain.  Dr. Takenishi will often refer you to physical therapy to help strengthen your muscles and improve the function of your joint following surgery.  Depending on the type of surgery you had, some protection may be required through the use of splints, slings, or braces.  This will be determined by the type of surgery you undergo.

Typically, you should be able to resume desk work and light activity within a few days after surgery.  However, not everyone’s recovery is the same and your specific surgery will dictate how long your recovery will be.

Why Choose Us?

At Sacramento Orthopedic Sports and Shoulder, we understand the unique demands placed on athletes’ bodies and the impact of sports-related injuries. Dr. Takenishi’s expertise spans across various areas, including:

    1. Comprehensive Sports Medicine Care:
      • Dr. Takenishi has over 12 years of experience working with athletes, trainers, athletic directors, coaches and physical therapists.  He understands the team dynamics and what is necessary to reach the highest level of sport.  This enables him to effectively prevent and manage athletic injuries, guiding you through a successful recovery.
    2. Expert Shoulder Care:
      • Our practice specializes in diagnosing and treating shoulder conditions such as rotator cuff tears, frozen shoulder, shoulder instability, arthritic shoulders and shoulder impingement. Dr. Takenishi’s expertise ensures that your shoulder receives the utmost care and attention it deserves.
    3. Performance Enhancement:
      • Whether you’re a professional athlete or a weekend warrior, Dr. Takenishi is well-versed in enhancing athletic performance through conditioning, training, fitness, and nutrition guidance. He considers a holistic approach to helping athletes achieve their full potential by relying upon a team approach through any sporting injuries.  He incorporates a multifaceted approach to maximize performance and health, ensuring you are at the top of your game.  This is even more important when dealing with sporting injuries that require surgical management and a stepwise approach to getting you back on the field when you are ready.
    4. Team Approach to Care:
      • We believe in a collaborative approach to healthcare. Dr. Takenishi coordinates care with other healthcare professionals, ensuring a well-rounded and comprehensive treatment plan for your specific needs.
    5. State-of-the-Art Facilities:
      • Our clinic is equipped with advanced technology and state-of-the-art facilities, providing you with the highest standard of care in a comfortable environment.
    6. Compassionate Care:
      • At Sacramento Orthopedic Sports and Shoulder, we value your well-being above all else. Dr. Takenishi and our team are dedicated to providing compassionate care and personalized attention throughout your treatment journey.