Arthroscopy of the knee joint: recovery after surgery, reviews, exercises
Today, there are many diseases that can be dealt with by minimally invasive methods. This article will consider such a procedure as arthroscopy of the knee joint: recovery from surgery, as well as the most important rehabilitation measures that will help a person to get to their feet as quickly as possible.
Initially, you need to determine the terms that will be used in this article. Consider the concept of "arthroscopy."Like most medical terms, it is of Latin origin. So, the first part( arthro) in translation is a joint, and the second( skopien) means "to look".If you translate verbatim the name itself, you can understand that arthroscopy is "looking at the joint".
Medicine gives a more precise and detailed definition. Thus, arthroscopy is a modern, minimally invasive method of surgical intervention, in which specialists examine the internal structure of the knee joint, as well as the content of a special articular cavity.
The main thing about the procedure
We consider further such procedure as arthroscopy of the knee joint. Recovery after surgery will not be as long as it used to be. And all because the operation itself, as already mentioned above, is minimally invasive. And although the surgical intervention itself occurs with the help of surgical instruments, they are so compact and small that the size of the incision will not exceed 10 mm( an average of 5 mm).
So, an arthroscope is inserted into the knee joint, due to which the image of the knee joint will be displayed on the monitor screen. In this case, the joint itself is filled with a special liquid, by means of which the image quality will be improved several times, and the information obtained will become as complete and reliable as possible. Further through the incision, fine surgical instruments are introduced, which cope with the task in hand.
It is also important to note that such an operation is carried out so carefully that sometimes patients do not even need to take painkillers, they can go home just a day after the operation.
Recovery time after surgery
What is the end of arthroscopy of the knee joint? Recovery after surgery, namely the period until complete recovery, in each individual case may differ. And there are no exact figures here, because everything depends on a number of factors:
- how extensive and serious were the changes in the knee joint;
- what measures were taken immediately after the operation.
The process of recovery can also proceed in different ways. However, for everything to go smoothly, you need to follow certain rules of behavior from the very beginning, immediately after the operation. So, doctors advise in the first time after the procedure to not use excessively and not to load the operated joint, so you will have to give up physical activities and long walks. After all, all this can cause puffiness, which, naturally, will provoke painful sensations.
If to speak in general, then people can get behind the wheel of the car in about 7 days. At the same time, you can return to work if it is "sedentary."However, it is possible to fully use the operated joint at the household level not earlier than in 4-6 weeks. And only a couple of months after surgery, a person can exercise without discomfort and pain. As a small conclusion, one can say: the stronger the manifestations of arthrosis, the longer the recovery period will be.
Visits to doctors
If a procedure such as arthroscopy of the knee joint was performed, recovery from surgery begins with the first visits to the doctor. It should be noted that after such manipulation, the person will have stitches. In time, they will have to be removed. Also, the doctor will have to observe the patient to avoid all kinds of complications. Precautions will be needed for dressings, you may need a puncture( if swelling is severe).However, it is most important to observe the following rules:
- In the first 2-4 days after surgery, the patient needs rest. At this time, the foot is strictly forbidden to load. You may need crutches or a cane to ease the load on the aching limb. It is also important to remember that when walking in the knee pain may occur - this is normal.
- It is recommended to apply cold to ease discomfort to the knee joint. For example, ice can be used about 4-5 times a day for 15-20 minutes. This first of all will help to cope with the edema, which exactly will arise( only the intensity of its manifestation will differ).
- Restoration after arthroscopy of the knee joint will not work without applying a pressure bandage. However, in this case, you need to know that you need to bandage your leg with an elastic bandage from the very toe to the middle of the thigh.
- And, of course, during rest the leg should be slightly above the level of the heart. It will have to be placed on a small hill( for example, a pillow).
But this is not the most important thing. The necessary recovery after arthroscopy of the knee joint is an exercise that a person must do daily and as hard as possible. It's the only way to shorten the period of full recovery.
Complex of exercises for the first week
As already mentioned above, it is necessary to start from an early date, but only under the supervision of the attending physician. What kind of exercises will be important in the first time after the operation?
- Training of the hind muscles of the thigh. You need to lie down on the floor and try to bend your knees as hard as you can until the pain appears. So it is necessary to do 10 times.
- How should recovery after arthroscopy of the knee joint take place? Exercises - that's very important. The next lesson: you need to lie on your stomach, and put a platen under your feet. The essence of the exercise is to press the feet on the roller and "tear off" the knees from the couch.
- The following exercise is also performed in the prone position. A healthy leg in the knee is bent, the patient is not. The operated limb should be "torn off" from the couch, without bending.
- Now you need to hold the lesson in the standing position. So, the diseased leg will need to be lifted by 45 °, keeping it on weight for about 5 seconds.
The next set of exercises
The man had arthroscopy of the knee joint. Recovery after surgery, exercise and maximum zeal will help in the shortest possible time to return the former health. After all, from the fact that a person does everything honestly, the rehabilitation period depends. So, the next couple of weeks will need to perform such actions:
- In the supine position on the back( under the knees lies the roller of the towel) you need to gradually try to bend the aching leg in the knee.
- In the course of this exercise, the operated limb will have to be lifted in a forward position, it should not be held on the weight for more than 15 seconds.
- Now I have to get up near the back of the chair. Holding onto her, you'll have to start squatting a little. In the lowest position, you should linger for 10 seconds.
- Rehabilitation after arthroscopy of the knee joint will not do without stretching the front of the thigh. So, it is recommended that the injured leg be bent at the knee and grab the foot with the hand. So you need to stand about 5 seconds.
Final Exercises of
What is most important after arthroscopy of the knee joint has been performed? Recovery after surgery. The patient's testimonies indicate that even after a certain improvement, you should not leave the class. You need to train up to the eighth week after surgery. For a quick recovery, you will need the following exercises:
- A little crouching on one leg, lingering in the lowest possible position for 5 seconds.
- Slowly climb the small steps.
- The next exercise is in the sitting position. We put the operated leg on a chair, maximally at the same time straightening it.
- Rehabilitation after arthroscopy of the knee joint also includes stretching the posterior group of hamstrings. In this case, you need to grasp the sick leg with your hands, alternately bending and unbending it in the knee.
- It is important to note that at this stage it is already possible to use an exercise bike. The maximum amount of time spent on the bike is 10 minutes.
- What else should include rehabilitation after arthroscopy of the knee joint? Patients' recommendations are recommended at this time not to be lazy, but as much as possible to walk. Not for long, but often. It is important to remember that after such walks, the leg should not hurt or sweat.
Here, in principle, and all permissible exercises that can be performed without fear, but with the permission of the treating doctor. This is the ideal recovery after arthroscopy of the knee joint. The patients' testimonies indicate that it is not necessary to run about 8 weeks after the operation. So you can only harm your own health. This is also not tired of reminding and doctors, because you must avoid too much strain on the operated cartilage.
What else is important to remember after arthroscopy of the knee joint was performed? Recovery after surgery( patient feedback - the first confirmation) should be carried out under the supervision of a doctor. Also, all loads should not cause pain or discomfort in the leg. Training should be directed at improving, but in no way worsen the condition of the operated knee joint.
However, this is not all that you need to know about such a procedure as arthroscopy. If an operation was performed on the knee joint, there may be a variety of complications. But here it is important to note that the frequency of their occurrence is very low. What post-operative problems can bother? Most often these are infections, thrombosis, thrombophlebitis, and thromboembolism, when there is a blockage of the veins or arteries. It is necessary to immediately seek medical help in such cases:
- There is a fever or chills, the body temperature has increased significantly.
- In the operated knee joint, there is pain, there is redness.
- The patient does not pass or gradually develop pain.
- Strong puffiness in the area of the operated joint.
- There was a pain in the chest, shortness of breath, breathing became difficult.
Remember: the earlier a person seeks qualified help, the faster he will receive effective treatment.
Restoration after arthroscopy of the knee joint: treatment |Are joints aching?
Arthroscopy is a unique operation, since the treatment and examination of joints by surgical instruments occurs through small incisions of about 5 mm in length.
After such a surgical intervention, many patients can return home on the second day. This type of surgery, unlike conventional surgical intervention, allows earlier to begin recovery of knee joint movements and muscle mobilization.Contents:
- Treatment after arthroscopy of the knee joint
What should I do after arthroscopy
After the operation, I will have to visit my surgeon 2-3 times for obligatory dressings and removal of postoperative sutures. At the end of 3 weeks after the operation, you can gradually begin to carry out daily activities. Physical work can be done after 6 weeks, and in sports after 10. Restoration after arthroscopy of the knee joint will be more effective if certain rules are observed.
- Need to ensure peace. And within 2-3 days you can not load your foot. Then within a week you can walk around the apartment.
- It is necessary to apply cold compresses to the knee joint.
- Tight foot bandaging.
- In a lying position, the leg should be placed on a hill. For example, use a pillow for this.
What complications may occur
Restoration of the knee joint after arthroscopy may not start quickly, since complications may occur after this operation. The percentage of such complications is unusually small, but it is better to have information about anxiety symptoms. It is necessary to urgently consult a specialist if the following symptoms occur:
- fever, fever and chills;
- redness, swelling and fever in the knee;
- increasing pain sensations;
- shortness of breath and chest pain.
Treatment after arthroscopy of the knee joint
Treatment after arthroscopy of the knee joint includes various rehabilitation measures when in hospital and at home. My patients use a proven means, which can get rid of the pain in 2 weeks without much effort.
After the operation, the patient will spend some time on inpatient treatment, during which certain procedures are performed.
- After surgery, antibiotics must be prescribed.
- In order to prevent the development of thromboembolism, it is necessary to bandage the leg with an elastic bandage, up to 6 days after the operation.
- Cryotherapy is mandatory. This is a positive effect of cold.
- Within a few days after the performed operation, the patient is shown to be at rest. The leg should be fixed and in a strictly straightened position.
- The patient is prescribed anti-inflammatory and analgesic medicines.
- To eliminate postoperative outflows, a hardware or manual lymph drainage massage is recommended.
- On the second day after the operation, movements related to the joint work are provided. The second day recommended passive movement and activation with additional support.
Rehabilitation after arthroscopic knee joint surgery
Recommendations for restorative treatment after arthroscopic knee joint surgery.Partners: Goods and restaurant dishes on order with delivery for people with diabetes mellitus http: //www.diabet.club/
The timing of hospitalization for arthroscopic treatment of the pathology of the knee joint may be different. At present, there is a tendency to reduce the length of stay in the hospital. The stationary stage of treatment, with the majority of operations on meniscuses, ranges from several hours to 1 day, with arthroscopic plasty of cruciate ligaments from 1 to 3 days.
Inpatient treatment period:
- Intraoperative antibiotic prophylaxis - single intravenous administration of broad-spectrum antibiotic, if necessary, repeated administration after 24 hours.
- Prevention of thromboembolic complications - compression knitwear, or elastic bandage of limbs during surgery and in the postoperative period( up to 3-5 days), administration of low-molecular heparin preparations( up to 10 days), tablets anticoagulants.
- Cryotherapy in the postoperative period - cold locally, with intervals of 30-40 minutes during 1-3 days.
- Ensuring the rest of the joint in the early postoperative period. If necessary, the joint is fixed by an orteal bandage. Normally, the limb is in the forward position. When plastics of cruciate ligaments are used, fixing the joint with a postoperative tutor or a hinged orthosis in a closed position( fixation in the orthosis with a flexion angle of 20 degrees is possible).
- Anesthetic therapy, non-steroidal anti-inflammatory drugs( NSAIDs).
- Lymphatic drainage.
- Therapeutic physical training for the first period of 1 day - isometric tension of the muscles of the thigh, movements in the ankle joint.2 days - drainage is removed, passive movements in the knee joint are added, in a painless range, activation is carried out.
- When activated, additional support / cane or crutches are used, depending on the degree of permitted foot load
Outpatient treatment period, 1-3 weeks:
- Dressings. Usually the examination of the traumatologist and dressings are carried out on the 1st day after the operation, 3-4 days, and 7-12 days. Aseptic dressings are changed, if necessary, puncture of the joint to evacuate the fluid. Seams are removed on the 7-12 day.
- Use of anti-inflammatory and vascular drugs.
- Elastic bandage of the limb up to 3-7 days.
- Cryotherapy up to 3 -5 days.
- Lymphatic drainage.
- Depending on the type of operation performed, some degree of activity is allowed.
After a meniscactomy, walking with a measured load on the leg is allowed from the first day after the operation. It is recommended to limit loads, use a walking stick, or crutches with an elbow support up to 5-7 days after surgery. When performing a suture of the meniscus, walking with crutches is recommended without foot rest up to 4 weeks.
When plastics PKS in the early postoperative period, walking with crutches is also recommended( it is possible to use crutches with support to the elbow) up to 3 weeks. First, walking is done without loading the leg. Then, when walking the foot( not the sock) is put on the floor, but without transferring the weight to the operated limb. If there is no pain syndrome, a gradual increase in the axial load on the straight leg is carried out.
- Additional fixation of the knee joint.
In operations on the meniscus, elastic bandaging of the joint area is used, or wearing a soft( or semi-rigid) knee. When PKC is used, joint fixation is performed with a postoperative articular orthosis, with a gradual increase in the allowed bending angle. Movement can be started within 3-5 days after the operation, the angle of permitted flexion gradually increases to 90 degrees within 2-3 weeks after the operation. For the night, the brace may be blocked in the extension position.
- Electrostimulation of the thigh muscles( not necessary).
- Easy massage, mobilization of the patella by its passive shifting up and down and to the sides.
- Full extension in the knee joint in a prone position( without overextending the joint!).
- Passive movements in the knee joint. A good effect gives the use of the apparatus "Artromot" for the development of passive movements in the joint.
- Physiotherapy exercises for periods.
Isometric tension of muscles of flexors and extensor muscles of the thigh, gluteal muscles, movement of the foot continues. Add active movements in the knee joint, flexion-extension in a painless range. The movements are carried out in a "closed loop", that is, in such a way that the heel during movement is always in contact with the surface. For example, lying on the back, bending at the knee joint is performed, so that the heel slides over the surface of the couch, you can help bend your hands, capturing the lower third of the thigh. Add exercises to gradually strengthen the muscles of the limb, but without significant loads and taking into account the pain syndrome: slow lifting of the straight leg, lying down( sock to yourself), and keeping the weight for 5-7 seconds. Raising a straight leg while standing. Exercises with a tourniquet for the calf muscle. Possible exercises in the pool. Classes are held 2-3 times a day, for 10-15 reps.
- It is possible to walk with full support on the leg( in orthosis), walking with one crutch, or without additional support.
- Development of the volume of movements in the joint. The allowed amount of flexion is more than 90 degrees( up to the full volume of movements).By this time, a full extension must be achieved and preferably a 90 degree bend in a painless mode.
- Forming the right gait. To walk it is necessary slowly, not by the big steps, trying not to limp on the operated leg.
- Physiotherapy exercises aimed at strengthening the muscles of the thigh. It is desirable to conduct exercises under the supervision of a physician of physiotherapy exercises and taking into account the reaction of the joint to the load.
Classes are held 2-3 times a day, for 10-15 repetitions. Raise and hold the straight leg( sock to yourself).Not deep slow springing squats( flexion 30-40 degrees), exercises with light resistance( rubber tourniquet), exercise bike with minimal load and a slight angle of flexion in the joint, strengthening of the leading and withdrawing portions of the quadriceps muscle of the thigh, exercises in the pool -walking in the water.
If the joint swells, the pain in the joint after exercise increases, the joint is not restored by morning - the load should be reduced and consulted by the treating doctor.
- It is possible to walk and exercise in functional orthosis, with a full range of movements.
- Continuation of strength training. Exercise bike, active flexion and extension, ghost and lead in with elastic resistance( rubber tourniquet), not deep slow sit-ups( bending up to 60 degrees), swimming lessons, walking and running in water, swimming with a style of breaststroke. Classes on block simulators are possible, without using the loader of the front group of hip muscles.
- Training aimed at coordinating movements. Swaying the body on the half-bent legs, step on the step, exercises on the platform, with insurance, holding on to the support.
It is necessary to avoid sharp extensions and overextensions of the leg, fly movements, jumps, twisting loads. Despite the reduction in pain, the ligament is in the process of adjustment at this time, its strength is reduced and the joints need to be protected.
- Walking without restrictions.
- Continuation of exercises aimed at strengthening the limb muscles, exercise bike, swimming, block trainers, exercises with a platform.
- Training for coordinating movements - keeping balance on an unstable platform on straight and half-bent legs, with open and closed eyes, keeping balance on the inflatable cushion, exercises on 1 foot, accurate attacks, side steps.
- Continued training aimed at strengthening the muscles and coordinating movements.
- It is possible to jog on a flat surface.
- Use of the knee under the loads, the danger of awkward movements( transport, travel) and exercise therapy.
It is necessary to avoid premature increased loads, early return to sports, sharp leg extensions, especially shin movements "flush", jumps, running along a hard or uneven surface, twisting loads, falls, uncontrolled movements during sports exercises.
Restriction of sports loads after the performance of PKS plastics is necessary up to 4-6 months. Limitation of employment by contact or game sports up to 9-12 months.
I would also like to emphasize that the selection of the rehabilitation program should be carried out individually and take into account a variety of factors. This is a sufficiently long and responsible stage of treatment, without which it is unlikely to achieve good functional results of treatment.
The knee joint meniscus is a cartilaginous pad that has a circumferential shape. It performs a stabilizing, amortization and distribution function. Often, the meniscus is damaged during active physical exercises, namely, during the process of knitting the knee outward or inward.
Injured meniscus causes strong pain in a person. In the process of rupture of the meniscus, its moving part is displaced, as well as the articular surfaces and cartilage are severely damaged.
Features of operation on the knee joint
Meniscus arthroscopy is a surgical operation aimed at removing its torn part. This minimally invasive technique is a high-tech and safe operation, which is carried out through minimal cuts. During the procedure, surgeons use a special device - an arthroscope with a fiber optic probe 0.5 cm in diameter. A video camera is connected to it, as well as a light source.
The surgeon makes only two small incisions in the patient's knee joint area, after which there are no scars left. Special fabrics are used for sewing fabrics.
The decision to perform a surgery to remove a meniscus is taken by a physician on the basis of numerous studies. It is only removed when there is absolutely no chance of restoring its integrity. In some cases, replace individual parts of the meniscus with artificial grafts. The meniscus arthroscopy takes no more than one or two hours.
The role of surgical intervention
Arthroscopy of the knee joint meniscus is of great importance in the process of restoring the motor functions of the joint. A torn meniscus can not grow together on its own, so it constantly traumatises the knee joint. As a result of such regular damage, the joint becomes inflamed, and the cartilage becomes thinner, because of this, arthrosis and synovitis develop.
The advantage of this method is that, just a few hours after the surgery, the patient can get up on the operated leg. The very next day, with a favorable outcome, the patient is discharged home. In addition, after ten to twelve days, simple physical activities are allowed to him. The primary recovery after the meniscus arthroscopy takes no more than a month. It is important that after this operation the lost function completely returns to the joint, so you can again lead a habitual way of life and even engage in professional sports.
A complete recovery from an operation on the knee joint can take from a few weeks to three months. Throughout this period, patients are shown a special massage, medical gymnastics, physiotherapy treatment, taking medications that accelerate post-operative recovery.
The rehabilitation stage is aimed at the complete restoration of all motor functions of the damaged joint. For each patient, an individual set of exercises is selected, capable of quickly returning a person to their old life. At the very beginning, perform movements aimed at strengthening the tone of the muscles of the legs and thighs, then, gently and gradually begin to develop the operated joint. Exercises are first performed in the prone position, a little later they are sitting and only then begin to perform them standing.
In the event that the meniscus was completely removed during the operation, then the vertical load is prohibited on the damaged leg, because of this the patient uses crutches for a week. If the meniscus was stitched, then the time of using the crutches increases to six weeks, for the full joint fusion.
Below, you will find a video about arthroscopy of the knee: