{"id":12657,"date":"2018-10-17T15:00:04","date_gmt":"2018-10-17T15:00:04","guid":{"rendered":"https:\/\/template2.orthopediste-lausanne.ch\/arthroscopie\/"},"modified":"2025-12-03T07:40:30","modified_gmt":"2025-12-03T07:40:30","slug":"arthroscopy","status":"publish","type":"page","link":"https:\/\/template2.orthopediste-lausanne.ch\/en\/arthroscopy\/","title":{"rendered":"Arthroscopy"},"content":{"rendered":"<div class=\"maladie-fiche-bg\" style=\"background-image: url('images\/genou_header.png')\">\n<\/div>\n<section class=\"grey\">\n<div class=\"container\">\n<div class=\"row p-tb-150\">\n<div class=\"col-xs-12 col-sm-4 col-md-3 col-lg-3 menu-sticky\">\n<div class=\"maladie-fiche-menu\">\n<h4>\n        Menu<br \/>\n      <\/h4>\n<ul>\n<li><a href=\"#menu9_anchor\" id=\"menu9\" class=\"link-bottom js-scrollTo\"><span>Introduction<\/span><i class=\"fa fa-caret-right\"><\/i><\/a><\/li>\n<li><a href=\"#menu10_anchor\" id=\"menu10\" class=\"link-bottom js-scrollTo\"><span>Surgery<\/span><i class=\"fa fa-caret-right\"><\/i><\/a><\/li>\n<li><a href=\"#menu11_anchor\" id=\"menu11\" class=\"link-bottom js-scrollTo\"><span>Frequently Asked Questions<\/span><i class=\"fa fa-caret-right\"><\/i><\/a><\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<div class=\"col-xs-12 col-sm-8 col-md-9 col-lg-9\">\n<div class=\"maladie-contenu\">\n<div id=\"menu9_anchor\"><\/div>\n<div id=\"menu9_trigger\" class=\"section remove_separation\">\n         <!-- \n\n<div class=\"img-contenu\">\n        <img decoding=\"async\" src=\"\/med\/images\/operations\/arthroscopie\/Arthroscopie_01.jpg\" alt=\"Arthroscopie\" \/>\n       <\/div>\n\n--><\/p>\n<h3>\n      Introduction<br \/>\n      <\/h3>\n<p>\n<strong>Purpose of the operation<\/strong><br \/>\nThis procedure will allow us to visualize the knee joint using a mini camera and to treat it surgically by accessing it through mini incisions.<\/p>\n<p>\n<strong>Indications<\/strong><br \/>\nAmong the routine operations, we have:<\/p>\n<ul>\n<li>Meniscal suture: repairing a damaged meniscus.<\/li>\n<li>Meniscectomy: removing part of a damaged meniscus.<\/li>\n<li>Cruciate ligament repair: replacing a ruptured cruciate ligament with a graft.<\/li>\n<li>Removal of foreign body.<\/li>\n<li>Treatment of certain cartilage lesions such as osteochondritis dissecans.<\/li>\n<\/ul>\n<p>\n<strong>Contraindications<\/strong><br \/>\nThere are few contraindications to note, apart from a local skin infection or a distant infection that could spread to the knee.<\/p>\n<p>\n<strong>Preparation<\/strong><br \/>\nOrthopedic assessment: The examination by the orthopedic surgeon and the X-ray assessment of the knee will determine the osteotomy. The treatment is also tailored to the functional demands and the patient&#039;s age.<\/p>\n<p>\nAnesthetic assessment: The consultation with the anesthesiologist aims to prevent operative risks and to optimize the patient&#039;s condition for their operation. <\/p>\n<\/p><\/div>\n<div id=\"menu10_anchor\"><\/div>\n<div id=\"menu10_trigger\" class=\"section\">\n<h3>\n     Surgery<br \/>\n    <\/h3>\n<p>\n<strong>Description<\/strong><br \/>\nArthroscopy involves inserting a small, rigid tube, the arthroscope (a rigid optical instrument), into a joint. Connected to a camera and a light source, this allows the surgeon to visualize the intra-articular region on a monitor. One or two small incisions are made to insert the miniature instruments used: forceps, scissors, a miniature burr, etc.<\/p>\n<p>\nThe advantage is that pathologies can be treated surgically, with minimal skin incisions, which drastically reduces the morbidity of the procedure.<\/p>\n<p>\n<strong>Meniscal tear<\/strong><br \/>\nA particular feature of the meniscus is its vascularization: the blood vessels coming from the capsule only supply the peripheral part of the menisci, as seen in the image below.<\/p>\n<p>\nThus, in the event of a tear, well-vascularized peripheral lesions of the meniscus can be treated by suturing because they have healing potential. Conversely, more central lesions are not vascularized and must be treated by partial meniscal resection.<\/p>\n<p>\nPartial meniscus resection should be as conservative as possible, as the remaining healthy meniscus will continue to perform its shock-absorbing and stabilizing function. Indeed, before the advent of arthroscopy, subtotal meniscectomies, which were performed by opening the knee, often led to long-term osteoarthritis.<\/p>\n<p>\nFor meniscal repairs, we use small absorbable anchors that are placed like tiny harpoons behind the meniscus and connected to each other by a thread that is tied under tension in the joint. Healing of meniscal lesions after suturing is achieved in most cases if the lesion is located in the vascularized zone of the meniscus.<\/p>\n<p>\n<strong>Suites<\/strong><br \/>\nAfter a meniscectomy, the patient walks weight-bearing with the knee fully extended. The knee can be moved, but repetitive flexion and extension should be avoided. After meniscal repair, the patient can walk with full weight-bearing and flex the knee up to 90\u00b0.<\/p>\n<\/p><\/div>\n<div id=\"menu11_anchor\"><\/div>\n<div id=\"menu11_trigger\" class=\"section\">\n                <!--    \n\n<div class=\"img-contenu\">\n        <img decoding=\"async\" src=\"\/med\/images\/operations\/arthroscopie\/Arthroscopie_03.jpg\" alt=\"Arthroscopie\" \/>\n       <\/div>\n\n--><\/p>\n<h3>\n            Frequently Asked Questions<br \/>\n          <\/h3>\n<p>\n<strong>What can we expect from this operation?<\/strong><br \/>\nIn cases of non-traumatic but degenerative tears of the medial meniscus, MRI aids in management: if the meniscus is extensively torn and the cartilage damage is minimal, the prognosis for arthroscopic meniscal resection is good. Conversely, if the cartilage damage is extensive with exposure of the subchondral bone and the meniscus is already subluxated at the periphery, the results of arthroscopic meniscal resection are unpredictable.<\/p>\n<p>\n<strong>Long-term results<\/strong><br \/>\nNumerous studies show success rates for meniscal repair ranging from 80% to 90%. However, this success rate depends on the location and type of tear, as well as its chronicity. The best results are obtained in young patients with recent peripheral tears. If the ACL is torn, it should also be repaired at the same time.<\/p>\n<p>\nMartin Majewski Am J Sports Med July 2006 34 1072-1076; published online before print February 1, 2006<br \/>\nSanjitpal S. Gill The Journal of Arthroscopic and Related Surgery, Vol 18, No 6 (July-August), 2002: pp 569\u2013577<br \/>\nMartin Logan, Am J Sports Med June 2009 37 1131-1134; published online before print March 11, 2009,<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><!--\n\n<section class=\"grey\">\n\n\n<div class=\"container\">\n  \n\n<div class=\"row p-tb-150\">\n    \n\n<div class=\"col-xs-12\">\n      \n\n    \n\n<h2 class=\"center barre\">\n      En savoir plus en vid\u00e9os\n    <\/h2>\n\n\n    {loadmodule mod_minitekwall,Affichage genou maladie videos}\n         <\/div>\n\n\n  <\/div>\n\n\n  <\/div>\n\n\n<\/section>\n\n--><\/p>\n<section class=\"savoir-plus\">\n<div class=\"container\">\n<div class=\"row p-t-150\">\n<h2 class=\"center barre\">\n      Contact one of our specialists<br \/> on the subject<br \/>\n    <\/h2>\n<p>    {loadmodule mod_minitekwall,Display knee doctors disease sheet}\n  <\/p><\/div>\n<\/p><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Menu Introduction La chirurgie Questions fr\u00e9quentes Introduction But de l\u2019op\u00e9ration Cette intervention va nous permettre de visualiser l\u2019articulation du genou \u00e0 l\u2019aide d\u2019une mini cam\u00e9ra et de la traiter chirurgicalement en y acc\u00e9dant par des mini incisions. Indications Parmi les op\u00e9rations courantes, nous avons: Suture m\u00e9niscale: r\u00e9parer un m\u00e9nisque l\u00e9s\u00e9. M\u00e9niscectomie: enlever une partie d\u2019un [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12656,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[268],"tags":[],"class_list":["post-12657","page","type-page","status-publish","has-post-thumbnail","hentry","category-joomla"],"acf":[],"_links":{"self":[{"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/pages\/12657","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/comments?post=12657"}],"version-history":[{"count":0,"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/pages\/12657\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/media\/12656"}],"wp:attachment":[{"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/media?parent=12657"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/categories?post=12657"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/template2.orthopediste-lausanne.ch\/en\/wp-json\/wp\/v2\/tags?post=12657"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}