Knee Arthroscopy

Knee arthroscopy is a minimally invasive operation to diagnose and treat intra-articular injuries. The camera and instruments are introduced into the joint cavity through several punctures, without open access.

The method allows you to accurately work with the meniscus, ligaments, cartilage tissue, synovial membrane. Its use during surgery reduces tissue trauma.

When is knee arthroscopy indicated?

Indications are always associated with intra-articular pathology. Arthroscopy is recommended when conservative treatment is ineffective or when an accurate diagnosis cannot be established using non-invasive methods.

The procedure is used in the following cases:

• traumatic meniscal tears
  
• cruciate ligament injuries
  
• cartilage defects of the articular surfaces
  
• presence of loose bodies within the joint
  
• chronic synovitis
  
• mechanical locking of the knee joint
  

Arthroscopy is indicated for both diagnostic and therapeutic purposes. Using an arthroscope, the orthopedic surgeon obtains a detailed view of intra-articular structures. If pathology is confirmed, it can be treated immediately without the need for a second procedure.

Contraindications to knee arthroscopy

There are situations where surgery should be postponed or alternative treatment considered. Contraindications may be relative or absolute, depending on the clinical condition and comorbidities.

Main limitations include:

• active infection
  
• severe coagulation disorders
  
• unstable cardiovascular or pulmonary disease
  
• end-stage osteoarthritis with joint space loss
  
• open wounds or skin infections in the knee area
  

Before surgery, patients undergo laboratory tests to assess hemoglobin levels, coagulation status, and overall health. A consultation with a physician and an ECG are also required.

When should you avoid delaying to prevent complications?

Certain conditions require prompt intervention. Delaying arthroscopy in such cases may lead to serious complications or even loss of joint function.

Do not delay if you experience:

• joint locking caused by a displaced meniscal fragment
  
• instability after injury
  
• severe swelling and persistent pain
  
• suspected significant cartilage or ligament damage
  

In acute cases, performing arthroscopy within the first two weeks leads to better outcomes. Early intervention helps preserve cartilage, prevent osteoarthritis, and shorten recovery time.

Advantages of knee arthroscopy

Knee arthroscopy minimizes soft tissue damage compared to open surgery and allows for faster recovery. It is a precise and safe procedure with a high success rate.

Key advantages include:

• accurate visualization of joint structures in real time
  
• reduced risk of complications
  
• shorter hospital stay
  
• faster return to normal activity
  
• minimal scarring
  
  

The use of endoscopic instruments reduces surgical trauma. As a result, patients achieve improved knee function without compromising stability or mobility. Treatment is targeted, affecting only the damaged area.

Anterior cruciate ligament (ACL)— PVC plastic rupture is one of the most common indications for surgery. In such cases, arthroscopic ACL reconstruction is performed using the patient’s own graft. Surrounding joint structures remain intact. The procedure typically lasts 60–90 minutes and is performed under spinal or general anesthesia. Hospitalization is minimal or may not be required. Rehabilitation usually takes 6–9 months.

Weight-bearing after surgery is partially restricted at first, but rehabilitation begins almost immediately. This helps prevent muscle atrophy and joint stiffness.

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How our doctors perform knee arthroscopy

The standard technique involves inserting instruments through two or three small incisions:

• one for the arthroscope (camera)
  
• others for surgical instruments
  
  

A high-definition image is displayed on a monitor in real time.

The procedure includes:

• anesthesia (general or spinal)
  
• access to the joint cavity
  
• diagnostic evaluation
  
• therapeutic intervention (resection, suturing, removal of loose bodies, etc.)
  
• joint irrigation and dressing
  
  

Knee arthroscopy in Lviv at Mashtaler Ortho&Trauma Clinic is performed using modern optical systems, ensuring precise navigation within the joint.

After the procedure, an elastic bandage is applied. In some cases, a compression tourniquet may be used. A cast or rigid immobilization is usually not required.

Preparation for knee arthroscopy

Before surgery, patients must undergo laboratory testing. Eating and drinking should be avoided for at least 8 hours prior to the procedure. Medications that affect blood clotting should be discontinued in advance, in consultation with your doctor.

Recommendations:

• discuss all existing medical conditions with your orthopedic surgeon
  
• report any allergies
  
• provide a list of regular medications
  
• do not adjust medications without medical advice
  
  

Preparation for arthroscopy is standard for minimally invasive procedures and is aimed at minimizing risks and ensuring optimal outcomes.

Recovery process after knee arthroscopy

Rehabilitation depends on the complexity of the surgical intervention, the general condition of the patient and compliance with the regimen. On the first day after surgery, compression, cold and elevated leg position are necessary. Resistance is limited in part — depending on the scope of the procedure.

Recovery depends on the type of intervention performed (PCH plastic, meniscus suturing, etc.).

Weight-bearing on the knee is gradually increased after surgery. Rotational movements, running, jumping should be avoided. When stability is restored after cruciate ligament plasty, the process lasts 6—9 months. Rehabilitation is accompanied by an orthopedс surgeon and a physiotherapist.

What are the benefits of knee arthroscopy?

In most cases, patients experience relief from pain, swelling, and the sensation of joint locking. A full or near-full range of motion is restored.

Unlike open surgical procedures, arthroscopy does not damage the surrounding tissues. This reduces the risk of complications, shortens the rehabilitation period, and allows for a faster return to daily activities. Even in cases of complex cartilage damage, the procedure enables targeted treatment of the affected area without impacting healthy structures.

Why choose Mashtaler Ortho&Trauma

1. Specialized expertise in arthroscopy. The clinic focuses on arthroscopic procedures and regularly performs knee arthroscopy. We treat meniscal injuries, cartilage damage, and ligament conditions, including the anterior cruciate ligament (ACL).
2. Modern equipment. Procedures are performed using high-resolution arthroscopic systems, providing precise visualization and full control throughout the operation.
3. Comprehensive care in one place. Consultation, diagnostics, surgery, and rehabilitation are all provided within a single clinic — without the need for external referrals.
4. Personalized approach and results. Each patient is treated according to an individual plan. The scope of the procedure is determined based on the specific condition and its complexity.

Cost of knee arthroscopy in Lviv

The cost of knee arthroscopy depends on the type of condition, the extent of the damage, and the complexity of the planned procedure. Our specialists will provide detailed information after the initial consultation.

If you are interested in the cost of meniscus arthroscopy or treatment of other knee joint structures, please contact us or book an appointment online using the form on our website.

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