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Dear Dr. Heskiaoff, Thank you for giving me back some real quality to my life. You have replaced both my knees (full knee replacement) exactly 5 years apart- R. knee in March of 2005 and L. knee in March of 2010.

Mr. James Wittman

My fast progress and recovery is the proof of Dr. Heskiaoff’s expertise and vast experience in total knee replacement surgery. Now, I am doing very well and am very grateful to Dr. Heskiaoff for giving me back active and pain-free life.

Mr. Allen

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Arthroscopic knee surgery information

Knee arthroscopy is one of the most frequently performed procedures to look into the joint with a camera. And, the most common type is Arthroscopic knee surgery. The surgery is generally conducted creating small incisions in the skin to fix injuries to tissues like ligaments, cartilage, or bone within the knee joint area. The surgery is performed with the help of an instrument called arthroscope— it is a very small instrument guided by a lighted scope connected to a display monitor. And, other instruments are inserted through three incisions around the knee.

Arthroscopic surgery may involve from minor procedures such as flushing or smoothing out bone surfaces or tissue fragments (lavage and debridement) associated with osteoarthritis, to the realignment of a dislocated knee and ligament grafting surgeries. Given the condition of patient’s knee, the surgery represents very different procedures, risks, and aftercare requirements.

The great benefit associated with Arthroscopic knee surgery is that the surgery is performed with fewer anesthetics, less cutting, plus requires less recovery time. However, this surgery demands a very comprehensive examination of the causes of knee injury or pain before making decision for surgery.

Knee arthroscopic may be recommended for following knee problems which include a torn meniscus (Meniscus is cartilage that cushions the space between the bones in the knee and surgery is done to repair or remove it); a torn or damaged anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL); inflamed or damaged lining of the joint (This lining is called the synovium); misalignment of the kneecap (patella); misalignment puts the kneecap out of position; small pieces of broken cartilage in the knee joint; removal of Baker’s cyst– a swelling behind the knee that is filled with fluid. Sometimes this occurs when there is inflammation (soreness and pain) from other causes, like arthritis and to examine some fractures of the bones of the knee.

This procedure has comparatively low morbidity. However, with the large number of procedures performed and the development of more complex techniques using minimally invasive approaches, occurrence of complications may not be ignored. But it is also true that with constant advances in orthopedic surgery of the knee, hospitalization time, medical cost, and the time lost from work and recreation have been dramatically reduced and restoration of neuromuscular function has improved.

Also remember, arthroscopic surgery demands skill and gentleness. While performing the surgery, all instruments should be inserted gently with a twisting motion and with an index finger extended along the shaft of the instrument to meet the skin and avoid an inadvertent traumatic plunge into the joint. So, you need to find the right surgeon who has broad experience and expertise in performing arthroscopic knee surgery and can provide you total comfort and peace of mind.