Arthroscopy

Recently, arthroscopy of large joints has become the "gold standard" for both the diagnosis and treatment of a variety of orthopedic diseases and injuries of the musculoskeletal system. For example, arthroscopy of the knee joint is recognized as the most rational approach to the treatment of injuries of elements of the knee joint. This almost bloodless method allows you to enter into the joint through a special "puncture" optical video system and fully examine it. Arthroscopy of the knee joint provides an accurate diagnosis, makes it possible to see damage to the menisci and ligaments, to identify the true cause of the pain. And this is often difficult to establish, not only in the ordinary, but also in magnetic resonance imaging.

Advantages of joint arthroscopy

  • Minimum invasiveness of the operation. For example, the most commonly used arthroscopy of the knee joint is the anteroposterior and anteroposterior accesses on the sides of the patellar ligament 3-5 mm in size for optics and arthroscopic instruments. These approaches provide an opportunity to examine almost all parts of the joint and eliminate most intraarticular problems. A full-fledged diagnosis of the pathology of the knee is approaching 100%.
  • Arthroscopy of the knee helps to examine almost all parts of the joint and assess the functional state of the joint without violating its anatomical integrity.
  • Arthroscopy of the joints does not require long-term rehabilitation. After the operation, an early supporting load on the limb is possible, walking without additional support is possible after 1-3 days, the period of disability is reduced from 4-6 weeks to 2-3 weeks. Such results are especially important for young people and professional athletes, since it becomes possible to start training as soon as possible and to compete in a very short period of time.
  • Reducing the length of hospital stay with arthroscopy of any major joint. An extract from the hospital after arthroscopy of the joints is carried out within 1-3 days after the operation.

Indications for arthroscopy of the knee

In Clinic + 31, knee arthroscopy is prescribed in the following cases:

  • Meniscus damage. The modern equipment of the Department of Orthopedics and Traumatology of Clinic + 31 and the qualifications of our specialists allow us to perform not only resection of the damaged meniscus, but, when indicated, and its seam.
  • Damage to the cruciate ligaments of the knee
  • Inflammatory diseases of the synovial membrane
  • Habitual dislocation of the patella
  • Inflammatory diseases of the synovial membrane
  • Damage and disease of articular cartilage
  • Deforming arthrosis of the knee
  • Rheumatoid arthritis
  • Goff's disease: damage and disease of the fatty body - chronic fatty body hyperplasia
  • Unclear pathologies in case of damage or disease of the joints, the causes of which were not identified using clinical and instrumental methods of research
  • Unclear complaints after previous surgery

Arthroscopy of the shoulder joint

Arthroscopy of the shoulder joint is performed for diagnosis and treatment. Accurate diagnosis is important for young patients and is especially relevant in cases where other research methods do not allow a definitive diagnosis to be made. Arthroscopy of the joints provides important information about the nature of the injuries of the tendon of the biceps of the shoulder, the rotational cuff, helps to establish the reasons for the inability to move the arm in the shoulder joint.

Specialists of the Department of Traumatology-Orthopedics in Clinic + 31 perform the following types of operations on the shoulder joint:

  • Rotator Seam
  • Decompression of the subacromial space in "impingement" syndrome
  • Fixation of the cartilaginous lip and capsule-ligamentary complex with joint instability.

Often it is necessary to perform arthroscopic refixation of the articular lip (in case of Bankart damage or SLAP damage), tenodesis. At the same time, special titanium or absorbable arthroscopic anchor fixators are used for flashing and for fixing the torn portion of the articular lip to the edge of the articular cavity.

Joint arthroscopy for injuries of the rotational (rotator) cuff of the shoulder

Around the head of the humerus are several tendons that form the rotational (rotator) cuff of the shoulder. Its structure includes the tendons of the supraspinatus, infraspinatus, small round and subscapularis muscles. These muscles are designed to stabilize the head of the shoulder, they press it to the articular cavity during abduction of the arm (initial phase), provide rotation of the shoulder in and out. If damage occurs to one or more tendons of the rotator cuff, a violation of the biomechanics of the shoulder joint occurs, mobility is limited, and pain occurs when the arm is abated.

The Department of Traumatology-Orthopedics of Clinic + 31 conducts a diagnosis of the cuff of the shoulder based on the characteristic symptoms and data from an MRI scan. With a complete rupture of the tendons or the threat of their development, the specialists of the Clinic + 31 unconditionally recommend minimally invasive arthroscopic treatment.

Habitual dislocation of the shoulder, instability of the shoulder joint

In some cases, after an injury and a primary, the so-called traumatic dislocation, instability of the shoulder joint or the usual dislocation of the shoulder appear. With minor injury or even with an awkward movement, repeated displacements occur. Their causes are damage to the capsule and articular lip (Bankart damage), or defects in the articular surface of the scapula. Bone defects on the back of the shoulder head (Hill-Sachs damage) are also quite common.

Specialists in traumatology and orthopedics Clinks + 31 apply various methods of surgical treatment for instability of the shoulder and habitual dislocation. Arthroscopic stabilization of the shoulder joint is among the most effective. In this case, the damaged part of the articular lip is fixed to the glenoid using anchor fixators. To close the defect, the joint capsule is additionally tightened. The operation is done through skin punctures.

Impingement syndrome, subacromial bursitis, tendonitis of the supraspinatus tendon

In the area of the rotator cuff of the shoulder there is the so-called subacromial space, which plays an important role in the movement of the arm. The narrowing of this space causes compression of the anatomical formations during abduction of the arm. This, in turn, leads to pain and limited mobility.

Long-term practice of Clinic + 31 specialists has proved that subacromial decompression is the most effective way to treat such pathological conditions. Using special arthroscopic devices (shaver, boron, ablator), the removed soft tissues and bursa are removed in the subacromial space. If necessary, an edge resection of the lower surface of the acromial process or the edge of the clavicle is done. As a result of the operation, the space becomes large, and the cause of pain and limitation of function disappear once and for all.

Service record



Specialists

All specialists
Zakharyan
Norayr Grairovich

Traumatologist-orthopedist

PhD

Borghut
Rami Jamalevich

Head of the department of traumatology and orthopedics

PhD

Shadyan
Alan Vasilevich

Orthopedic Traumatologist

Takiev
Alexei Todorovich

Orthopedic Traumatologist

PhD

Aliev
Rasul Nikolaevich

Head of the Department of Traumatology-Orthopedics, Traumatologist-Orthopedist

PhD

Grishin
Vladimir Mikhailovich

Traumatologist-orthopedist, hand surgeon

Yarmak
Denis Olegovich

Traumatologist-orthopedist

Kneller
Lev Olegovich

Traumatologist-orthopedist

PhD

Zagorodny
Nikolay Vasilevich

Director of FSBI Nat. Honey. Research Center of Traumatology and Orthopedics of Names and N.N. Priorova

Doctor of Sciences, PhD, professor

Mironov
Andrey Nikolaevich

Traumatologist-orthopedist

Kotova
Marina Nikolaevna

Traumatologist-orthopedist

Pankov
Andrey Nikolaevich

Traumatologist-orthopedist

Pecherskaya
Elena Borisovna

Traumatologist-orthopedist, pediatric

Svirin
Viktor Viktorovich

Traumatologist-orthopedist

Petrosyan
Armenak Serezhaevich

Traumatologist-orthopedist

PhD

Zhvania
Georgy Levanovich

Traumatologist-orthopedist

PhD

Lopatin
Kirill Alexandrovich

Traumatologist-orthopedist, pediatric

Naidanov
Vadim Fedorovich

Traumatologist-orthopedist

Kozak
Lev Ilyich

Traumatologist-orthopedist, chiropractor

Simonov
Roman Alexandrovich

Traumatologist-orthopedist, chiropractor