Orthopaedics & Joint Replacement

Arthroscopy: Everything You Need to Know About Keyhole Knee Surgery

By Dashvanth Healthcare Medical Team Β· Reviewed by our specialists Β· East Delhi

What Is Arthroscopy?

Arthroscopy is a minimally invasive surgical procedure where a small camera (arthroscope) is inserted into a joint through a tiny incision. It allows surgeons to diagnose and treat joint problems with precision β€” with far less trauma than traditional open surgery.

Joints Treated with Arthroscopy

  • Knee (most common)
  • Shoulder
  • Hip
  • Ankle
  • Elbow and wrist (less common)

Conditions Treated

  • Meniscal tears (repair or partial removal)
  • ACL/PCL reconstruction
  • Cartilage damage (chondroplasty)
  • Loose bodies in the joint
  • Synovitis (inflamed joint lining)
  • Shoulder instability / labral repair
  • Frozen shoulder capsular release
  • Femoroacetabular impingement (hip)

The Procedure

Under spinal or general anaesthesia, 2–3 small (5mm) incisions are made. Saline distends the joint for visibility. The arthroscope and instruments are introduced. Procedure time: 45 minutes to 2 hours. Day-care or overnight stay.

Advantages Over Open Surgery

  • Smaller incisions β€” less pain, scarring
  • Shorter hospital stay
  • Faster return to work and sport
  • Lower infection risk
  • Better visualisation of intra-articular structures

Is arthroscopy a major operation?

It is a surgical procedure requiring anaesthesia, so it carries anaesthetic and surgical risks. However, it is far less invasive than open surgery, with much faster recovery.

How long after arthroscopy can I walk?

For knee arthroscopy: most patients walk the same day with crutches. Full weight-bearing without aids: 1–2 weeks for most procedures (longer for ACL reconstruction).

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